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CQC report explained · a residential care home

What the CQC found at The Pines Residential Care Home

Not yet rated

Not yet rated: the CQC has not published a rated inspection for this home, which is usual for a new registration.

The latest report, explained

What inspectors found, August 2019

Rated Good; inspectors found safe, caring and person-centred support with a strong focus on choice and independence.

The inspection took place over four visits in June 2019. One inspector spoke with people, relatives, staff and the manager, observed care, and checked care, medicines, recruitment, training and management records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people felt safe and happy, staff understood their needs, medicines were managed safely, and support helped people build skills and independence.

The home had an open culture and good teamwork. People were involved in decisions about their care, activities and staff recruitment. The overall rating was unchanged from the previous Good rating, published in November 2016.

What inspectors praised
  • Choice and independence

    Support focused on helping people make choices, learn life skills and become more independent. People were also involved in choosing key workers and interviewing potential staff.

    “The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion.” from the report
  • Safe care

    Risks were reviewed when people's needs changed, and staff had clear guidance for supporting behaviour and medicines. Recruitment checks were completed before staff started.

    “Risk assessments were regularly reviewed to identify changes in people's needs and they were amended accordingly.” from the report
  • Kind and respectful staff

    People and relatives described staff as kind, caring and friendly. Inspectors saw staff protect privacy and encourage people to do things for themselves.

    “People, professionals and their families described the staff as being caring, kind and friendly and the atmosphere of the home as relaxed and engaging.” from the report
  • Person-centred support

    Staff understood people's communication methods, preferences and changing needs. Support included community activities, contact with relatives and opportunities for work or volunteering.

    “The service was responsive to people's current and changing needs. Regular reviews took place which ensured people were at the centre of their support.” from the report
  • Strong management

    The manager and staff worked well together and used audits, meetings and learning from incidents to monitor quality and make improvements.

    “The service had a robust quality assurance system in place. Audits were regularly undertaken by the registered manager, deputy manager and provider.” from the report
What inspectors were concerned about
  • Larger than current guidance

    minor

    The home was registered for 13 people and 12 people lived there. Inspectors said this was larger than current best practice guidance, although the building design and setting helped reduce any negative impact.

    “This is larger than current best practice guidance.” from the report
Questions to ask them, based on this report
  1. 01How will you support my relative to build skills and become more independent?
  2. 02How will you adapt communication to my relative's preferred method, such as picture aids or Makaton?
  3. 03How are risks reviewed when a person's needs or behaviour changes?
  4. 04What community activities, work, volunteering or social opportunities could my relative take part in?
  5. 05How will my family be involved in reviews and decisions about support?

This was a scheduled comprehensive inspection covering all five CQC questions, following the previous Good rating published on 9 November 2016. This explanation was written from the published report of 21 August 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.

An earlier report, explained

What inspectors found, November 2016

Rated Good; inspectors found safe, kind and person-centred care, with no registered manager in place at the time.

This was an unannounced comprehensive inspection. Inspectors visited on the dates recorded in the report as 23 and 30 September 2016. They spoke with eight people, five staff, the manager and the service manager, and reviewed care records, medicines records, staffing, recruitment, training and quality checks.

Inspectors found that people were safe and well supported. Risk assessments were in place, staffing levels met people's needs, recruitment checks were completed and medicines were managed safely. Staff understood safeguarding and had suitable training.

People were treated kindly and their privacy and dignity were respected. Care plans were detailed and personalised. People helped choose their meals and activities, and complaints were handled appropriately. The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led.

What inspectors praised
  • Safe staffing and recruitment

    Inspectors found enough staff to meet people's needs and found that recruitment checks were completed before staff were employed.

    “Robust recruitment procedures ensured staff employed were suitable to work with vulnerable people.” from the report
  • Kind and respectful care

    People appeared comfortable with staff. Staff respected people's privacy, dignity, preferences and personal routines.

    “Throughout the inspection people were observed to be at ease with the staff, seeking them out and interacting positively.” from the report
  • Personalised support

    Care plans covered people's individual needs, abilities and preferences. They were reviewed monthly or when needs changed.

    “The care and support plans had been reviewed monthly or as the person's needs changed.” from the report
  • Choice and independence

    People helped choose meals and activities. The home was working to increase people's involvement in their own lives and independence.

    “There was an open, positive culture that empowered people and supported their independence.” from the report
  • Quality monitoring

    The home used audits covering areas such as medicines, infection control, accidents, incidents and care planning.

    “There were well-developed quality assurance systems in place to monitor the quality of service being delivered and the running of the home.” from the report
What inspectors were concerned about
  • No registered manager

    minor

    There was no registered manager in post during the inspection. The manager was in the process of registering with the CQC.

    “There was no registered manager at the home at the time of the inspection.” from the report
  • Incorrect hospital information

    minor

    One person's hospital passport contained incorrect information. The report says this was corrected before the inspection ended.

    “The information for one person was incorrect, however, this was addressed before completion of the inspection.” from the report
Questions to ask them, based on this report
  1. 01Who is the registered manager now, and has the registration process been completed?
  2. 02How do you check that hospital passports contain the correct and most up-to-date information?
  3. 03How has the twelve-month modernisation plan changed people's daily lives and independence?
  4. 04What staffing levels are in place now, including overnight and one-to-one support?
  5. 05How are care plans and risk assessments reviewed when a person's needs change?

This was an unannounced comprehensive inspection covering all five CQC questions and the overall rating; the report gives two different descriptions of the first inspection date, recording 23 September in the summary and 22 September in the inspection background. This explanation was written from the published report of 9 November 2016 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 The Pines Residential Care Home

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

  1. August 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Pines Residential Care Home →

  2. November 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Pines Residential Care Home →

  3. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. February 2011

    Registered with the Care Quality Commission on 3 February 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.

Next steps

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