CQC report explained · a residential care home
What the CQC found at Pinfold Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Safe was not inspected during this focused visit. The previous rating was used to calculate the overall rating.
- Effective?
- Good
- Staff supervision had improved and people's health, dietary and healthcare needs were being supported. Staff had begun training in mandatory topics, with more training planned.
- Caring?
- Good
- Caring was not inspected during this focused visit. The previous rating was used to calculate the overall rating.
- Responsive?
- Good
- Care plans described people's support needs and staff interventions. People had choices about activities, accessible information was available, and complaints were investigated.
- Well-led?
- Good
- The home had an open culture, regular feedback from people and staff, and quality checks covering areas such as medicines, dignity and health and safety.
What inspectors found, February 2023
Rated Good; inspectors found effective, responsive and well-led care, but Safe and Caring were not inspected during this visit.
This was an unannounced focused inspection on 6 February 2023. One inspector spoke with five people, the manager and three care workers. Records about care plans, risks, staff training, supervision and service checks were also reviewed.
The home was rated Good overall. Effective, Responsive and Well-led were each rated Good. Inspectors found improvements in staff supervision and care planning since the previous inspection, which had been rated Requires Improvement.
People and relatives said the home was managed well and that they felt safe with care workers. Inspectors found that people's health, dietary, communication and activity needs were being supported. The home had communal areas, private spaces and a garden.
Safe and Caring were not inspected at this visit. Their previous ratings were used when calculating the overall rating, so this report does not provide new findings or ratings for those two areas.
Improved staff supervision
The home had acted on the previous recommendation. Staff records showed regular supervision, including discussion of wellbeing, feedback and duties.
“Staff records showed they received regular supervision.” from the report
Personalised care planning
Care plans covered mental and physical health, medicines, personal hygiene, activities and behaviours that might present risk. They also set out goals and staff support.
“Support plans included an identified area of support, the intended goal/outcome, and the staff interventions needed to support people.” from the report
Choice and independence
People could go out independently or with staff. Bedrooms had private bathrooms, and some had kitchenettes to support independent living skills.
“Some people went out independently and others with staff.” from the report
Activities and social contact
People could choose from group activities, workshops and outings. The home had a weekly programme and dedicated activity rooms.
“There was a weekly activities programme on display in the home and there were two rooms that were used to deliver activities.” from the report
Open management
Inspectors found an approachable management style, regular residents' and staff meetings, and systems for gathering feedback and checking care quality.
“There was a positive culture within the service.” from the report
Training still being completed
minorStaff had started some mandatory training, but further mandatory topics were planned for the following months. Ask which subjects remain and when they will be completed.
“There was also a plan in place to deliver more mandatory topics for staff over the next few months.” from the report
Digital care plans not yet fully transferred
minorThe home was moving to a digital care planning system, but the transfer of records was still in progress at the inspection.
“The registered manager told us they were transitioning to a digital care plan and were still in the process of transferring the records.” from the report
- 01Which mandatory staff training topics are still outstanding, and when will each one be completed?
- 02Have all care plans now been transferred to the digital system, and how do you check that the information remains accurate during the changeover?
- 03What was the previous rating for Safe and Caring, and what has changed since the last comprehensive inspection?
- 04How would you support my relative's particular mental health, personal care and communication needs?
- 05How are people involved in reviewing their care plans and choosing activities?
This was a focused inspection of Effective, Responsive and Well-led only; Safe and Caring were not inspected and their previous ratings carried over into the overall rating. This explanation was written from the published report of 24 February 2023 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, November 2020
Rated Requires Improvement overall; inspectors found Safe and Well-led were Good, with improvements since the last inspection.
This was a focused inspection on 17 September 2020. The inspector spoke with 11 people, staff, the manager and other professionals. They looked at care files, medicines records and other documents.
The home was rated Good for Safe and Good for Well-led. Inspectors found improvements in medicines management, risk assessments, infection control and quality monitoring. People said they felt safe and were positive about the care and support.
The overall rating remains Requires Improvement because this inspection did not look at all five areas. Ratings from the previous comprehensive inspection were used for the areas not checked this time.
Safer medicines management
The home introduced electronic medicines records, monitored stock and checked that staff could administer medicines correctly.
“New electronic systems had been put in place to record the administration of medicines.” from the report
Infection control
Inspectors found enhanced cleaning, staff training and personal protective equipment arrangements. People were positive about how the home managed COVID-19 risks.
“Enhanced cleaning procedures were in place and the registered provider had followed the national testing programme.” from the report
Positive leadership
The home improved its quality checks and electronic monitoring. People and professionals spoke positively about the manager and the support provided.
“Quality assurance systems had been improved to help ensure the quality of care delivery at the service was continually monitored and improved.” from the report
PRN guidance still being integrated
needs fixingInspectors discussed further work needed to fully integrate guidance for as-needed medicines into the electronic system.
“We discussed how to fully integrate the PRN guidance for each medicine in the new electronic administration system with an organisational manager during our visit and they confirmed they would look to make further improvements.” from the report
Relative involvement
minorOne relative felt the home could involve relatives more actively in a person's care.
“One relative told us that the service was clean and the staff courteous but they felt that the service could more actively involve them in the persons care.” from the report
- 01What were the ratings and findings for Effective, Caring and Responsive at the previous comprehensive inspection?
- 02How is the home completing the work to integrate PRN medicine guidance into the electronic system?
- 03How will you involve relatives more actively in a person's care?
- 04How are medicines audits and electronic records checked now, and what happens if a problem is found?
- 05How are risks and infection control arrangements reviewed if COVID-19 or another infection risk arises?
This was a focused inspection of Safe and Well-led only; the other ratings carried over from the previous comprehensive inspection. This explanation was written from the published report of 19 November 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.
Every inspection of Pinfold Home
5 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- February 2023Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2020Requires improvementstayed Requires improvementWell-led: Good
- April 2019Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- February 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2017Requires improvementSafe: GoodEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Good
- March 2014
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- July 2012
Registered with the Care Quality Commission on 24 July 2012.
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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