What the CQC found at Penmount Grange

Since the previous inspection, risk assessments and care plans were more detailed, reflected people’s needs and were reviewed regularly.

“These were reflective of people's needs and were regularly reviewed.” from the report

People, relatives and a healthcare professional spoke positively about staff. Inspectors saw staff protect people’s privacy and dignity.

“People were looked after by staff who treated them with kindness and respect.” from the report

People and relatives said there were enough staff. Inspectors saw staff respond without rushing and meet people’s needs in good time.

“There were sufficient staff on duty to meet people's needs safely.” from the report

Staff knew people’s preferences and supported their choices, independence, food preferences, routines and relationships.

“People were involved in the planning of their care and their views and wishes were listened to and acted on.” from the report

The manager was active in the home and staff described the management as supportive and approachable. People’s feedback was used to improve the service.

“There was a positive culture in the service. The management team provided strong leadership and led by example.” from the report

A prescribed cream was not always applied twice a day, and staff did not always record when it was declined. Guidance about when to give as-required medicines was also not initially recorded clearly.

“However, this information was not always followed in practice and records were not always completed to show when they had been administered.” from the report

Some bedrooms initially did not have call bells, and the reasons were not recorded. After the inspection, the home said it had reassessed people, replaced call bells where suitable and recorded alternative safety measures where needed.

“Some people did not have call bells in their bedrooms.” from the report

One decision to give medicines covertly did not initially have a capacity assessment explaining why this was needed. The home said the assessment was added after the inspection.

“However, a best interests decision had been made for one person to receive their medicines covertly but there was no capacity assessment” from the report

Records did not always show personal care, activities, eating and drinking, or whether people had declined support. This made it harder for senior staff to check that care was being provided as wanted.

“We found several records regarding different aspects of people's lives, such as personal care, activities, eating and drinking had not always been completed fully.” from the report

One person who was cared for in bed had no planned activities beyond personal care and help with food and drink. The home said it arranged daily one-to-one time after the inspection.

“One person, who was cared for in bed, did not have any planned activities beyond receiving personal care and support to eat and drink.” from the report

Two office doors were regularly left open even though confidential records were kept inside. The manager said this would not happen in future.

“People's confidentiality may not have always been respected.” from the report