Archived: Pinehurst Resource Centre

Updated 14 January 2017

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 was 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 was an unannounced inspection that took place on the 13 December 2016. The inspection was undertaken by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Prior to this inspection we reviewed all the information we held about the service, including data about safeguarding and statutory notifications. Statutory notifications are information about important events which the provider is required to send us by law.

We asked the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the PIR before the inspection to check if there were any specific areas we needed to focus on.

As part of the inspection we spoke with four people, the registered manager, the provider’s senior manager, six members of staff and three relatives. We looked at a range of records about people’s care and how the home was managed. We looked at two care plans, medication administration records, risk assessments, accident and incident records, complaints records, four recruitment records and internal and external audits that had been completed.

We last inspected Pinehurst Resource Centre on the 6 January 2014 where we found the service was compliant with the standards inspected.

Updated 14 January 2017

This inspection took place on the 13 December 2016 and was unannounced.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Pinehurst Resource Centre provides accommodation and personal care for up to 50 people who require nursing or personal care. On the day of our visit there were seven people living at the service. This was because the provider is closing the service, therefore not accepting new admissions for permanent placements. The provider was offering respite care for people and there were two people using this facility.

People’s medicines were not always recorded accurately. We found errors in the recording of medicines on two occasions. The provider had, since our inspection, implemented daily audits of the medicine administration records (MAR) that would identify any omissions of signatures.

People and their relatives told us they felt the home was safe. They told us that staff were extremely kind and they had no concerns in relation to not being kept safe. Staff had received training in relation to safeguarding and they were able to describe the types of abuse and the processes to be followed when reporting suspected or actual abuse.

Staff had received training, regular supervisions and annual appraisals that helped them to perform their duties. New staff commencing their duties undertook induction training that helped to prepare them for their roles.

There were enough staff to ensure that people’s assessed needs could be met. It was clear that staff had a good understanding of how to attend to people’s needs.

Where there were restrictions in place, staff had followed the legal requirements to make sure this was done in the person’s best interests. Staff understood the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) to ensure decisions were made for people in the least restrictive way.

People were not prevented from doing things they enjoyed as staff had identified and assessed individual risks. The registered manager logged any accidents and incidents that occurred and discussed these with staff so lessons could be learnt.

The provider ensured that full recruitment checks had been carried out to help ensure that only suitable staff worked with people at the home.

Staff supported people to eat a good range of foods. Those with a specific dietary requirement were provided with appropriate food. People had access to external health services and professional involvement was sought by staff when appropriate to help maintain good health.

Staff showed kindness and compassion and people’s privacy and dignity were upheld. People were able to spend time on their own in their bedrooms and their personal care needs were attended to in private. People took part in a variety of activities that interested them. People’s relatives and visitors were welcomed and there were no restrictions of times of visits.

Documentation that enabled staff to support people and to record the care they had received was up to date and regularly reviewed. People’s preferences, likes and dislikes were recorded.

If an emergency occurred or the service had to close for a period of time, people’s care would not be interrupted as there were procedures in place. There was an on-call system for assistance outside of normal working hours.

A complaints procedure was available for any concerns and this was displayed at the home. Complaints received had been addressed and resolved to the satisfaction of complainants within the stated timescales of the procedure.

Quality assurance audits to ensure the care provided was of a standard people should expect had been undertaken. Any areas identified as needing improvement were attended to by staff.

Staff informed that they felt supported by the registered manager and they had an open door policy and were approachable.