An Old Town nursing home has been told it ‘requires improvement’ after the latest Care Quality Commission (CQC) inspection – despite praise from visitors and health care professionals.
Pentlow Nursing Home, in Summerdown Road, provides care for up to 60 people. It was inspected on June 8 and 9 and the report has just been published.
The home was rated ‘good’ in three out of five sections – whether the home is effective, caring and responsive – but it ‘requires improvement’ on safety and whether the home is well-led. Overall the CQC rated the home as requiring improvement.
The report said, “At the last inspection undertaken on the 22 and 23 December 2014 we asked the provider to make improvements in relation the safe management of medicines, appropriate provision and support for people to eat and drink.
“The provider was asked to ensure the care and support provided was person centred and records were complete accurate and informed the care needed and provided. The provider sent us an action plan stating they would have addressed all of these concerns by September 2015.
“At this inspection we found the provider was meeting these regulations although further work was needed to embed and ensure safe and good practice in all areas.
“The service did not have a registered manager in post however there was an acting manager and we were told a new manager had been appointed and was taking up post in August 2016. A registered manager is a person who has registered with the CQC to manage the service.
“Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
“The quality monitoring systems needed further development to ensure they were used to ensure best practice and to identify shortfalls and demonstrate effective responses. This included the provision of suitable guidelines and records for medicine administration and management of accidents. Guidelines to assist staff in the administration of medicines were not always complete and records of when topical creams were administered were not always accurate.
“In addition systems for safety in all areas of the home and garden had not been fully established. These areas were raised with the acting manager for improvement. Feedback received from people their relatives and visiting health professionals through the inspection process was positive about the care, the approach of staff and atmosphere in the home. People said they would recommend the service and one said ‘I can’t think of a better place to end my days’.
“People were looked after by staff attentive staff who treated people with kindness and compassion and supported them to maintain their independence. They showed respect and maintained people’s dignity.
“Staff had a good understanding of safeguarding procedures and knew what actions to take if they believed people were at risk of abuse. Staff understood the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). Senior staff had an understanding of DoLS and what may constitute a deprivation of liberty and followed correct procedures to protect people’s rights.
“There was a variety of activity and opportunity for interaction taking place in the service. This took account of people’s preferences and choice. Visitors told us they were warmly welcomed and people were supported in maintaining their own friendships and relationships.
“Staff were provided with a training programme which supported them to meet the needs of people. Staff felt well supported and able to raise any issue with senior staff and the acting manager. People were complementary about the food and the choices available. Staff monitored people’s nutritional needs and responded to them. Preferences and specific diets were provided.
“People were given information on how to make a complaint and said they were comfortable to raise a concern or complaint if need be. Feedback was sought from people on a daily basis and satisfaction surveys had been completed. The management style fostered in the home was open and responded to people and staff’s views. This provided a friendly and homely environment that people enjoyed.”
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