Archived: Penerley Lodge Care Centre

Penerley Lodge Care Centre is a care home which provides accommodation and support to up to 28 people aged 65 and over, including people living with dementia. At the time of our inspection 25 people were living at the home.

People’s experience of using this service

The provider had made some improvements to their recruitment processes, however, we found further improvements were needed as full pre-employment checks had not always been completed. Risks to people’s health and wellbeing were identified and effective measures put in place to mitigate these. People’s medicines were stored and managed safely. There were safe infection control procedures to reduce the risks associated with the COVID-19 pandemic.

The provider had made several improvements to the building since our last inspection. There were a range of audits and checks carried out to maintain quality and safety. Despite improvements some elements of service delivery such as activities and food choices were not always person-centred. We have made a recommendation about person-centred activities and meal choices. The provider worked with a range of healthcare professionals. However, the service had experienced issues getting regular appointments with the NHS podiatry service. We have made a recommendation about podiatry care.

We received mainly positive feedback about the home from everyone we spoke with. A relative told us, “Honestly the home is fantastic. We’ve never had any occasions to complain. From our experience the staff including managers are kind and caring.”

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection:

The last rating for this service under the previous provider was requires improvement (published 19 March 2020).

Why we inspected

We carried out this inspection following a routine review of information we held about this service which indicated there may be a higher level of risk at this service.

Enforcement

We have identified a continued breach in relation to safe recruitment practices. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Penerley Lodge Care Centre provides accommodation and support to up to 28 people aged 65 and over, including people living with dementia. At the time of our inspection 28 people were living there. The home was adapted from neighbouring period properties, with accommodation over two floors and a large garden.

People’s experience of using this service and what we found

Prior to our inspection we were told by a visiting professional that staff did not always wear appropriate PPE. During our inspection we observed two members of staff not wearing fluid repellent masks whilst in close proximity to vulnerable residents.

Cleaning of the service had increased to reduce the risk of infection. The provider was in the process of refurbishing the service and we could see improvements and been made to bathrooms and the kitchen.

The provider was supporting people to receive visits from family members in a safe way. People were monitored for signs and symptoms of illness. People receiving care and staff were being tested regularly for Covid-19.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published 19 March 2020). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found some improvements had been made, however we identified further concerns in relation to infection prevention control.

Why we inspected

We undertook this targeted inspection to follow up on specific concerns we received about infection control procedures. A decision was made for us to inspect and examine those risks.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

We have identified breaches in relation to safe care and treatment at this inspection.

You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.