Inspection on 09/03/09 for Pennington Court Nursing Home

This inspection was carried out on 9th March 2009.

CSCI found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Pennington Court Nursing Home 13/03/07

Pennington Court Nursing Home 13/01/06

Pennington Court Nursing Home 29/09/05

Pennington Court Nursing Home 15/03/05

Pennington Court Nursing Home 26/08/04

Similar services:

The Grove Waltham

Carentan House

Ravensworth Lodge

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Pennington Court Nursing Home Hunslet Hall Road Leeds Yorkshire LS11 6TT     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Catherine Paling     Date: 0 9 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 03000 616161 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Pennington Court Nursing Home Hunslet Hall Road Leeds Yorkshire LS11 6TT 01132284040 P/F01132284040 bronwyn@westwardcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Westward Care (Yorkshire) Limited Name of registered manager (if applicable) Lynn Priest Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of users who can be accommodated is - 62 The registered person may provide the following category of service only Care home with nursing - Code N To service users of the following gender - Either Whose primary care needs on admission to the home are within the following categories: Olde age not falling within any other category - Code OP, maximum number of places - 62 Date of last inspection Brief description of the care home Pennington Court is a large building offering both nursing and residential care. Both of the units have a manager in charge and a team of dedicated staff. The registered manager has responsibility for both units. Intermediate care services are also provided. The home is in a residential area of Beeston, accessible by a good bus route to and from the city centre. Accommodation is provided on two floors and there is a passenger lift. A small enclosed quadrangle garden area, with outdoor seating, is Care Homes for Older People Page 4 of 29 care home 62 Over 65 62 0 Brief description of the care home available to service users and visitors. There is an enclosed parking area at the rear of the building and off street parking at the side of the building. Local amenities are in close proximity and include a library, public house, supermarket and other small shops. Information about the service is provided in the form of a Statement of Purpose and Service User Guide. The current fees range from 405 pounds to 584 pounds and 65 pence, this information was provided in March 2009. There are additional charges for chiropody, hairdressing, toiletries and newspapers. Fees are reviewed each year and the home should be contacted directly for up to date information. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This was an unannounced visit by one inspector who was at the home from 09:05 until 16:20 on 9th March 2009. As part of the inspection process an expert by experience was also at the home for part of the day. An expert by experience is a person who has experience of using a care service. Because of this they can help an inspector get a picture of what it is like to live in the home. They produce written information for the inspector some of which is included in this report. Care Homes for Older People Page 6 of 29 The purpose of the inspection was to make sure the home was operating and being managed for the benefit and well being of the people who live there and in accordance with requirements. Before the inspection accumulated evidence about the home was reviewed. This included looking at any reported incidents, accidents and complaints. A number of documents were looked at during the visit and all areas of the home used by the people who lived there were visited. A good proportion of time was spent talking with the people at the home as well as with the staff and the registered manager. An Annual Quality Assurance Assessment (AQAA) had been completed by the home before the visit to provide additional information. This is a self-assessment of the service provided. This was well completed and gave us all the information we asked for. Survey forms were sent out to the home before the inspection providing the opportunity for people at the home, visitors and healthcare professionals who visit to comment, if they wish. Information provided in this way may be shared with the provider but the source will not be identified. A number of surveys were returned by the time of this visit. Comments received appear in the body of the report. The last visit to this service was 13th March 2007. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Older People Page 8 of 29 The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –03000 616161. Care Homes for Older People Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admission process is good and whenever possible includes introductory visits. Peoples needs are properly assessed and met by well informed and knowledgeable staff. Evidence: The manager wrote in the AQAA - The home has a regularly updated service user guide and statement of purpose on display in reception. These contain a comprehensive guide to the services we provide including a description of the accommodation, relevent qualifications of the manager and staff, a copy of the complaints procedure and the number of places provided. Brochures are sent to any enquirer to the home and visits by prospective clients and their families are encouraged to visit. A Residents Handbook is also available detailing the facilities, staff and services provided by Pennington Court. Each service user or advocate signs a Care Homes for Older People Page 11 of 29 Evidence: contract containing the terms and conditions of their stay. This contains the overall care and services provided, and additional services over and above those included in the fees, rights and obligations of the service user and registered provider and period of notice required if service users wish to terminate their contract with us. All new service users are assessed fully prior to admission to the home. This assessment is completed by the appropriate Unit Manager or a senior member of staff. This assessment includes a full and frank discussion with the service user (if appropriate), the next of kin, any outside agencies involved i.e. care manager, social worker, the staff at the place of assessment and a review of any available notes including the Easy Care document and paperwork pertaining to the service user. This assessment will result in a comprehensive written pre admission assessment being completed and then a decision being made. The prospective service user will only be offered a place in the home if the Registered Manager can be assured that the individual needs can be met in full. All new admissions have a six week trial period before they and their families make the final decision to become a permanent resident. We continue to operate 10 Community Intermediate Care beds, the staff at Pennington Court liase and work in partnership with the Leeds Primary Care Trust (South) and increasingly over the past 12 months, other areas within Leeds and surrounding localities. We saw a range of information in the reception area and our survey information indicated that people felt that they had enough information to help them decide about moving into the home. We saw that assessment information in records is gathered from a number of sources as well as the very detailed pre-admission assessment completed by the home. People admitted via the intermediate care service can be admitted to the home at very short notice. Information is provided by the intermediate care team who are responsible for planning the care to be given to someone admitted to the home for rehabiliation and care on a short term basis. This service is well established at the home and works well getting people back home wherever possible. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans contain enough information for staff so that they know how to look after people properly. People living at the home get the care they need and are treated with respect. Evidence: The manager wrote in the AQAA: Each service user has a comprehensive plan of care generated from a comprehensive assessment of their needs. We arrange multi disciplinary reviews of the service users care annually, or more often if required. All our service users have access to health care services in order to ensure their needs are met. Appropriate intervention is recorded in the care plan if the service user is at risk of developing or has developed a pressure sore, and the appropriate equipment would be provided. There is provision for gentle exercise and physical activity following assessment by staff and the activity organiser. From our service users Ammenities Fund we have also purchased a Wii games console to play through our new televisions. This has given service users the opportunity to participate in exercise through games eg ten pin bowling. Care Homes for Older People Page 13 of 29 Evidence: Nutritional screening is undertaken and service users weights are recorded monthly. If there is evidence of weight loss then service users weights would be monitored more closely and if necessary referred to GP and Dietician. Each service user retains their own GP wherever possible and if this is not practical or the GP declines they are registered with the local service. A range of specialist and medical services can be accessed within the home. These include Chiropodist and Optician and the full range of local out patient services if required. The home has a full and comprehensive policy with regard to the receipt, storage, administration and disposal of medication and service users can take responsibility for their own medication following a comprehensive risk assessment. Random audits continue to be carried out. Medication Error reports are completed and fully investigated as appropriate. The home ensures that the service users privacy and dignity are respected at all times with regard to personal care, access to outside agencies, access to finances and encouragement to keep in contact with friends and relatives. Since June 2006 we have been actively involved in the pilot scheme in South Leeds working in partnership with the Primary Care Trust for the implementation of the Gold Standards Framework for End of Life Care in Care Homes which has improved the care and comfort given to service users who are dying and their death is handled not only in accordance with their wishes and those of their next of kin but with dignity and propriety and their spiritual needs,rites and functions observed. People said: Care is first class I was admitted directly from hospital and I am very pleased that it was Pennington Court Care Home couldnt be better If a doctor is required he or she is called as soon as possible I can honestly state the staff are well trained, well supervised and encouraged well run, welcoming and open The expert by experience spoke to a number of people and recieved positive comments from everyone. I spoke with ten residents all without a doubt were happy, cheerful, clean and tidy. One person said that nothing was too much trouble for any of the staff. We looked in detail at a number of individual care records on the residential unit, the nursing unit and also for one person admitted for intermediate care. One person had recently returned from hospital and the daily records gave very detailed information about what had led up to this persons admission to hospital. This included detail of the condition, input from other healthcare professionals and contact with the family. It was clear from the daily records that this person was less able since discharge from Care Homes for Older People Page 14 of 29 Evidence: hospital and the plan was to carry out a full review. Care plans needed to be updated to reflect the increased support this person needed. The care plans were dated October 2008 and had not been updated or reviewed since. Staff we spoke to seemed to know the people they look after very well but it is important that care plans are reviewed and updated when needed. This is so that staff have access to up to date information about care and to make sure that care needs are not overlooked. One person had been admitted to the nursing unit but due to the nature of their condition, developing care plans had been difficult. However the very detailed and informative daily records combined with the assessment of daily living provided a clear guide to this persons needs and the care to be given. Since the last visit to the home the end of life care has developed and the home has been awarded Beacon status for excellence in end of life care. Records demonstate staff skills in developing clear and detailed advanced care plans about how people want to be supported at the end of their lives. People who have died at the home are remembered in the Rememberence Book. For one person who was recieving palliative care the advance care plan had been reviewed and updated regularly so that this persons wishes were clearly documented. Care plans for this person dated from 2004 and instructions in the plans did not reflect the current situation. The manager needs to make sure all aspects of the care records fully reflect and provide evidence of the care being given to people at the home. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are encouraged to make their own decisions about their lifestyle. Family and friends are welcomed at the home. People are provided with a varied diet taking into account personal preferences. Evidence: The manager wrote in the AQAA: All service users routines of daily living and social activites are tailored to meet their individual needs where possible. This is detailed prior to admission to ensure we can meet their needs appropriately. Staff continue to encourage Service Users to be as self managing as possible and make their own decisions relating to their daily needs. Service users who have been admitted for intermediate care are encouraged to be as independent as possible to ensure they have the best opportunity to return home. A varied, nutritiously suitable menu is offered to the service users including those on specialised diets. Specialist adaptated equipment such as easy grip, larger handled cutlery and two handled beakers are available which again encourages service users to be as indendent as possible at meal times. Visitors are encouraged to join their relative for a meal if they wish and numerous birthday parties have been arranged so relatives and friends can enjoy the event within the home. Since the introduction of GSF End of Life Care some families Care Homes for Older People Page 16 of 29 Evidence: have requested if they may hold the funeral tea at Pennington Court. This enables the other service users and staff with the family to celebrate the life of their loved one. We have obviously agreed with this request as this is their home and feel honoured to be a part of this. There are always tea and coffee making facilities on both units of the care home which can be used by service users or visitors whenever they wish. Following the appointment of a dedicated Activities Co-ordinator last year, a structured programme has been developed within the home. She has been able to arrange more events at Pennington Court e.g Pat Dog and Pat a Donkey, which also encouraged relatives and friends, staff and their families to visit at that time. Small dinner parties, reminisence therapy, exercise and art therapy. Outings are arranged to places of interest, restaraunts and shopping, specifically tailored to the service users wishes and requests. During the summer of 2008, Pennington Court held a BBQ with activities. This was advertised around the local community which was also very well attended by local people. A Pennington Court Newsletter is produced bi/monthly which details any news and information that the service user may find interesting. Articles, activities and forthcoming events, that are occuring in and around the home are included.These newsletters are mailed to a nominated family member.Talkback forms are available in prominent areas for feedback,comments and suggestions. We continue to have a Hairdresser who spends two days a week at the home. People said: The meals are on the whole very good I have been here 7 years and am quite content I wish there was a few more people I could talk to When I wake at night I would love a cup of tea. It would be nice if I was given one if I am awake Old people dont like to be placed in front of loud music It would be nice if someone could take care of small details eg. Making sure glasses for reading are cleaned The expert by experience said: When asked one resident who had been there eight years said it was better than being at home. The food was very good and hot with a varied monthly menu they could ask if they wanted anything different and it was supplied. One person told her that although her mum couldnt walk (she) was getting more outings and entertainment than herself. Lounges were comfortable clean and well lit. Iced water, juice and fruit were available. Noticeboards (had) outings and entertainment listed. One man who liked to read showed me a well stocked book case. He said he kept asking staff to clean his glasses which they did Residents and staff seemed very comfortable with each other. The expert by experience commented on the long wait that some people had at the dining table before the lunchtime meal was served; up to 30 minutes in some cases. No-one complained and she said that the meal was served quickly and efficiently once it was ready. The manager should review the mealtime arrangements to see if this waiting time can be reduced. Care Homes for Older People Page 17 of 29 Evidence: A Newsletter is produced regularly that gives people information about whats on at the home. It also includes information about birthdays and new people at the home as well as any deaths. A number of outings are arranged from the home. Forthcoming visits included Kirkstall Abbey and Harrogate Flower Show. People are encouraged to go out to local community events, one person told us that they go out regularly to the nearby church. Care Homes for Older People Page 18 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are confident in raising concerns on a day to day basis and have access to a formal complaints procedure. People are protected by staff knowledge and understanding of safeguarding. Evidence: The manager wrote in the AQAA: We have a simple and uncomplicated complaints procedure which is on display in the reception area, contained in the service users guide and in each individual room. We ensure that we protect the legal rights of our service users at all times. We ensure that all our service users are safeguarded from all forms of abuse. We have Talkback cards which allows for comments, concerns and suggestions in easily accessible areas. All staff undertake Adult Abuse training during their induction period and on an annual basis. Copies of the complaints procedure are displayed throughout the home and in every room. Survey information suggested that people know how to make a complaint. A log is kept of any complaints recieved and records showed that any concerns are dealt with properly. Everyone has adult safeguarding training and staff are clear about thier responsibilities. Care Homes for Older People Page 19 of 29 Care Homes for Older People Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe, comfortable and well maintained environment. Evidence: The manager wrote in the AQAA: The location and layout of the home is suitable for its stated purpose, it is accessible, well maintained and meets all service users individual and collective needs in a homely and comfortable way. The communal space meets all statutory requirements with regard to amount of space for each resident. Each service user has washing facilities in their rooms and access to baths/showers as preferred. The home has the required range of disability equipment and environmental adaptations to meet the needs of the service users. We have sought advice from Occupational therapists and Physiotherapists when purchasing new furniture and equipment to ensure we are meeting the needs of our client group. The accommodation provided by the home meets the minimum requirements with regard to space. The private accommodation for each resident is fully furnished and equipped to meet the needs of the service user. The accommodation meets all the environmental and health and safety requirements. The premises are clean and free from offensive odours throughout and infection control guidelines are in place. The expert by experience visited the laundry and found it well run by two staff. She did find some baskets full of underwear where labels had fallen off. The manager Care Homes for Older People Page 21 of 29 Evidence: needs to find a way of making sure items are clearly labelled so that they can be returned to their owners. The expert by experience found rooms bright cheerful and clean. There are plans underway for major development and refurbishment of the service and plans are displayed in the entrance area. The home is comfortable and properly maintained and kept very clean. There are good infection control practices and procedures in place at the home. Care Homes for Older People Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for by trained and competent staff. People are protected by robust recruitment procedures. Evidence: The manager wrote in the AQAA: We have an appropriate compliment of staff and skill mix which enables us to meet the assessed needs of the residents at all times and give the standard of service expected. We have in excess of 50 per cent of our permanent care staff trained in NVQ Level 2 or above, A further 8 care staff are currently undertaking NVQ qualifications. We operate a very thorough recruitment procedure and this enables us to ensure the protection of our service users. There is a comprehensive training and supervision programme evident within the home which ensures that staff fulfill the aims of the home and meet the changing needs of the service users. Staff said: 1 week induction given I feel Pennington Court is an excellent care home Our standards of care are very high We have regular training sessions to update us All staff are encouraged to do there NVQ 2 & 3 which will benefit both the home and themselves We try and work above the minimum number needed. Usually we have 6 carers on a morning shift and 4-5 on an afternoon I am really happy with my place of work I have regular supervisions and a yearly appraisal We continue to Care Homes for Older People Page 23 of 29 Evidence: strive to do things better Staff told the expert by experience that they were happy with their jobs and looked forward to going to work. There were enough staff on duty to look after people properly. There is an annual training plan in place to make sure that staff have the skills they need to look after people properly. The training plan includes training in dementia and about one third of the staff have already had this training. The staff spoke highly of the support they get from management and show great committment to the people they look after. Recruitment records showed us that all the required checks are completed before people start working at the home. Care Homes for Older People Page 24 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is very well managed and is run in the best interests of the people who live there. Evidence: The manager wrote in the AQAA: The registered manager is qualified, competent and experienced to run the home and meet all the aims and objectives. The manager has a style which has ensured an open, positive and inclusive atmosphere within the home. There is constant quality assessment and monitoring within the home with regard to meeting the aims, objectives and statement of purpose of the home. There are comprehensive accounting and financial procedures visible within the home and is evidence of effective business management. When possible service users handle their own finances but if they choose not too or are unable to do so then there are comprehensive safeguards in place to protect the interests of the service user. Staff are appropriately and regularly supervised. All records with regard to service users are maintained, up to date and accurate. The health, welfare and safety of all service Care Homes for Older People Page 25 of 29 Evidence: users and staff is promoted at all times. The manager attempts to ensure the heath, safety and welfare of service users and staff as is reasonably practicable. There has been a change of registered manager since our last visit. The previous registered manager remains with the company in a senior position. This means that there has been stability and continuity for the people who live at the home. There is an established audit system in place which is used to monitor the service and facilities at the home to make sure that a consistently good service is provided. Where any shortfalls are identified through the audit an action plan is produced to make sure that they are addressed. There are good communication systems in place with regular meetings held with the different staff groups. The expert by experience said Pennington Court seems to be a happy well run place with happy residents. Efficient staff. Clean no odours bright and cheerful There is an annual satisfaction survey sent out and the manager was in the process of collating the results of the 2008 survey. People admitted for intermediate care are all routinely asked about their care as part of the ongoing monitoring of this service. There is a clear committment to providing a high quality service and the provider is clear about how they can further improve the service and facilities. Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!