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CQC report explained · a residential care home

What the CQC found at Penhill Residential Home

Goodpublished 1 May 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured about most infection control arrangements. They were only somewhat assured about social distancing, safe disposal of used PPE and staff mask use.
Effective?
Good
This was not assessed in this targeted inspection.
Caring?
Good
This was not assessed in this targeted inspection.
Responsive?
Good
This was not assessed in this targeted inspection.
Well-led?
Good
This was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, February 2021

Inspected but not rated; inspectors were assured about most infection controls but found gaps in distancing, PPE disposal and mask use.

This was an announced, targeted inspection on 20 January 2021. One inspector checked infection prevention and control arrangements during the coronavirus pandemic.

The inspectors were assured about most arrangements. These included access to PPE, testing, cleaning, visitor temperature checks, infection control policies and support for family visits.

They found some areas needing attention. Chairs in the lounge and conservatory were not spaced far enough apart. Some bins were not pedal bins, and used PPE was left in an open bag. Staff also said they removed their masks between supporting different people, which was not in line with current guidance.

The home was inspected but not rated. This report does not give a new overall quality rating.

What inspectors praised
  • PPE available

    Staff had access to plenty of PPE, with PPE trolleys available throughout the home.

    “staff had access to plenty of personal protective equipment (PPE) and PPE trolleys were available throughout the home.” from the report
  • Family contact

    People were supported to stay in touch with their families, including through visits behind a Perspex screen.

    “People were supported to keep in touch with families.” from the report
  • Cleaning

    The home had additional cleaning arrangements, including attention to frequently touched areas.

    “Additional cleaning regimes were in place to ensure high standards of cleaning.” from the report
  • Testing

    Staff were tested weekly and people living in the home were tested monthly.

    “The provider was testing staff every week and people monthly.” from the report
What inspectors were concerned about
  • Social distancing

    needs fixing

    Chairs had not been removed from the lounge and conservatory to create enough space between people. This was raised with the manager.

    “We were somewhat assured that social distancing rules were being adhered to” from the report
  • Used PPE disposal

    needs fixing

    Some bins were not pedal-operated, and dirty PPE was left in an open bag attached to a PPE trolley. The manager said pedal bins would be ordered.

    “dirty PPE was left open in a bin bag which was tied to the side of the PPE trolley.” from the report
  • Staff mask use

    needs fixing

    Staff said they removed their masks between supporting different people. Inspectors said this was not in line with current guidance and fed it back to the manager.

    “We were somewhat assured staff wore their PPE as required” from the report
Questions to ask them, based on this report
  1. 01Have pedal bins now been provided in toilets and people's rooms, and how is used PPE disposed of?
  2. 02What changes have been made to the lounge and conservatory to maintain safe spacing between people?
  3. 03What instructions do staff now follow about wearing masks when supporting different people?
  4. 04How are staff and people living in the home being tested now?
  5. 05How are family visits being managed, including visits for people receiving end-of-life care?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 24 February 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.

An earlier report, explained

What inspectors found, May 2019

Penhill Residential Home was rated Good; inspectors found safe, kind and person-centred care, with medicines processes recently changed.

This was an unannounced, planned inspection on 7 February 2019. One inspector reviewed information, spoke with seven people, three staff, managers and two health and social care professionals, and checked three care records, medicine records and audits.

The home was providing personal care and accommodation to 16 people. Inspectors found enough staff, good care plans, respectful staff, suitable activities and good links with health professionals. People could make choices about their care, food and activities.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means the inspectors found legal requirements were met and that people received consistently good care, although they also noted some areas being improved.

What inspectors praised
  • Kind and respectful care

    People described the care positively, and inspectors saw staff speaking to people in a pleasant and respectful way.

    “People all told us they received good care.” from the report
  • People have a voice

    People could discuss menus, trips and other issues in a weekly forum. They also had individual reviews of their care.

    “There was a strong sense of people being at the heart of the service and being given opportunity to give their views and opinions.” from the report
  • Good health support

    Staff worked with GPs, district nurses, physiotherapists and other services. They supported people with appointments and health needs.

    “The registered manager told us how they had built good working relationships with healthcare professionals, including GPs and district nurses.” from the report
  • Choice and activities

    People could choose meals, ask for alternatives, take part in trips and entertainment, and follow their own interests.

    “People were able to take part in organised activities as they wished.” from the report
What inspectors were concerned about
  • Rating poster was initially missing

    minor

    The previous rating was not displayed inside the home at the start of the inspection. It was put on display before the inspection ended.

    “The rating of the service from the last inspection was displayed on the home's website, however we noted that it was not on display in the home as is a legal requirement.” from the report
  • End of life training was unfinished

    minor

    Staff were still completing end of life training during the inspection. The report says staff found it challenging but understood its value.

    “Staff were in the process of completing end of life training at the time of our inspection.” from the report
Questions to ask them, based on this report
  1. 01How does the current medicines process work now that medicines are delivered in their original boxes?
  2. 02How are medicine stock checks and administration errors recorded and followed up?
  3. 03Have all staff now completed the end of life training mentioned in the report?
  4. 04How are people and families involved in care reviews, menus, activities and decisions about end of life care?
  5. 05What has changed in the home since this Good rating was published in 2019?

This was an unannounced, planned inspection covering all five CQC areas: Safe, Effective, Caring, Responsive and Well-led. This explanation was written from the published report of 1 May 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.

The story over the years

Every inspection of Penhill Residential Home

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. February 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Penhill Residential Home →

  2. May 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Penhill Residential Home →

  3. September 2016Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2011

    Registered with the Care Quality Commission on 7 December 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.

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