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CQC report explained · a residential care home, run by Penn House

Penn House Residential Home

169-171 Penn Road, Wolverhampton, WV3 0EQ

Goodpublished 23 February 2024, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, safe recruitment, suitable risk assessments and clean premises. Medicines were administered as prescribed, but one administration had not been recorded and this was not identified at the time.
Effective?
Good
This area was not inspected during this focused visit. Its previous rating was carried forward when calculating the overall rating.
Caring?
Good
This area was not inspected during this focused visit. Its previous rating was carried forward when calculating the overall rating.
Responsive?
Good
This area was not inspected during this focused visit. Its previous rating was carried forward when calculating the overall rating.
Well-led?
Requires improvement
Management systems had improved and the previous Regulation 17 breach had ended, but medicines administration records were not being monitored effectively. Further improvement was needed.
The latest report, explained

What inspectors found, February 2024

Rated Good overall; inspectors found safe, caring support, but medicines records were not always complete and well-led was Requires Improvement.

This was an unannounced focused inspection on 9 January 2024. Inspectors checked Safe and Well-led after concerns about risk management and medicines, and followed up an earlier improvement plan. They spoke with people, relatives and staff, observed care, and checked care, medicines and management records.

The home was rated Good for Safe. Inspectors found enough staff, safe recruitment, suitable risk plans, clean surroundings and staff who understood safeguarding and infection control. Medicines were given as prescribed, but one missed medicines recording had not been identified or investigated.

The home was rated Requires Improvement for Well-led. Management systems had improved and the home was no longer breaching Regulation 17, but checks on medicines records were still not effective. The overall rating changed from Requires Improvement to Good because ratings for areas not inspected were carried forward from the previous inspection.

What inspectors praised
  • Enough staff

    Inspectors found staffing levels had improved and were sufficient to support people safely.

    There were enough staff to support people safely.from the report
  • Risk management

    Risk assessments and care records had improved. Fluid intake and repositioning records were being checked regularly, with concerns escalated when needed.

    At this inspection the provider had made improvements and records were accurately completed.from the report
  • Clean and safe environment

    The home was clean and well maintained. Staff followed infection control procedures.

    The provider had systems in place to ensure the home was clean and well maintained to minimise the risk of cross infection.from the report
  • Positive relationships

    People appeared calm and relaxed, and inspectors saw positive interactions between people and staff.

    People were calm and relaxed throughout the inspection. We saw positive interactions between people and staff.from the report
  • Open management

    Relatives said the manager was approachable and listened to concerns. Feedback from people, relatives and staff was used to make changes.

    There were systems in place to seek peoples, relatives and staff views.from the report
What inspectors were concerned about
  • Medicines records

    serious

    The electronic medicines system was not fully embedded. One person's medicines had been given but not recorded on one occasion, and this had not been spotted or investigated.

    The electronic medicines administration system was not effectively monitored to ensure all medicines were recorded when administered.from the report
  • Management checks

    needs fixing

    The home had improved, but management oversight was still not consistent in all areas. Inspectors said further improvement was needed, particularly around medicines monitoring.

    At this inspection the provider had made improvements in these areas, but more improvements were needed.from the report
Questions to ask them, based on this report
  1. 01What new checks have been introduced to make sure every medicine given is recorded correctly?
  2. 02How quickly would you identify and investigate a missed medicines entry?
  3. 03How often are care delivery notes, fluid records and repositioning records checked now?
  4. 04How do you use people's and relatives' feedback to make changes to the home?
  5. 05What were the ratings for Effective, Caring and Responsive at the previous inspection?

This was a focused inspection of Safe and Well-led only; ratings for Effective, Caring and Responsive were carried forward from the previous inspection. This explanation was written from the published report of 23 February 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Penn House Residential Home

5 rated inspections over 6 years: the service has held its Good rating throughout.

  1. February 2024Goodcurrent ratingup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Penn House Residential Home

  2. September 2023Requires improvementstayed Requires improvement
    Safe: Requires improvementWell-led: Requires improvement

    We are reading this report · the original is on cqc.org.uk

  3. November 2022Requires improvementstayed Requires improvement
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. March 2022Requires improvementdown from Good
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. August 2018Good
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. February 2017

    Registered with the Care Quality Commission on 17 February 2017.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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