Pinxton Manor Nursing Home

Updated 25 December 2020

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.

We received information of concern about infection control and prevention measures at this service. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 24 November and was unannounced.

Updated 25 December 2020

We inspected the service on 18 December 2018. The inspection was unannounced. Pinxton Manor Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service is registered to accommodate 40 people.

On the day of our inspection 35 people were using the service.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’

People continued to receive a safe service where they were protected from avoidable harm, discrimination and abuse. Staff had received training and knew how to recognise abuse and how to report it. Risks associated with people’s needs including the environment, had been assessed and planned for and these were monitored for any changes. People did not have any undue restrictions placed upon them. The service provided nursing care and there was at least one qualified nurse on duty at all times. There were sufficient staff to meet people’s needs and safe staff recruitment procedures were in place and used. People received their prescribed medicines safely and these were managed in line with best practice guidance. Accidents and incidents were analysed for lessons learnt and these were shared with the staff team to reduce further reoccurrence.

People continued to receive an effective service. Staff received the training and support they required including specialist training to meet people’s individual needs. Qualified nurses were supported to maintain their professional qualification and received clinical supervision. People were supported with their nutritional needs. Staff identified when people required further support with eating and drinking and took appropriate action. The staff worked well with external health care professionals, people were supported with their needs and accessed the health services they required. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. The principles of the Mental Capacity Act 2005 (MCA) were followed.

The environment was adapted to meet the needs of people living with dementia and was accessible to people who used the service.

People continued to receive care from staff who were kind, compassionate and treated them with dignity and respected their privacy. Staff had developed positive relationships with the people they supported, they understood people’s needs, preferences, and what was important to them. Staff knew how to comfort people when they were distressed and made sure that emotional support was provided. People’s independence was promoted.

People continued to receive a responsive service. People’s needs were assessed and planned for with the involvement of the person and or their relative. The service had achieved a ‘dementia specialist award and dignity award from their commissioners. People had a person-centred care plan in place for each identified need. Staff knew people well and knew how they preferred to receive care and support. People had opportunities to pursue their interests and hobbies, and social activities were offered and tailored to meet people’s needs and abilities. There was a complaint procedure and action had been taken to learn and improve in response to complaints.

People continued to receive a well led service. People and staff were supported by the management team. There was a clear support structure and staff understood their roles and responsibilities. People and staff were engaged and involved. There was an open and transparent and person-centred culture and good leadership. People were asked to share their feedback about the care and support they received and action was taken in response. Staff performance and the quality of service provision was monitored, analysed and used to make improvements.

Further information is in the detailed findings below