The Pantiles Care Home Limited

Updated 9 January 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection site visit took place on 5 December 2018 and was unannounced. The inspection team consisted of three inspectors.

Prior to the inspection we reviewed the information we had about the service. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

We reviewed notifications sent to us about significant events at the service. A notification is information about important events which the provider is required to tell us about by law.

During the visit we spoke with the provider, registered manager, five people, three relatives and 12 members of staff. There were people that were unable to verbally communicate with us; instead we observed care from the staff at the service. We looked at a sample of five care records of people who used the service, medicine administration records and training, supervision and four recruitment records for staff. After the inspection we were sent records that related to the management of the service that included minutes of staff meetings, surveys and audits of the service. We were also provided with feedback from seven health care professionals.

Updated 9 January 2019

Care service description

The Pantiles is a care home that provides care, support and accommodation for a maximum of 16 older people some of whom were living with dementia. At the time of the inspection 15 people were living at the service.

Rating at last inspection

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Why the service is rated good

People felt safe with staff and staff were aware of the safeguarding procedure. Relatives also felt their family members were safe. There were sufficient levels of staff on duty to ensure that people’s needs were met. Recruitment was robust to ensure that only appropriate staff were employed.

Risks to people’s care was managed well by staff and people received their medicines in a safe way. Regular health and safety checks of the premises and equipment were carried out. The provider had up-to date procedures to help ensure people remained safe in an emergency. Staff were effective in ensuring the service was clean and that they adhered to good infection control.

People were treated in a caring and respectful way by staff. We observed staff to be kind and considerate to people. People were supported with their independence and had choices around their delivery of care. Visitors and family were welcomed to the service.

People's needs had been assessed before moving in to the service. Care plans reflected people's needs and preferences. Care plans were evaluated regularly so they contained information about people's current needs. People had access to health care professionals and staff followed the advice given. People were supported with their nutrition and hydration needs and people enjoyed the food provided to them.

Staff received appropriate training and supervision in relation to their role. Staff understood the principles of the MCA and what they needed to do if they suspected a person lacked capacity. The environment of the service was set up to meet the needs of people.

People chose how they spent their time and could take part in activities if they wanted to. Trips were arranged for people outside of the service. Staff worked well together and communicated changes to people’s needs to each other. People received good end of life care. Improvements were being made around the planning of end of life care.

People told us that they would speak to staff if they had any concerns. There was a complaints procedure in place and complaints were investigated and responded to.

The provider carried out quality assurance checks to ensure people received a good standard of care. Staff consulted with outside professionals to ensure the best delivery of care. People and staff had provided feedback when they were consulted about the service. Notification were sent to the CQC where appropriate.

Further information is in the detailed findings below.