Operated by Westward Care Limited

Pennington Court Care Home

Requires improvementRated 26/08/2023Home care · Leeds

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CQC Key Questions

Safe

Requires improvement

People are protected from abuse and avoidable harm.

Effective

Good

Care achieves good outcomes and quality of life.

Caring

Good

Staff treat people with compassion, dignity, respect.

Responsive

Requires improvement

Services are tailored to people's needs.

Well-led

Requires improvement

Leadership and culture support quality care.

What inspectors found

30 findings

Other

Note8 Sept 2023
The complaints policy was in place and being followed, with at least one complaint resolved to a person's satisfaction.
Note8 Sept 2023
A reward scheme was in place to recognise staff achievements.
Note8 Sept 2023
Virtual weekly multi-disciplinary meetings were held to ensure clinical issues were addressed.
Note8 Sept 2023
The provider understood duty of candour responsibilities and had been transparent when things went wrong.
Note8 Sept 2023
Staff involved in medicines handling had received recent training and had competencies assessed.
Note8 Sept 2023
People and relatives felt safe; one person said 'I feel safe because I get everything I want; the staff are cheerful.'
Note8 Sept 2023
Staff had received safeguarding training and knew how to report concerns.
Note8 Sept 2023
Safe recruitment procedures were in place.
Note8 Sept 2023
Infection prevention and control measures were assured across all domains including PPE use, admission processes, and outbreak management.
minorcommunication_with_families8 Sept 2023
Some relatives would have welcomed more communication in relation to appointments. Not everyone knew the registered manager.
moderateperson_centred_care8 Sept 2023
One person said, 'I am very happy here, but I haven't been involved in my care plan.' Their relative...also confirmed that they had not been involved.
moderateincident_learning8 Sept 2023
Within one person care records there was evidence of three incidents, however only one of these was evidenced on an accident and incident form.
criticalgovernance8 Sept 2023
Quality assurance processes had not identified all the areas which needed to improve...issues we found with record keeping and fire safety had not been identified by the provider.

responsive

Note8 Sept 2023
End of life care and support
Note8 Sept 2023
Improving care quality in response to complaints or concerns
Note8 Sept 2023
Supporting people to develop and maintain relationships to avoid social isolation
Note8 Sept 2023
Meeting people's communication needs
Note8 Sept 2023
Planning personalised care to ensure people have choice and control

safe

Note8 Sept 2023
Learning lessons when things go wrong
Note8 Sept 2023
Staffing and recruitment
Note8 Sept 2023
Systems and processes to safeguard people from the risk of abuse
Note8 Sept 2023
Preventing and controlling infection
Note8 Sept 2023
Assessing risk, safety monitoring and management
Note8 Sept 2023
Ensuring consent to care and treatment in line with law and guidance

well_led

Note8 Sept 2023
Working in partnership with others
Note8 Sept 2023
Engaging and involving people using the service, the public and staff
Note8 Sept 2023
Promoting a positive culture that is person-centred, open, inclusive and empowering
Note8 Sept 2023
How the provider understands and acts on the duty of candour
Note8 Sept 2023
Continuous learning and improving care; quality performance, risks and regulatory requirements