Pennine Care Centre

Our rating for this key question has now changed to requires improvement.

We identified 1 breach of the legal regulations.

Processes to ensure a learning culture had not yet been fully embedded. People had not always been protected from potential abuse and injury and not all safety incidents had been referred to the local authority safeguarding team. Some areas of the home were not cleaned effectively and not all steps to ensure good infection prevention and control had been taken. However, people’s needs were assessed, and they were helped to achieve their goals and aims. Processes were in place to help manage medicines in line with good practice. There were enough staff to meet people’s needs. Plan to refurbish the environment were underway.

Our rating for this key question has remained good.

People were involved in their care planning and supported towards their goals and aims. People had not always been given meals in line with the provider’s own expectations of quality. Risk assessments did not always reflect risks to people and how to reduce those.

Our rating for this key question has changed to requires improvement.

We found 1 breach of the legal requirements.

During our assessment a serious incident occurred that involved a significant breach of a person’s privacy and dignity. Partners and staff had mixed views as to whether the people were always supported with respect.

However, people told us they liked the staff that worked at the service, their independence was supported, and their needs met.

Our rating for this key question has changed to requires improvement.

We found 1 breach of the legal requirements.

The provider was working towards improvements however, these had not yet been fully embedded, and improvements had not yet been sustained. Not all staff felt involved in the changes or felt the leadership team were approachable; as such, not all staff felt confident speaking up if things were not right. Improvements were required to leaders’ oversight of the service to ensure improvements could be identified and embedded. Systems to provide oversight and ensure compliance were not always effective, for example, notifications were not always submitted to CQC when required and records were not always accurate.

Steps to help people make links to their local community were in place and people had access to health care services as needed.