CQC report explained · a nursing home
What the CQC found at Pinxton Manor Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found effective arrangements for PPE, testing, safe admissions, social distancing and isolation. They were not assured that infection outbreaks could be effectively prevented or managed.
- 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, December 2020
Pinxton Manor Nursing Home was inspected but not rated; inspectors found several infection controls in place but were not assured outbreaks could be prevented or managed.
This was an unannounced, targeted inspection after concerns were raised about infection prevention and control. Inspectors looked at how the home was managing the risk of coronavirus infection.
There were good arrangements for protective equipment, staff changing and laundering uniforms, testing, safe admissions and isolating people. People were receiving care and meals in their bedrooms, and visitors were not being allowed while some people were isolating.
However, inspectors were not assured that infection outbreaks could be effectively prevented or managed. The home was inspected but not rated, so this report does not give an overall quality rating or ratings for the other areas of care.
Protective equipment
There was enough PPE for staff. The home also had extra uniforms for staff to change into and have laundered there.
“The service had enough Personal Protective Equipment (PPE) for staff to use.” from the report
Staff changing arrangements
Staff used a separate entrance and a dedicated area to put on and remove PPE. Flexible shift start times gave them space to change safely.
“Staff were entering and leaving the home through a separate entrance and an area had been designated for putting on and taking off PPE.” from the report
Testing and isolation
Staff were tested weekly and people monthly. New admissions were tested and completed a 14-day isolation period.
“Testing was completed weekly for staff and monthly for people, which enabled outbreaks to be identified.” from the report
Reducing contact
People were cared for in their bedrooms where possible, and communal furniture was spaced out. Contact with family and friends continued by telephone or the internet while visits were closed.
“People were receiving care in their bedrooms to reduce risk to other people and supported isolating.” from the report
Outbreak management
seriousInspectors were not assured that the home could effectively prevent or manage infection outbreaks. This was the central concern of the inspection.
“We were not assured that the provider was making sure infection outbreaks could be effectively prevented or managed.” from the report
- 01What changes have been made to prevent and manage infection outbreaks since this inspection?
- 02How are staff who come through an agency restricted to working in this home?
- 03How are people supported to keep in touch with relatives when visitors cannot enter?
- 04How often are people and staff tested now, and how are positive results managed?
- 05How are new admissions tested and supported during isolation?
This was a targeted inspection of infection prevention and control under the Safe question only; the service was inspected but not rated and the other questions were not assessed. This explanation was written from the published report of 25 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.
What inspectors found, February 2019
Pinxton Manor Nursing Home was rated Good; inspectors found safe, kind and personalised care, with some concerns about staffing levels at times.
The inspection was unannounced and took place on 18 December 2018. One inspector and an expert by experience spoke with people living in the home, staff and managers. They reviewed care records, medicines, staff files, training records, complaints, audits and safety checks.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from avoidable harm, received their medicines safely and had enough staff to meet their needs overall. A qualified nurse was on duty at all times.
Staff were described as kind and respectful. Care plans reflected people's needs and preferences, including communication, dementia support and end of life wishes. People were supported with food, drink, healthcare, activities and contact with families.
The home had a clear management structure and used feedback, audits, complaints and meetings to improve. Some people said staffing was variable and there were times when there were not enough staff. Managers had identified the need for an additional staff member for both day and night shifts.
Safe medicines and risk management
Risk assessments and management plans were in place. Medicines were electronically recorded, with checks for errors or missed doses.
“People received their prescribed medicines safely and these were managed in line with best practice guidance.” from the report
Kind and respectful staff
Staff knew people well and responded with patience and reassurance when people were distressed. Privacy, dignity and independence were promoted.
“We saw staff throughout our inspection were sensitive and discreet when supporting people, they respected people's choices and acted on their requests and decisions.” from the report
Personalised dementia support
Care plans recorded people's preferences, communication needs and possible causes of distress. The environment and activities were adapted for people living with dementia.
“People had a person-centred care plan in place for each identified need.” from the report
Good leadership and improvement
Managers involved people, relatives and staff in giving feedback. Audits, complaints and meetings were used to identify and make improvements.
“Information about what people said and what action was taken in response was shared with people and with staff.” from the report
Staffing could be variable
minorSome people said there were times when there were not enough staff, although inspectors saw staff respond quickly and judged staffing sufficient overall. Managers had identified the need for an extra staff member on day and night shifts.
“Other people told us that staffing levels were variable, generally good but at times there were not enough staff.” from the report
- 01What happened with the planned additional staff member for day and night duty?
- 02How do you make sure there are enough staff at busy times, including teatime when falls had increased?
- 03How will you involve my relative and our family in care plan reviews and decisions about their care?
- 04What dementia activities and communication support would be available for my relative?
- 05How would you support our family if my relative needed end of life care?
This was an unannounced comprehensive inspection covering all five CQC questions and the overall quality of the home. This explanation was written from the published report of 7 February 2019 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 Pinxton Manor Nursing Home
2 rated inspections over 2 years: the service has held its Good rating throughout.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 27 January 2011.
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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