CQC report explained · a residential care home
What the CQC found at Pendene House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was managing infection risks, using PPE safely, supporting testing and vaccination, and facilitating visits in line with guidance. The provider also said it had measures to manage COVID-19-related staffing pressures.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, February 2022
Pendene House was inspected but not rated; inspectors found strong COVID-19 infection control and visiting arrangements.
This was a targeted inspection on 21 January 2022. Inspectors checked infection control, visiting arrangements and whether COVID-19 staffing pressures affected care. The inspection was announced 24 hours in advance.
Inspectors found robust checks for visitors, including negative COVID-19 tests, temperature checks and screening questions. Visitors wore PPE and used a room that was cleaned after each visit. The home also supported contact with family through window visits, telephone calls and video calls.
The home was clean and hygienic. Staff used PPE correctly and had infection control refresher training. People were supported with COVID-19 testing and vaccinations, and their COVID-19 risks and care needs were recorded.
The overall service and Safe question were marked 'Inspected but not rated'. This means the visit checked specific areas rather than giving a new quality rating.
Visitor safety
Visitors had to show a negative COVID-19 test, have their temperature taken and complete a screening questionnaire. They also wore PPE.
“All visitors were required to show a negative COVID-19 test, their temperature was taken, and a COVID-19 screening questionnaire completed before they entered the service.” from the report
Clean environment
The home was clean and hygienic, with regular cleaning of areas that people often touched.
“The service was clean and hygienic and infection prevention and control, best practice guidance was maintained.” from the report
Family contact
The home supported people to stay in touch with relatives and friends through visits, calls and video calls during the pandemic.
“People had also been supported to maintain contact with friends and family during the pandemic via window visits, telephone calls and face time calls.” from the report
Staff infection control
Staff had refresher training and were observed wearing the correct PPE during the inspection.
“We observed staff wearing the correct PPE throughout our inspection.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection control and visiting arrangements are in place now?
- 02How do you manage staffing pressures when staff are absent because of COVID-19?
- 03How are residents supported with COVID-19 testing and vaccinations now?
- 04How are residents' individual infection risks recorded and reviewed?
- 05How do you help residents keep in touch with relatives if normal visits are restricted?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not provide a new overall rating or assess all five questions. This explanation was written from the published report of 3 February 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, June 2019
Pendene House was rated Good overall; inspectors found safe, kind and well-organised care, with some care planning and dementia signage still being improved.
The inspection was unannounced and took place on 29 May 2019. One inspector and an expert by experience visited the home. They spoke with people living there, a relative, staff and the manager. They also observed care and checked care records, medicines, training, recruitment and quality checks.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, suitable risk assessments and good infection control. People were treated kindly, involved in decisions and supported with food, healthcare, activities and their personal routines.
There were some smaller areas still being developed. A new person's care plan did not yet contain much information, dementia-friendly signs were limited, and the home was recruiting an activities leader. The overall Good rating means the inspectors found the service met legal requirements and that people's outcomes were consistently good.
People felt safe
People told inspectors they felt safe in the home and with the staff team. Staff understood how to recognise and report abuse or avoidable harm.
“People felt safe living at Pendene House and felt safe with the staff team who supported them.” from the report
Kind and respectful care
Staff treated people with kindness, protected their privacy and dignity, and supported their choices and independence.
“The staff team spoke to people in a kind way and offered support in a relaxed and caring manner.” from the report
Safe medicines support
Medicines were administered safely and records showed when they had been given. Staff training and competency checks were in place.
“Staff members had received training in medicine management and their competency was regularly checked.” from the report
Improving leadership
The manager used audits, meetings and feedback to monitor the service and make improvements. The Well-led rating had improved since the previous inspection.
“The registered manager was committed to continually improving the service.” from the report
Limited dementia signage
minorInspectors found limited dementia-friendly signage to help people find their way around. The provider had bought signage after the inspection.
“We did note there was limited dementia friendly signage to help people find their way around” from the report
One care plan was incomplete
needs fixingOne person who had recently moved in had a care plan with limited information. The manager was still developing it, and staff knew the person's needs at the time.
“We did note for one person who had recently arrived at the service, their plan of care had limited information within it.” from the report
Activities provision was changing
minorActivities were being provided by staff on duty while the home recruited an activities leader. The manager was also considering outside activities and visits.
“Whilst activities were currently being provided by the staff team on duty, the registered manager told us they were in the process of recruiting an activities leader” from the report
- 01How do you make sure a new person's care plan is completed quickly and kept up to date?
- 02What dementia-friendly signs are now in place to help people find their way around?
- 03Has an activities leader been appointed, and what activities are available each week?
- 04How often are staff checked as competent to administer medicines?
- 05How do you record and act on lessons learned after falls or other incidents?
This was a planned, unannounced inspection covering all five CQC areas, including the premises and the care provided. This explanation was written from the published report of 12 June 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Pendene House
3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- June 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2016Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- October 2013
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 9 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Leicester
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,270 a week. 83 can care for a couple. 12 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
“Tino was the most wonderfully rounded, empathetic and intuitive person. He not only developed a great relationship with Neville but also had a great working relationship with our existing carer.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.