Pinfold Lodge Nursing Home

Updated 23 October 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.

This inspection took place on 7 October 2021 and was unannounced.

Updated 23 October 2021

About the service

Pinfold Nursing Home is a care home providing personal and nursing care to 31 people at the time of the inspection. The service can support up to 34 older people, some of whom may have cognitive impairment or physical disabilities.

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

People told us they felt safe and that staff looked after them very well. Staff understood how to identify and report any concerns regarding abuse or harm, including any external agencies they would need to report to. Risks to people were identified and monitored. Guidance was clear for staff to follow, which minimised risks to people. Staff had good working relationships with a variety of health professionals and worked with them to achieve the best outcomes for people. Medicines processes had been reviewed and improved to ensure medicines were managed, stored and disposed of appropriately.

Staff were friendly, considerate and kind towards the people they cared for. The atmosphere was homely and welcoming. Some areas of the home had been newly refurbished and decorated taking on board suggestions from people living at the service and their relatives. Health professionals told us they felt welcomed and supported by staff when visiting the home. People told us staff considered their privacy and dignity when supporting them in all aspects of their care needs. Processes were in place to maintain confidentiality of people’s personal information. Staff told us they were able to meet people’s needs and take time to interact with them and their relatives throughout their shifts.

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. Staff were aware of the importance of gaining people's consent prior to carrying out care and support.

People received a varied menu of food each day and had additional choices according to their preferences. Staff knew the importance of maintaining people’s hydration and encouraged plenty of additional fluids. People and their relatives told us they felt involved in making decisions about their care. Relatives described how staff tailored care to support people’s individual needs, including emotional support when needed. People experienced personalised care, which supported them to feel valued, and well cared for. The service had identified activities as an area they could improve. Additional one to one support was provided to people in their rooms and the activities team supported people to take part in a range of interactive activities to promote physical and mental stimulation.

The registered manager inspired staff to provide support to people in line with best practice guidance. They had introduced improved governance systems that had already impacted on the service and the quality of support provided. The registered manager had a hands-on approach and was well respected by all the staff team. Since they had come into post they had engaged with the local authority and health professionals to continuously drive improvements throughout the service and had made an impact on the staff team working more productively together to achieve positive results.

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 April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.