CQC report explained · a nursing home
What the CQC found at Pilling Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was managing infection risks, including visiting, admissions, PPE, testing, cleaning and outbreak arrangements. The provider also had measures to reduce the effect of COVID-19-related staff pressures.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, March 2022
Pilling Nursing Home: inspected but not rated; inspectors were assured that infection risks were being managed.
This was an unannounced, targeted inspection on 11 February 2022. Inspectors focused on infection prevention, visiting arrangements and the effect of COVID-19 staffing pressures.
The home had procedures for safe visiting, admissions, testing, isolation and managing outbreaks. Inspectors saw staff using protective equipment safely and found the home clean and hygienic.
The home was inspected but not rated. This means the visit did not give an overall quality rating or a rated judgement for safe care.
Infection control
The home had systems for screening visitors, recording contact details and managing people who might have been exposed to infection.
“The provider had established systems to prevent visitors from spreading and catching infections.” from the report
Safe visiting
People could visit relatives in line with current guidance. Technology was also used to help people keep in touch when physical visits were not possible.
“People were allowed to visit their loved ones consistent with current guidance.” from the report
Protective equipment and testing
Inspectors observed staff using PPE safely. There were sufficient supplies, and people and staff were tested regularly.
“During our visit we observed staff using Personal Protective Equipment, (PPE) safely.” from the report
Clean environment
The home was clean and hygienic, with cleaning schedules and staff responsible for carrying out the cleaning.
“The home was clean and hygienic. Comprehensive cleaning schedules were in place and there were designated staff who performed these duties.” from the report
Inspectors raised no specific concerns in this report.
- 01How are COVID-19-related staffing pressures affecting care and staffing levels now?
- 02What testing and isolation arrangements are used when someone is admitted to the home?
- 03How would you manage visiting and relatives' contact if there were an infection outbreak?
- 04How often are people and staff tested, and how are vaccination or exemption requirements checked?
- 05How are cleaning, PPE supplies and infection control checks monitored?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it did not provide a full service rating. This explanation was written from the published report of 3 March 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, October 2021
Rated Good; inspectors found people felt safe and the home was well managed, with earlier safety concerns addressed.
The CQC carried out an unannounced, focused inspection on 6 October 2021. One inspector spoke with people, relatives and staff, checked care and medicine records, reviewed recruitment files and risk assessments, and looked around the home.
The inspection followed concerns about a person leaving the home without supervision and some fire safety matters. The report says these concerns had been addressed. Inspectors found people felt safe, medicines were managed safely, staffing levels were suitable and infection control measures were in place.
The home was rated Good overall, with Safe and Well-led also rated Good. The other three areas were not inspected at this visit, so their previous ratings were carried forward from the comprehensive inspection published in 2018.
People felt safe
People and relatives told inspectors they felt safe. Staff had safeguarding training and understood how to respond to abuse concerns.
“People felt safe living at the home. People told us, "I definitely feel safe here” from the report
Safe medicines management
Medicines were stored and administered safely. Staff were trained and assessed as competent, and regular medicines audits were completed.
“People's medicines were managed safely and the provider had robust systems to ensure people received their medicines as prescribed by health care professionals.” from the report
Open management
The home had regular quality and safety audits. People, relatives and staff were encouraged to give feedback, and the manager responded to concerns and suggestions.
“The service had an open culture, with people, relatives and staff encouraged to share their views.” from the report
Earlier safety concerns
minorBefore the inspection, concerns had been raised about a person leaving without supervision and some fire safety matters. The report says these were addressed, although some minor areas still needed attention during the inspection.
“During the inspection they told us there were some minor areas that did need to be addressed.” from the report
Recruitment records
minorSome evidence of recruitment checks was missing from the files inspectors reviewed at first. The evidence was provided before the report was written.
“Evidence around some of these checks was not available within all the files we considered but these were provided by the time this report was drafted.” from the report
- 01What checks are now in place to prevent someone who needs supervision from leaving the home without support?
- 02What fire safety improvements were made after the concerns raised before this inspection?
- 03How often are medicines audits completed, and how are any shortfalls followed up?
- 04How does the home make sure all recruitment checks are recorded in staff files?
- 05How will you explain the areas that were not inspected during this visit and their current ratings?
This was a focused inspection of Safe and Well-led only; the other key question ratings were carried forward from the previous comprehensive inspection published on 31 May 2018. This explanation was written from the published report of 27 October 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Pilling Nursing Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- October 2021Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2018GoodSafe: GoodWell-led: Good
- April 2017
Registered with the Care Quality Commission on 6 April 2017.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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85 live-in carers within about an hour of Lancashire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 78 can care for a couple. 11 years' experience on average.
“She understands the needs of an elderly person in the early stages of dementia and has treated my mother with great kindness and skill.”
“Thanks to Tracy, Dad was always immaculately dressed and clean, his meals were all home cooked and nutritionally well balanced and his home was always kept really clean and tidy.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.