CQC report explained · a residential care home
What the CQC found at The Pines Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about most infection control arrangements, including PPE, testing, safe admissions and visiting. They were only somewhat assured about the layout and hygiene of the premises because some fixed equipment was difficult to clean.
- 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.
What inspectors found, February 2022
The Pines Residential Home: targeted inspection found good infection control overall, but some fixed equipment was difficult to clean; the service was not rated.
Inspectors visited on 4 February 2022. This was an announced, targeted inspection focused on infection prevention and control, visiting arrangements and staffing pressures linked to COVID-19.
They found good practice in several areas. Visitors were checked where vaccination proof applied, PPE was plentiful and used properly, and people and staff were regularly tested and vaccinated unless exempt.
The service was meeting key COVID-19 safety arrangements, including safe admissions, visiting guidance and use of PPE. However, inspectors were only somewhat assured about the layout and hygiene of the premises because some fixed equipment was difficult to clean.
The service was inspected but not rated. This means the report does not give a Good, Requires improvement or Inadequate rating, and it was not a full review of all aspects of care.
PPE and infection control
There was plenty of PPE and staff were seen using it properly. The provider also acted on advice from infection prevention and control leads.
“We saw there was a plentiful supply of PPE throughout the buildings and staff were observed wearing it appropriately at all times.” from the report
Visits and relationships
The provider followed visiting guidance and changed its approach when guidance changed, helping people maintain relationships with those close to them.
“following changes to visiting guidance the provider revised their practice to support people to maintain relationships with those close to them.” from the report
Testing and vaccination
People and staff were regularly tested and had received COVID-19 vaccinations unless they were exempt.
“Staff and people were regularly tested and had received COVID-19 vaccinations unless exempt.” from the report
Up-to-date guidance
The provider and staff kept up to date with relevant care home guidance, and staff understood changes to visiting and testing.
“everyone we spoke with knew about the changes to visiting and testing.” from the report
Equipment difficult to clean
needs fixingSome fixed equipment could not be cleaned effectively. Inspectors found rust spots on some radiators and missing edging on some cupboard doors, exposing the wood underneath.
“some items of fixed equipment could not be effectually cleaned. For example, some radiators had developed rust spots and some cupboard doors had missing edging exposing the wood beneath.” from the report
- 01Have the rust spots on the radiators now been repaired or replaced?
- 02Have the cupboard doors with missing edging been repaired so they can be cleaned effectively?
- 03What infection control advice or resources did you use after the inspection?
- 04How are staffing pressures linked to COVID-19 being managed now?
- 05How are visits, testing and vaccination requirements currently managed?
This was an announced, targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not assess the other key questions or provide an overall rating. This explanation was written from the published report of 15 February 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.
What inspectors found, March 2020
Rated Good in all five areas; inspectors found safe, kind and personalised care, with earlier problems improved.
This was an unannounced inspection on 19 February 2020. One inspector spoke with eight people, staff, healthcare professionals and relatives. They also observed care and checked care plans, medicine records, safety records and quality checks.
The home was rated Good overall and Good for Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines systems, suitable care plans and good support with health, food, communication, activities and family contact.
The previous inspection had rated the home Requires Improvement and found two breaches of regulations. This inspection found that improvements had been made and the home was no longer in breach.
Enough skilled staff
Inspectors found staffing levels had improved and were sufficient to meet people's care and social needs safely.
“There were sufficient numbers of skilled and experienced staff to meet people's needs.” from the report
Kind and respectful care
Staff were attentive, compassionate and respectful. People were supported to make choices and spend private time in their rooms.
“We observed genuine acts of kindness by staff towards people.” from the report
Personalised lives
People chose how to spend their time and were supported with activities, trips, holidays and important relationships.
“Care planning and delivery was person-centred.” from the report
Good management checks
The home used audits, meetings, supervision and other checks to monitor quality, safety and staff competence.
“There were effective audits and checks to monitor and improve the quality and safety of the service provided.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure there are enough skilled staff when people's care and social needs change?
- 02What has the home changed to prevent medicine errors, and how are staff checked after an error?
- 03How are each person's communication needs recorded and shared with new staff?
- 04How do you make sure people continue to have activities, community trips and contact with family that match their preferences?
- 05How are safeguarding incidents reported and reviewed now?
This was an unannounced inspection covering all five CQC questions and both the care and premises provided by the home. This explanation was written from the published report of 10 March 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 The Pines Residential Home
3 rated inspections over 3 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2020Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2019Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- September 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- June 2012
Registered with the Care Quality Commission on 29 June 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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