Background to this inspection
Updated
13 September 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This comprehensive inspection took place on 9 and 10 August 2017 and was unannounced. The inspection was completed by one CQC Inspector.
Before the inspection we reviewed the information we held about the service. This included information about incidents the provider had notified us of. We also asked the local authority who commission the service and various health professionals who regularly visited the service for their views on the care and service given by the home.
During the inspection we met and spoke with three of the people living at the service. Following the inspection we spoke with two relatives on the telephone and requested written feedback from the service’s GP. We spoke with the manager and three members of care staff.
We observed how people were supported and to establish the quality of care people received we looked in depth at three people’s care, treatment and support records and all of the Medicine Administration Records (MARS). We also looked at records relating to the management of the service including staffing rota’s, staff recruitment, supervision and training records, premises maintenance records, quality assurance records, staff and resident/relative meeting minutes and a range of the providers policies and procedures.
The provider had completed a Provider Information Return (PIR) before the inspection. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they planned to make. We used the information in the PIR to plan and undertake the inspection.
Updated
13 September 2017
Pinehaven is a care home registered to accommodate a maximum of nine people with learning disabilities. At the time of the inspection eight people were living there.
At the last inspection, the service was rated Good.
At this inspection we found the service remained Good.
Why the service is rated Good
Is the service Safe?
People were protected from potential abuse and avoidable harm by staff who were knowledgeable about recognising and reporting different signs of abuse. There were sufficient numbers of appropriately qualified staff available on each shift to ensure people were cared and supported safely. Risks to people were well managed and medicines were stored appropriately and managed effectively. People were protected by the prevention and control of infection.
Is the service effective?
People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. People had access to a variety of health care professionals who provided care and support to people at the home. Staff received quality training which they found effective and useful. Staff were well supported with a clear system of supervision meetings.
Is the service caring?
People and relatives told us they found the staff to be kind, caring, friendly and patient. Staff spoke knowledgeably about people and showed they knew how people preferred to be given their care and support. People were treated with dignity and respect and supported to maintain their independence and make their own choices about how they spent their day. People’s privacy was respected.
Is the service responsive?
People received person centred care from a team of staff who knew them and their health needs well. People’s needs were re-assessed when their health needs changed and relatives were kept informed and included. People were supported to take part in a range of interesting activities that helped them to maintain their independence. People knew how to complain if they needed to and there was a clear complaints process available.
Is the service well led?
There was an open, honest, friendly culture and relatives told us they had confidence in the management team and the staff. People and their relatives were consulted and involved in their care and support. There was a programme of quality checks and audits to ensure the quality of the service was maintained.
Further information is in the detailed findings below