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CQC report explained · a residential care home

What the CQC found at Pines

Goodpublished 15 August 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was preventing and managing infections, including through visitor screening, PPE, testing, hygiene and social distancing.
Effective?
Good
This question was not assessed in this targeted inspection.
Caring?
Good
This question was not assessed in this targeted inspection.
Responsive?
Good
This question was not assessed in this targeted inspection.
Well-led?
Good
This question was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, December 2020

Targeted infection-control inspection; the home was inspected but not rated, and inspectors were assured its COVID-19 measures were safe.

Inspectors visited the home on 25 November 2020. The visit was announced and focused only on infection prevention and control during the coronavirus pandemic.

They found that visitors were screened, personal protective equipment and social distancing guidance were being used, and the home was clean and well maintained. Staff and residents were tested in line with government guidance.

The home helped people keep in touch with relatives by telephone and video calls. The service was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Infection-control arrangements

    Inspectors were assured that the home had arrangements to prevent and manage COVID-19 and other infections. Staff received training and managers carried out checks on infection-control practice.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
  • Visitor safety

    Visitors were screened for symptoms and had their temperature taken before entering. The home had a clear system for PPE and social distancing.

    “All visitors were screened for symptoms of respiratory or other infections and their temperature taken before being allowed to enter the home.” from the report
  • Clean environment

    The home was described as clean and well maintained throughout the inspection.

    “The home was clean and well maintained throughout.” from the report
  • Contact with relatives

    People were supported to keep in touch with relatives by telephone and video calls.

    “The provider had ensured that people were able to maintain contact with relatives using the telephone and technology.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are visitors currently screened and supported to follow infection-control guidance?
  2. 02How do you check that staff are using PPE and following infection-control procedures?
  3. 03How are residents and staff currently tested for infections?
  4. 04How can residents keep in touch with relatives if visiting is restricted?
  5. 05When were the other aspects of the service last inspected and rated?

This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other areas of care were not assessed. This explanation was written from the published report of 8 December 2020 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.

An earlier report, explained

What inspectors found, August 2018

Rated Good; inspectors found safe, kind and personalised care with strong support for people's choices.

This was an unannounced comprehensive inspection on 17 July 2018. Inspectors spoke with one person, three relatives and staff. They observed care and checked care records, staff checks, training, rotas, safety records and quality audits.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that staff understood people's complex needs, managed medicines safely and followed safeguarding and risk procedures. Incidents were reviewed regularly to reduce the chance of them happening again.

People were supported in a kind and respectful way. Staff understood non-verbal communication, supported individual routines and helped people take part in activities and community life. The rating remained Good, as it had been at the previous inspection, and inspectors found no serious risks or concerns.

What inspectors praised
  • Safety planning

    Risks, incidents and accidents were recorded and reviewed by a wider team. This helped staff identify patterns and improve guidance.

    “All incidents and accidents were reviewed at a weekly multi-disciplinary meeting which included an assistant psychologist, occupational therapist, care staff and managers.” from the report
  • Choice and least restriction

    People were supported to make choices and take part in decisions as far as possible. Best-interest decisions involved families and professionals where needed.

    “People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.” from the report
  • Kind relationships

    Inspectors saw warm and respectful interactions. Staff adapted their approach to people's moods and communication.

    “We observed people and staff interacting throughout our inspection visit. Staff provided support in a sensitive manner, encouraging people to participate where they could, and they showed genuine warmth and affection in all their interactions.” from the report
  • Personalised activities

    Activities were based on people's choices and communication needs. People were supported to go out locally and use a range of adapted facilities.

    “Each person's daily activities were based on their choices. They planned their activities for the week with the staff, and pictures were used to display them on a board.” from the report
  • Communication support

    The home used pictures, easy-read information and communication plans to help people understand information and express their needs.

    “Staff had developed communication care plans that provided detailed information on how people communicated their needs and preferences.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will staff learn and record my relative's individual non-verbal signs, preferences and changes in mood?
  2. 02How are staffing levels decided when someone needs one-to-one support or an additional escort in the community?
  3. 03How are incidents reviewed, and how will any learning from them change my relative's care plan?
  4. 04How will my relative choose activities and change their mind about what they want to do?
  5. 05How will you keep me informed about my relative's wellbeing and involve me in care reviews?

This was an unannounced comprehensive inspection covering all five questions, using conversations, observations and checks of care, staffing, safety and management records. This explanation was written from the published report of 15 August 2018 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.

The story over the years

Every inspection of Pines

2 rated inspections over 2 years: the service has held its Good rating throughout.

  1. December 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Pines →

  2. August 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Pines →

  3. March 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. October 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. October 2013

    Registered with the Care Quality Commission on 4 October 2013.

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.

Next steps

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