# Pennington Court Care Home

*Operated by Westward Care Limited.*

Pennington Court Care Home is a CQC-regulated home-care agency in Leeds.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Requires improvement |
| Effective | Good |
| Caring | Good |
| Responsive | Requires improvement |
| Well-led | Requires improvement |

Rating published: 26/08/2023

## Practical info

- Postcode: LS11 6TT
- Registered manager: Clark, Laura
- Local authority: Leeds
- Region: Yorkshire & Humberside
- City: Leeds
- Last CQC check: 26/Aug/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: The complaints policy was in place and being followed, with at least one complaint resolved to a person's satisfaction.
  - Published: 2023-09-08
- Finding
  - Evidence: A reward scheme was in place to recognise staff achievements.
  - Published: 2023-09-08
- Finding
  - Evidence: Virtual weekly multi-disciplinary meetings were held to ensure clinical issues were addressed.
  - Published: 2023-09-08
- Finding
  - Evidence: The provider understood duty of candour responsibilities and had been transparent when things went wrong.
  - Published: 2023-09-08
- Finding
  - Evidence: Staff involved in medicines handling had received recent training and had competencies assessed.
  - Published: 2023-09-08
- Finding
  - Evidence: People and relatives felt safe; one person said 'I feel safe because I get everything I want; the staff are cheerful.'
  - Published: 2023-09-08
- Finding
  - Evidence: Staff had received safeguarding training and knew how to report concerns.
  - Published: 2023-09-08
- Finding
  - Evidence: Safe recruitment procedures were in place.
  - Published: 2023-09-08
- Finding
  - Evidence: Infection prevention and control measures were assured across all domains including PPE use, admission processes, and outbreak management.
  - Published: 2023-09-08
- **communication_with_families** _(minor)_
  - Evidence: Some relatives would have welcomed more communication in relation to appointments. Not everyone knew the registered manager.
  - Published: 2023-09-08
- **person_centred_care** _(moderate)_
  - Evidence: 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.
  - Published: 2023-09-08
- **incident_learning** _(moderate)_
  - Evidence: Within one person care records there was evidence of three incidents, however only one of these was evidenced on an accident and incident form.
  - Published: 2023-09-08
- **governance** _(critical)_
  - Evidence: 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.
  - Published: 2023-09-08

### responsive

- Finding
  - End of life care and support
  - Published: 2023-09-08
- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2023-09-08
- Finding
  - Supporting people to develop and maintain relationships to avoid social isolation
  - Published: 2023-09-08
- Finding
  - Meeting people's communication needs
  - Published: 2023-09-08
- Finding
  - Planning personalised care to ensure people have choice and control
  - Published: 2023-09-08

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2023-09-08
- Finding
  - Staffing and recruitment
  - Published: 2023-09-08
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-09-08
- Finding
  - Preventing and controlling infection
  - Published: 2023-09-08
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2023-09-08
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-09-08
- Finding
  - Using medicines safely
  - Published: 2023-09-08

### well_led

- Finding
  - Working in partnership with others
  - Published: 2023-09-08
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2023-09-08
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-09-08
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-09-08
- Finding
  - Continuous learning and improving care; quality performance, risks and regulatory requirements
  - Published: 2023-09-08

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-119664834

HomeCare Compass is an independent guide and is not affiliated with the CQC.