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CQC report explained · a residential care home

What the CQC found at Pippin House

Goodpublished 29 November 2022, 3 years ago

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

The five questions inspectors ask
Safe?
Good
Staff knew people well and understood how to protect them from abuse and avoidable harm. Risk assessments, medicines systems, infection control and recruitment checks were in place.
Effective?
Good
Care plans were personalised and regularly reviewed. Staff had relevant training, supported balanced diets and worked with health professionals, although improvements to some bathrooms were still awaiting agreement and work.
Caring?
Good
Staff provided kind and compassionate care and respected people's privacy, dignity, choices and communication needs. People were supported to build confidence, learn skills and take part in community life.
Responsive?
Good
Support was tailored to people's goals, communication methods, identities and interests. People were supported to take part in activities, maintain relationships and raise concerns.
Well-led?
Good
The manager was described as visible and approachable, and staff felt supported. Quality checks, family involvement and regular reviews were used to improve the service.
The latest report, explained

What inspectors found, November 2022

Rated Good in all five areas; inspectors found safe, kind and person-centred care, with some bathroom improvements still waiting to be agreed.

The inspection took place on 8 and 10 November 2022. One inspector spoke with four people, six staff members and five relatives. They also reviewed care records, medicine records, staff files and management information.

The home supported seven younger adults with learning disabilities and/or mental health needs who also had hearing impairments. Inspectors found that staff knew people well, supported their communication needs and helped them make choices and develop independence.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means the inspectors found consistently good care and management at the time of this inspection. It was the first inspection since the home registered under the current provider.

What inspectors praised
  • People felt safe

    Staff understood people's needs and could recognise when someone was worried or unhappy. The home used risk assessments and worked with other agencies to protect people.

    “People were kept safe from avoidable harm because staff knew them well and understood how to protect them from abuse.” from the report
  • Kind and respectful care

    Inspectors found warm and supportive relationships. Staff used communication methods people understood and respected their privacy, dignity and choices.

    “People received kind and compassionate care from staff who used positive, respectful language which people understood and responded well to.” from the report
  • Support for independence

    People were encouraged to try new experiences, develop skills, make choices and take part in work, leisure and community activities.

    “People had the opportunity to try new experiences, develop new skills and gain independence.” from the report
  • Strong staff support and leadership

    Staff received relevant training, supervision and development. Inspectors found that the manager and provider had effective systems for checking quality and supporting improvement.

    “Staff felt respected, supported and valued by the registered manager which supported a positive and improvement-driven culture.” from the report
What inspectors were concerned about
  • Bathroom improvements pending

    minor

    The home had reported maintenance and improvement needs to the provider and was waiting for key work to be agreed and completed. This included improvements to people's individual bathrooms.

    “The service had reported appropriately maintenance and improvements needed to the premises with the provider and were waiting for key areas of work to be agreed and undertaken.” from the report
  • Recruitment was continuing

    minor

    The number and skills of staff matched people's needs at the inspection, and more staff had recently been recruited. However, the home continued to recruit staff.

    “The service continued to actively recruit for staff on an ongoing basis via various advertising sources.” from the report
Questions to ask them, based on this report
  1. 01What is the timescale for agreeing and completing the improvements to individual bathrooms?
  2. 02How many staff are currently working at the home, and are there enough staff for the one-to-one activities and visits each person wants?
  3. 03How will you communicate with my relative using their preferred methods, including visual tools, signing, gestures or symbols?
  4. 04How are people's care plans and risk assessments reviewed when their needs, wishes or behaviour change?
  5. 05How will my relative be involved in planning their care, activities, relationships and longer-term goals?

This was the first comprehensive inspection of the newly registered service and covered all five CQC questions, including the premises and care provided. This explanation was written from the published report of 29 November 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.

The story over the years

Every inspection of Pippin House

3 rated inspections over 7 years: the service has held its Good rating throughout.

  1. November 2022Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Pippin House →

  2. April 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. December 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. June 2021

    Registered with the Care Quality Commission on 30 June 2021.

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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Most charge £1,020 to £1,270 a week. 15 can care for a couple. 13 years' experience on average.

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