Penshurst

Updated 11 May 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was completed by 1 inspector.

Service and service type

Penshurst is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Penshurst is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is not required to have a registered manager to oversee the delivery of regulated activities at this location because they are in day-to-day charge of the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider would be available and we wanted to be sure there would be people at home to speak with us.

Inspection activity started on 17 April 2023 and ended on 24 April 2023. We visited Penshurst on 17 April 2023.

What we did before the inspection

Before the inspection, the registered manager completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the PIR and other information we held about the home including previous inspection reports. We used all this information to plan our inspection.

During the inspection

We spoke with the 3 people living at the home and 1 family member. We also spoke with the provider, the staff member and 3 health or social care professionals. We looked at care plans and associated records for 2 people and records relating to the management of the service. We observed care and support being delivered in communal areas of the home.

Updated 11 May 2023

About the service

Penshurst is registered to provide accommodation and personal care to 3 people living with a learning disability. People lived with the provider in a large house and had their own bedrooms and there was a choice of communal areas where people could socialise. At the time of our inspection there were 3 people at the service.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

This focused inspection covered safe and well-led. Based on the information reviewed and feedback from staff, relatives, people and external professionals the service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.

The model of care and setting maximised people's choice, control and independence. Care was person centred and promoted people's dignity, privacy and human rights. The ethos, values, attitudes and behaviours of leaders and care staff ensured people using services lead confident, inclusive and empowered lives.

Right Support

People were supported by the provider who knew how to prevent and manage risks and keep them safe from avoidable harm whilst enabling them to fully enjoy life. The service's arrangements for controlling infection were effective. People received their medicines safely; the provider or staff member were always available to meet people's needs.

Right care

The risk assessment and care planning system helped ensure people received personal care and support tailored to meet their individual needs and wishes. People were encouraged to make decisions about the care and support they received and had their choices respected.

Right culture

People were supported to have maximum choice and control of their lives and they were supported in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People, a family member and external professionals were positive about all aspects of the service. The provider understood their responsibilities and had safe systems in place to ensure these were met.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 4 December 2017).

Why we inspected

This inspection was prompted due to the length of time since the previous inspection. We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.