CQC report explained · a residential care home
What the CQC found at Pendle Gardens
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People said they felt safe. Staffing, recruitment, risk assessments, medicines and infection control were judged safe, but an earlier incident had not been referred to the local authority as a safeguarding alert.
- Effective?
- Good
- People's needs were assessed and staff had suitable training. Nutrition, healthcare and transitions into the home were supported well, although some health plans needed more information.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. People were involved in decisions and supported to make choices about their daily lives.
- Responsive?
- Good
- Care was personalised and activities reflected people's interests. However, keyworker meetings had not been recorded regularly for two people, and the manager agreed to reinstate monthly meetings.
- Well-led?
- Good
- The home had a positive culture and systems to monitor quality. The manager agreed to create a central complaints record and said people would be invited to complete a satisfaction questionnaire.
What inspectors found, August 2021
Rated Good; inspectors found safe, kind and personalised care, with some records and meetings needing improvement.
This was the first inspection since the home registered. Inspectors visited on 13 and 14 July 2021. They spoke with four people living there and four staff, looked at three people's care and medicine records, checked staff files and training records, and inspected the premises.
The overall rating was Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and were happy with the care. Inspectors saw kind and respectful interactions, suitable staffing, safe medicines practice, person-centred support and activities that promoted independence.
Inspectors found some areas to improve. Keyworker meetings had not happened regularly for everyone. Some health plans lacked oral healthcare information or enough detail about past medical conditions. A safeguarding alert about an earlier incident had not been raised by the home, so inspectors raised one after the inspection. The manager agreed actions to address these points.
Kind and respectful staff
Inspectors saw warm, calm and respectful interactions. People said staff were caring and listened to them.
“We saw people were respected by staff and treated with kindness.” from the report
Choice and independence
People lived in self-contained flats and were supported to make choices, take part in activities and manage some aspects of daily life.
“This model of care maximised people's choice, control and independence.” from the report
Personalised support
Support plans described people's needs, preferences and communication styles. Staff knew people well and adapted support when needs changed.
“Staff knew people well and demonstrated an understanding of people's individual care, behavioural and communication needs.” from the report
Safe medicines and staffing
Inspectors found suitable staffing and safe systems for storing, giving and recording medicines.
“The staff maintained appropriate records for the receipt, administration and disposal of medicines.” from the report
Positive management
The management team used audits, meetings and action plans to monitor the service and make improvements.
“The provider had established effective systems to monitor the quality of the service.” from the report
Safeguarding referral
seriousAn earlier incident had been reported differently to the manager, so the home did not raise a safeguarding alert with the local authority. Inspectors raised an alert after the inspection.
“As the incident had been reported differently to the registered manager a safeguarding alert was not raised with the local authority.” from the report
Keyworker meetings
needs fixingOne person had no recorded keyworker meetings and another had only one. The manager said monthly meetings would be reinstated.
“The registered manager assured us monthly keyworker meetings would be reinstated for all people using the service.” from the report
Health plan detail
needs fixingHealth action plans did not cover oral healthcare, and one plan had limited information about past medical conditions. The manager sent an action plan saying this was being addressed.
“However, we noted the plans did not cover oral healthcare and one person's plan had limited detail about past medical conditions.” from the report
Complaints records
minorComplaints had been investigated and resolved, but the home did not yet have a central record to identify themes or repeated issues.
“The registered manager agreed to develop a central record of complaints to help with the identification of any themes or trends.” from the report
- 01How are monthly keyworker meetings now recorded for every person?
- 02What has been added to health action plans about oral healthcare and past medical conditions?
- 03How are safeguarding concerns identified, reported and reviewed after the incident mentioned in the report?
- 04Has the central complaints record been introduced, and how are repeated themes acted on?
- 05How are people and families now asked for feedback about the service?
This was the first inspection of the newly registered care home and covered all five CQC questions, including the premises, care and infection prevention measures. This explanation was written from the published report of 18 August 2021 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 Pendle Gardens
Each visit the CQC has published, newest first, back to the day the home was registered.
- August 2021Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2020
Registered with the Care Quality Commission on 22 July 2020.
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
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85 live-in carers within about an hour of Lancashire
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 £1,260 a week. 78 can care for a couple. 11 years' experience on average.
“She understands the needs of an elderly person in the early stages of dementia and has treated my mother with great kindness and skill.”
“Thanks to Tracy, Dad was always immaculately dressed and clean, his meals were all home cooked and nutritionally well balanced and his home was always kept really clean and tidy.”
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.