Pendle Gardens

Updated 18 August 2021

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. We checked 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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Pendle Gardens 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 that 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

We gave short notice of the inspection at the request of the registered manager, due to the complex needs of people living in the home.

What we did before the inspection

We reviewed information we had received about the service, such as notifications. These are events that happen in the service that the provider is required to tell us about. We also sought feedback from the local authority.

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection

We spoke with four people living in the home, four members of staff, the deputy manager, the operations manager and the registered manager. We looked at the support records of three people who used the service and looked around the premises.

We observed staff interaction with people. We reviewed a range of records. This included three people's medication records, two staff files in relation to recruitment and the staff training records. We also reviewed a variety of records relating to the management of the service, including policies and procedures.

After the inspection

We continued to seek clarification from the registered manager to validate evidence found. As part of this the registered manager sent us an action plan and other supporting information.

Updated 18 August 2021

About the service

Pendle Gardens provides accommodation and nursing care for up to eight adults. The service specialises in providing care for men with a learning disability and other complex needs. The home is set in its own grounds and accommodation is provided in eight self-contained flats. At the time of the inspection, there were seven people accommodated in the home.

People’s experience of using this service and what we found

People told us they felt safe living in the home, and they were happy with the service provided. Staff understood how to protect people from harm or discrimination and had access to safeguarding adults’ procedures. There were sufficient numbers of staff deployed to meet people's needs and ensure their safety. The provider operated an effective recruitment procedure to ensure prospective staff were suitable to work for the service. The staff carried out risk assessments to help people retain their independence and receive care with minimum risk to themselves or others. An emphasis had been placed on positive risk taking to enable people to participate in activities. People were protected from the risks associated with the spread of infection. The premises had a satisfactory standard of cleanliness.

People received their medicines safely and were supported to maintain good nutrition and hydration. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People’s needs were assessed prior to them using the service. Detailed transition plans were developed to ensure people were comfortable moving into the home. The provider had appropriate arrangements to ensure staff received training relevant to their role. New staff completed an induction training programme. Staff felt supported by the management team.

Care was personalised and adapted flexibly in response to changing needs and preferences. We found people had not always had regular keyworker meetings. The registered manager assured us keyworker meetings would be take place once a month as planned. Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and wishes. Our observations during the inspection, were of positive and warm interactions between staff and people.

The management team monitored the quality of the service provided to help ensure people received safe and effective care. This included seeking and responding to feedback from people in relation to the standard of care.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports the Care Quality Commission (CQC) to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support:

¿ People had individual self-contained flats. This model of care maximised people’s choice, control and independence. Care and support had been developed around individual assessed needs. Staff worked in a way which promoted people's independence.

Right care

¿ Care was person-centred and promoted people's dignity, privacy and human rights. People confirmed their privacy and dignity was respected. Support plans were person centred and people had discussed their needs and preferences with staff. Staff knew people well and demonstrated an understanding of people's individual care, behavioural and communication needs.

Right culture:

¿ The provider and registered manager promoted a culture focused on meeting people's needs and promoted open and honest communications with people and their families. People’s diverse needs were assessed, supported and respected. People were supported to make choices and live the life they chose.

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

Rating at last inspection

The service was registered with us on 22/07/2020 and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received from people using the service about their care and treatment. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from these concerns.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.