CQC report explained · a residential care home
What the CQC found at Penshurst
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Risk management, medicines, infection control, staffing arrangements and emergency plans were found to be safe.
- Effective?
- Good
- This question was not covered by this focused inspection, so no new rating was given.
- Caring?
- Good
- This question was not covered by this focused inspection, so no new rating was given. The report nevertheless describes care as person-centred and respectful.
- Responsive?
- Good
- This question was not covered by this focused inspection, so no new rating was given. The report says care plans reflected people's individual needs and wishes.
- Well-led?
- Good
- The provider was found to have clear values, good relationships with people and suitable systems for monitoring quality and meeting regulatory responsibilities.
What inspectors found, May 2023
Penshurst is rated Good; inspectors found safe, person-centred care and strong day-to-day leadership.
This was a focused inspection of safe and well-led care. One inspector visited on 17 April 2023 and reviewed records, observed care, and spoke with the three people living at the home, a family member, staff and health and social care professionals.
The inspectors found that people felt safe and were supported to make choices. Risks were assessed and reviewed, medicines were managed safely, infection control arrangements were effective, and people could have visitors.
The home was described as relaxed, respectful and person-centred. The overall rating was Good. The safe and well-led ratings remained Good, while the other three areas were not inspected during this visit.
People’s independence
The home supported people to make choices and take part in activities with an appropriate balance between independence and safety.
“The model of care and setting maximised people's choice, control and independence.” from the report
Safe medicines
Inspectors found suitable systems for ordering, storing, giving and recording medicines. People confirmed they received their medicines.
“Systems were in place to ensure medicines were ordered, stored, administered and recorded safely.” from the report
Positive atmosphere
People appeared happy with the way the home was run. The provider was described as respectful, approachable and trustworthy.
“People told us, and we saw, there was a positive, relaxed, atmosphere at Penshurst.” from the report
Good partnership working
The home worked with health and social care professionals and responded to changing health needs.
“This helped to ensure there was joined-up care provision and built seamless experiences for people based on good practice and people's specific needs and preferences.” from the report
Extra risk assessments needed
minorInspectors identified a need for some additional risk assessments. The provider put these in place promptly.
“Where we identified a need for some additional risk assessments the provider promptly ensured these were in place.” from the report
- 01Which additional risk assessments were needed, and how are they now reviewed?
- 02How would people’s support be maintained if the provider was unexpectedly unavailable?
- 03How are medicines with changing doses checked and recorded with the GP surgery?
- 04How does the external consultant help the home keep its care and regulatory practice up to date?
This was a focused inspection of Safe and Well-led only; the other key questions were not inspected during this visit. This explanation was written from the published report of 11 May 2023 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, December 2017
Rated Good; inspectors found safe, kind and personalised care, with the home remaining Good since 2015.
The inspection was unannounced and took place on 27 October 2017. One inspector spoke with all three people living at the home, the provider, and reviewed care plans, records and how care was delivered.
The inspectors found that people felt safe and were supported by someone who knew their needs well. Medicines, risks, emergencies, nutrition and healthcare were managed appropriately. People were treated with kindness, involved in decisions and supported to be independent and active in the community.
All five areas were rated Good: safe, effective, caring, responsive and well-led. The home was also rated Good at the previous inspection in August 2015.
People felt safe
People told inspectors they felt safe and secure. Risks to their health and wellbeing were assessed, managed and reviewed.
“People told us they felt safe and secure at Penshurst.” from the report
Kind and respectful care
Inspectors saw caring interactions and found that people were treated with kindness, dignity and respect.
“We observed caring interactions between people and the provider.” from the report
Personalised support
People were supported to make choices about their daily lives, activities and care. Plans were reviewed when their needs changed.
“Care plans had been developed in line with people's needs and the way they wished to be supported.” from the report
Independence and relationships
People were encouraged to do things for themselves and to maintain relationships that mattered to them.
“People were encouraged to maintain and develop relationships that were important to them.” from the report
Good oversight
The provider consulted people about the home and worked with an external consultant to help keep practice up to date.
“The provider had an appropriate system in place to assess, monitor and improve the quality of service they provided to people.” from the report
Inspectors raised no specific concerns in this report.
- 01How would support be provided if the provider were unavailable or unable to work?
- 02How is the external care agency involved, and how will you make sure its support matches the person's care plan?
- 03How often are care plans and risk assessments reviewed when someone's health or support needs change?
- 04How are people supported to manage some of their own medicines, and what checks are in place?
- 05What activities and community opportunities would be available for the person we are considering placing here?
This was an unannounced inspection covering all five CQC questions and the overall rating; the previous inspection in August 2015 was also rated Good. This explanation was written from the published report of 2 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 Penshurst
3 rated inspections over 8 years: the service has held its Good rating throughout.
- May 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2017Goodstayed GoodSafe: GoodWell-led: Good
- September 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2013
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 19 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
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84 live-in carers within about two hours of Isle of Wight
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 £1,010 to £1,230 a week. 68 can care for a couple. 11 years' experience on average.
“I cannot recommend Prisca highly enough, she is one in a million.”
“He stayed with her throughout the pandemic, refusing to visit his own family, who lived nearby, to reduce the risk of infection.”
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.