Pinfold Home

Updated 24 February 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was conducted by one inspector.

Service and service type

This service is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke in person with the registered manager, 3 care workers and 5 people using the service. We also reviewed a range of records. They included 2 people’s care plans and risk records and 3 staff files in relation to training and supervision. We also checked a variety of records relating to the management of the service, including audits and quality assurance records.

Updated 24 February 2023

About the service

Pinfold Care Home is a residential care home providing personal care and support for up to 26 people living with mental health care needs. At the time of the inspection, there were 21 people using the service, only 2 of these were receiving help with personal care. The Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

People’s experience of using this service and what we found

People and their relatives told us that Pinfold Home was a good service that was managed well. They told us they felt safe in the presence of care workers.

The provider had acted on our recommendations from the previous inspection in relation to staff supervision and care planning. Staff supervision was carried out regularly and these were recorded. The provider was transitioning to a new digital care planning system, the care plans captured people’s support needs and the ways in which staff could help them to achieve their objectives.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People’s needs in relation to their healthcare and dietary needs were being met by the provider. People lived in an environment that was fit for purpose. People’s bedrooms were individually furnished to their liking and there were communal spaces, including a garden for them to socialise in.

People were able to take part in activities of their choosing and staff engaged with them in both 1:1 and group activities. People’s concerns and complaints were explored and action taken if needed.

The service was well-led by an experienced registered manager who encouraged an open culture where people and staff felt comfortable approaching him. The provider engaged with people and staff, asking for their feedback about how the service was run. Governance systems were used to monitor the quality of care provided.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 19 November 2020). There were recommendations in place regarding staff supervision and care planning. At this inspection enough improvement had been made in relation in these areas.

Why we inspected

This inspection was carried out to look at improvements against the recommendations found at the previous inspection. As a result, we undertook a focused inspection to review the key questions of effective, responsive and well-led only.

We did not inspect the key questions of safe and caring. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Pinfold Home, on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.