CQC report explained · a nursing home
What the CQC found at Penhurst Gardens Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People said they felt safe and did not have to wait long for help. Inspectors found enough staff, suitable recruitment checks, safe medicines and clear risk assessments.
- Effective?
- Good
- Staff had relevant training and understood people's needs. People were supported with consent, nutrition and healthcare, including referrals to outside professionals when needed.
- Caring?
- Good
- Staff were caring, patient and respectful. Inspectors saw that privacy, dignity, confidentiality and independence were promoted.
- Responsive?
- Outstanding
- People had exceptional opportunities for activities, outings and community involvement. Care plans were personalised, regularly reviewed and used to guide individual support.
- Well-led?
- Good
- The home had an open and positive culture, with approachable management and good teamwork. Audits, meetings and an action plan were used to monitor and improve the service.
What inspectors found, December 2017
Penhurst Gardens Care Home was rated Good overall, with Outstanding responsiveness and inspectors finding safe, kind and personalised care.
This was the first inspection of the home. It was unannounced and took place on 10 October 2017. Inspectors observed care, spoke with people and relatives, talked with staff and managers, and checked care, medicine, staffing and management records.
The home was rated Good for Safe, Effective, Caring and Well-led. Inspectors found enough staff, safe medicines, suitable training, respectful care, good support with food and healthcare, and effective checks on the quality of the service.
Responsive was rated Outstanding. People had a wide choice of activities and opportunities to take part in the community. Their care plans were personal and up to date, and staff understood their wishes and routines.
The home had opened in December 2016 and was still admitting people. Sixteen people were living there on inspection day, with two more being admitted. Only the ground floor was in use at that time.
Exceptional activities
People could continue old interests, try new activities, go on trips and take part in community events. Inspectors said this improved well-being and gave people a sense of purpose.
“People had exceptional opportunities to enhance their social inclusion and participate in various activities that met their needs and took account of their preferences.” from the report
Personalised care
Care plans described people's health needs, preferences, routines and wishes. Staff knew people well and adapted their support to the individual.
“People's care plans were current and gave clear guidance to staff on how people wished to be supported.” from the report
Kind and respectful staff
Inspectors saw patient and thoughtful interactions. Staff respected privacy and dignity and encouraged people to remain as independent as possible.
“Throughout the inspection we observed how staff interacted with people and only saw a caring, patient, person centred and thoughtful approach.” from the report
Safe staffing and medicines
There were enough staff to respond promptly. Medicines were stored, given and recorded safely, and recruitment checks had been completed.
“People's medicines were managed safely. Medicines were stored securely and only designated staff had access to these.” from the report
Supportive leadership
Staff described management as approachable and supportive. The home used audits, meetings and staff development to monitor care and improve practice.
“The provider had effective quality assurance systems in place to monitor the service and to drive continuous improvements.” from the report
Some records needed updating
minorAn audit found that some do-not-resuscitate forms still showed a previous address. The issue had been raised with the GP for review.
“The audit identified that some peoples' 'do not resuscitate' form still had their previous address on” from the report
Sharing complaints learning
minorA complaints audit found it would be useful to share the results of complaints analysis with staff. This was added to the home's ongoing action plan.
“registered manager added this to the on-going action plan.” from the report
- 01How will staffing levels change as more people are admitted and the first floor becomes operational?
- 02Which activities and outings are currently available, and how are they adapted for people who stay in their bedrooms?
- 03How are my relative's care plan, preferences and wishes reviewed with them and their family?
- 04Have all forms with old addresses been checked and corrected, including do-not-resuscitate forms?
- 05How are complaints analysed and how is the learning shared with staff?
This was an unannounced first inspection of the whole service, covering all five CQC questions; the home had opened in December 2016 and only its ground floor was in use. This explanation was written from the published report of 14 December 2017 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 Penhurst Gardens Care Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- December 2017Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- December 2016
Registered with the Care Quality Commission on 8 December 2016.
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
38 live-in carers within about an hour of Oxfordshire
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 £1,300 a week. 32 can care for a couple. 12 years' experience on average.
“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
“She was v competent and confident and we felt our mum was safe in her care. She supported us through a difficult time.”
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.