Archived: Pilgrim Homes - Framland

Pilgrim Homes Framland is set over two floors. The home has a large lounge and a separate dining room. There were other seating areas around the home for people to sit in. The home had an enclosed garden.

A registered manager was in place as required by their conditions of registration. 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 told us they felt safe living in the home. This was confirmed by relatives. Risks for individual people had been assessed. Staff were knowledgeable on how best to support people when they were at risk of harm. Staff had been trained to support and protect the people they cared for. People were protected against abuse because staff knew how to report any concerns of abuse to the relevant safeguarding authorities. Policies to protect people were in place to give staff guidance.

People’s medicines were managed and administered appropriately, however the stock levels of medicines held in the home was not recorded. We were told that checking of the medicine stock levels would be added to their monthly audit. Appropriate cleaning and systems to prevent the spread of infections were in place.

People and their relatives were positive about the care and support they received from staff. They were involved in planning for their care. Their individual needs were assessed, planned and reviewed but did not always provide staff with adequate guidance. We were told this would be reviewed by the registered manager. People were encouraged to make decisions about their care and support. They were supported to maintain their health and well-being and access additional care and treatment from other health care services when needed.

Staff were passionate about their role. People were at the heart of the service. Both the people and their relatives complimented the caring nature of staff. We received many positive comments about the home. Whilst people’s spiritual needs were met, they did not always have the opportunity to take part in other recreational activities. However, the registered manager was reviewing the activities provision as part of the company’s Dementia Strategy as the home is a pilot home for this.

The registered manager and provider had a good understanding of their role and how to manage the quality of the care provided to people. Quality monitoring systems were in place to check and address any shortfalls in the service. People and their relatives felt that any concerns raised were dealt with immediately. There were sufficient numbers of staff to ensure people’s needs were being met. Staff had been suitably recruited and trained to carry out their role.

People were given choice about how they wish to spend their time. One person told us "If something is going on (an activity) staff come and ask me if I want to join in. If I say no that's alright".

People received care and support that met their needs and kept them safe. A person we spoke with said "I don't mind which member of staff comes to help me as long as they come to help when I want it". People's care plans contained personalised descriptions of their needs and relevant risk assessments.

People felt safe living at the home. One person we spoke with said "Yes oh yes I'm safe".

The home was kept very clean and tidy. Relevant guidance on cleanliness and hygiene was followed.

Staff were supported to carry out their roles and received appropriate training. Staff told us they had 18 hours of protected learning time each year. We saw four staff had completed applications to take national vocational qualifications in care on the day of our visit..

People who lived at the home were given the opportunity to put their views forward and they were listened to. There was a residents meeting held once every three months.

We spoke with one relative who told us that staff could not be nicer and that they were always kept in the picture about everything that happened, which they found reassuring.

We observed staff treating people with dignity and respect. People were involved in planning their support and in making day to day decisions. Staff told us that they followed care plans which they felt contained adequate information.

The provider and staff were aware of their responsibilities regarding protecting people from abuse and the people we spoke with said they felt happy and safe.

Staff received appropriate training and support. Training files and supervision records were up to date.

The provider had a system in place to monitor and assess the service provided and staff and residents were able to express their opinions.