Pinehurst Care Home

Updated 15 May 2021

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 Care Act 2014.

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 one inspector

Service and service type

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

Notice of inspection

The first inspection visit was unannounced. The following two visits were agreed and planned with the registered manager and provider to enable them to be available.

What we did before the inspection

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give 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 reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service.

We used all this information to plan our inspection.

During the inspection-

We spoke with seven staff including the registered manager, provider, maintenance person, cook and three care staff. We spoke with three people and spent time chatting to others. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

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

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records and risk assessments in relation to COVID-19. We spoke with two professionals who regularly visit the service.

Updated 15 May 2021

About the service

Pinehurst is a residential care home providing personal care and support to 20 people aged 65 and over at the time of the inspection. The service can support up to 23 people.

Pinehurst is a Victorian detached house which has been adapted to meet the needs of older people. There are bedrooms on four floors with access via stair lifts. A communal lounge, dining room and conservatory are all on the ground floor.

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

People told us they enjoyed living at Pinehurst. Not many people were able to give us their informed view due to their cognitive impairment. We observed people walking around freely and looking relaxed and comfortable in their surrounding and with staff.

We observed staff assisting people in a kind, patient and compassionate way.

People 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. The service worked closely with the local older people’s mental health team to ensure people’s rights were upheld but also people were kept safe. Where people living with dementia, for example, needed restrictions in place to keep them safe, this was documented and shared with relevant parties. This included having keypad locks on doors to prevent people leaving the building.

Staff provided care and support in a way which showed people person centred was at the heart of their way of working. Staff understood people’s needs and wishes. Staff had training support and supervision to enable them to do their job safely and effectively. Care plans and risk assessments detailed how staff should support people to maintain their independence as far as possible.

Medicines were safely managed, and people were protected from abuse because staff knew who to report any concerns to.

There were enough staff available on each shift to meet people’s needs in a timely way. Recruitment was robust and ensured only staff were who suitable to work with people who may be vulnerable were employed.

People enjoyed a range of home cooked meals and had a variety of activities planned in line with their hobbies and interests.

Quality monitoring processes had improved to ensure care, support and the environment continued to meet peoples needs.

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

Rating at last inspection and update.

The last rating for this service was requires improvement (Report published 27 June 2019).

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

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

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 20 March 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, good governance, consent to care and notification of incidents.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions safe, effective, responsive and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Pinehurst on our website at www.cqc.org.uk.

Follow up

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