Pendle View

Updated 1 August 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one inspector.

Service and service type:

The service is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

This inspection was announced. We gave the registered manager one day’s notice, as this is a small service and we wanted to be sure that the registered manager and people living at the home would be available to speak with us.

What we did

Before the inspection we reviewed information we had received about the service from the provider since the last inspection, such as details of safeguarding concerns and complaints. We sought feedback from the local authority and Healthwatch Lancashire about the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection we spoke with two people who lived at the home, two care staff and the registered manager.

We reviewed a range of records. This included one person’s care records and two people’s medicines records. We looked at a variety of records relating to the management of the service and a selection of the provider’s policies and procedures.

After the inspection we contacted five community professionals, including one person’s advocate, for their feedback about the service. We also contacted one person’s relative for their comments. We made a referral to the local authority infection prevention and control team, who would assess the service’s infection control practices, provide advice and guidance about any necessary improvements and provide us with a report.

Updated 1 August 2019

About the service:

Pendle View is a residential care home which provides accommodation and personal care to up to six people with mental health support needs. At the time of the inspection, four people were living at the home.

People’s experience of using this service:

People were happy with the care and support provided by the service. However, we found some areas needed to be improved.

Some areas of the home were not clean and people were not protected from the risks associated with poor infection control practices. The provider followed safe processes when recruiting new staff. The service managed people's medicines and risks to people’s health and wellbeing in a safe way. People were happy with staffing levels at the home.

Staff supported people in a way which met their needs. Staff were happy with the induction and training provided by the service. The service supported people in line with the Mental Capacity Act 2005 and applied to the local authority for authorisation when people needed to be deprived of their liberty to keep them safe. Staff supported people to meet their dietary and healthcare needs and referred people to community professionals when they needed extra support.

People liked the staff who supported them. Staff considered people’s diversity and respected their right to privacy and dignity. They encouraged people to be independent when it was safe to do so. Staff encouraged people to make decisions about their support and their everyday lives. People had access to advocacy services.

Staff supported people in a way which reflected their needs, risks and preferences. Staff supported people to follow their interests and take part in a variety of activities inside and outside the home. Complaints had been managed in line with the complaints policy and people felt able to raise concerns with staff or management..

There was a lack of effective oversight of the service by the provider. Audits and checks of the home were not always accurate and improvements identified as necessary, were not always made in a timely way. There was not always a senior member of staff on duty to ensure people were supported as they should be. The service worked in partnership with a variety of community agencies. Staff sought people’s views about their support and took action in response to many of their comments.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection:

At the last inspection the service was rated good (published 7 December 2016).

Why we inspected:

This was a planned inspection based on the previous rating.

During this inspection we identified a breach of the regulations relating to the cleanliness of the premises and the lack of effective oversight of the service by the provider.

Please see the action we have told the provider to take at the end of this report.

Follow up:

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will monitor the progress of the improvements, working alongside the provider and local authority. We will return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.