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CQC report explained · a residential care home, run by NYMS Services

Pennine Care Centre

Hobroyd, Glossop, SK13 6JW

Requires improvementpublished 30 October 2024, 22 months ago

Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.

The latest report, explained

What inspectors found, September 2023

Rated Good; inspectors found improvements in safety and management, but some recording and care plan work still needed.

This was an unannounced focused inspection on 22 and 29 August 2023. Inspectors looked at Safe and Well-led because concerns had been raised about care quality, accidents and incidents, and leadership. They spoke with people, relatives, staff and a professional, and reviewed care, medicine and management records.

The home was rated Good for Safe and Good for Well-led. Inspectors found enough staff, safe recruitment, better cleanliness, safe infection control and suitable support for people's health needs. People were protected from abuse, and managers reviewed accidents, incidents and risks.

There were still areas being improved. Staff did not always record accidents and incidents consistently. Some medicine records did not explain why medicines were not taken, and some care plans lacked detailed, person-specific guidance. The provider was working on these issues.

The overall rating changed from Requires Improvement at the previous inspection, published in September 2022. The previous breaches of regulations had been addressed, so the provider was no longer in breach at this inspection.

What inspectors praised
  • Clean and well maintained

    Inspectors found that the home had improved its cleanliness and maintenance. Staff carried out regular cleaning and infection control arrangements were in place.

    Domestic staff were completing regular cleaning tasks around the home.from the report
  • Enough staff

    Staffing levels matched the home's assessment of people's needs. Inspectors saw staff responding quickly and providing one-to-one support where needed.

    There were enough staff. The registered manager completed regular assessments of people's dependency needs which was then used to calculate the number of care hours required.from the report
  • Better management oversight

    Managers used audits, daily checks and action plans to identify and address problems. Inspectors found that governance systems were now embedded.

    At this inspection we found the provider had governance systems in place which provided effective oversight of key risk areas within the service, and these were now fully embedded.from the report
  • Improvement since the last inspection

    The provider had made changes after the previous inspection, including changes to the management structure and improvement plans. Relatives reported noticeable improvements.

    It has seriously improved, big improvements, I have no issues.from the report
  • People encouraged to give feedback

    The home encouraged feedback from people and relatives. It had created a residents' forum and involved relatives through meetings and surveys.

    A resident's forum had been created and a person using the service assigned as the chair.from the report
What inspectors were concerned about
  • Accident records were inconsistent

    needs fixing

    Staff used different systems to record accidents and incidents. Managers were working to improve this through reminders, meetings and training, but inspectors made a recommendation.

    Different processes were used by staff to record accidents and incidents, which meant concerns about safety were not consistently recorded.from the report
  • Medicine records needed more detail

    needs fixing

    In one unit, staff sometimes recorded only 'other' when people did not take medicines. The reason was not always explained, although extra training and competency checks were being arranged.

    Staff did not always provide further information on why the person did not take their medicine.from the report
  • Some care plans lacked personal detail

    needs fixing

    Some care plans did not give staff enough specific guidance about how to support a person when distressed. The provider had an action plan to improve this.

    Some people's care plans needed further information to ensure they were fully supported safely.from the report
  • Staff culture and engagement

    minor

    Some staff did not always promote the home's stated positive and inclusive culture. Staff feedback was mixed, and the provider was working to improve support and communication.

    Some staff did not always promote this in their practice; however, the provider had identified this and was working to improve the culture within the service.from the report
Questions to ask them, based on this report
  1. 01How are you making sure every accident and incident is recorded using the correct process?
  2. 02What changes have been made to medicine records in the Moorland unit, and how are staff competency checks monitored?
  3. 03Have all care plans been updated with detailed, person-specific guidance, especially for people who may become distressed?
  4. 04What action are you taking to improve staff culture and make sure staff feel able to raise concerns with managers?
  5. 05Which ratings were carried forward from the previous inspection rather than assessed during this visit?

This was a focused inspection of Safe and Well-led only; the other key question ratings were carried forward from the previous inspection. This explanation was written from the published report of 22 September 2023 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 Pennine Care Centre

8 rated inspections over 8 years: the service has improved, from Requires improvement to Good.

  1. September 2023Goodcurrent ratingup from Requires improvement
    Safe: GoodEffective: GoodCaring: Requires improvementResponsive: GoodWell-led: Good

    Read what inspectors found at Pennine Care Centre

  2. September 2022Requires improvementup from Inadequate
    Safe: Requires improvementWell-led: Requires improvement

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

  3. May 2022Inadequatedown from Good
    Safe: InadequateCaring: InadequateWell-led: Inadequate

    Read this report on cqc.org.uk

  4. August 2021Good
    Safe: GoodCaring: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. December 2020Inspected but not rated
    Safe: Inspected but not rated

    Read this report on cqc.org.uk

  6. November 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  7. November 2018Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
  8. May 2017Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
  9. October 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
  10. April 2020

    Registered with the Care Quality Commission on 30 April 2020.

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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