Pinehurst Care Centre

Updated 8 April 2020

Inspection team

The inspection was carried out by one inspector, one specialist nurse advisor and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Pinehurst Care Centre is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and we looked at both during this inspection.

The service had a manager registered with the Care Quality Commission. Registered managers and providers have legal responsibilities for how they run the service and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We did not ask the provider to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information we require providers to send us annually following their first inspection to give us some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with 11 people who use the service and two visiting relatives about their experience of the care provided. We spoke with the registered manager, the deputy manager and the administrator. We also spoke with nine care staff, one domestic staff, an activity coordinator, a chef and the maintenance person.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and looked at staff training and staff supervision records. A variety of records relating to the management of the service, including policies and procedures were also reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We sought feedback from seven local authority and health and social care professionals who work with the service and received replies from five.

Updated 8 April 2020

Pinehurst Care Centre is a care home without nursing providing accommodation and personal care to up to 50 older people. Accommodation is located in three units which are spread over two separate buildings. At the time of this inspection there were 31 people living at the service.

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

Processes to deal with risks to people’s personal safety had been improved. Care plans showed risk assessments were monitored and kept up to date and plans were in place to minimise identified risks. Improvements had been made so that medicines were handled correctly and safely. People were protected from the risks of abuse and said they felt safe with the staff providing their support and care. Staff recruitment and staffing levels supported people to stay safe.

Staff training had been improved and people received care and support from staff who were well trained and knew them well. People received effective health care and support. People's rights to make their own decisions were protected. They were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People benefitted from staff who were happy in their work and felt well managed and supported. Governance systems had been improved and the provider was able to ensure and demonstrate their compliance with their legal obligations. The service had an open and inclusive culture and encouraged suggestions and ideas for improvement from people who use the service, their relatives and staff. The quality assurance systems were successful in ensuring the quality of the service was maintained.

People were treated with care and kindness. They were consulted about their care and support and could change how things were done if they wanted to. People were treated with respect and their dignity was upheld. This was confirmed by people and relatives who provided feedback. People's diverse needs were identified and met and their right to confidentiality was protected.

People received support that was individualised to their personal preferences and needs. They were able to enjoy a number of activities, based on their likes and preferences. People said staff and management responded well to any concerns they raised.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk.

Rating at last inspection and update

The last rating for this service was requires improvement (published 18 April 2019).

At our last inspection we found breaches of the regulations in relation to the safe handling of medicines, risk handling and mitigation and governance of the service. The provider completed an action plan to tell us what they would do and by when to improve.

At this inspection we found the provider had made improvements and was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

What happens next?

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.