We carried out a review of the data available to us about Pinfold Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Pinfold Home, you can give feedback on this 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.
Pinfold Care Home is a residential care home providing personal care and support to 23 people living with mental health care needs at the time of our inspection.
People’s experience of using this service
Feedback we received from people about the service was positive. Each person said they felt safe living there and that the service had made sure they were protected from infection during the Covid19 outbreak. One person said, "I love it here. The management has been great. They kept it out (Covid19)." Another person told us, "Yes I feel safe here. I'd like to thank them, they support me very well." A third person commented, "It's all cool. No problems."
People using the service and staff spoke positively about the registered manager and felt the service had continued to improve under their leadership.
The service was safe. At our last inspection in February 2019, we found the provider had failed to ensure people’s medicines were safely managed in a way to fully make sure that people received the right medicines at the right time At this inspection we found the provider had made improvements to ensure people received their prescribed medicines safely. New electronic systems had been put in place to record the administration of medicines. Photographs of people using the service were kept on record, quantities of medicines monitored and records checked.
The care home was kept clean and staff followed relevant national guidelines regarding infection control. There were sufficiently robust systems in place to assess and respond to risks regarding infection prevention and control, including those associated with Covid-19. Improvements had also been made to make sure any other risks to people's health and safety were assessed and managed.
The service was well-led. At our last inspection we found the provider had failed to ensure their established governance systems to monitor the safety and quality of the service people received were not always operated effectively. At this inspection we found the service had improved the way they operated their oversight and scrutiny arrangements. Electronic recording systems had been put in place and these allowed the provider to monitor records remotely.
The service worked well in partnership with other mental health and social care professionals and agencies to plan and deliver positive outcomes for people. Written feedback was positive from professionals involved with the service. One professional told us, "The quality of care and support offered by Pinfold Home is excellent. Client centred care is given by staff and they are very pro-active to signpost any issues." Another professional commented, “My professional opinion is that Pinfold provide a good service to their residents and are caring and professional.” One relative told us that the service was clean and the staff courteous but they felt that the service could more actively involve them in the persons care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at the last inspection
We carried out an unannounced comprehensive inspection of this service on 20 February 2019. Two breaches of legal requirements were found. The provider completed an action plan following our last inspection stating what they would do and by when to improve the way they managed medicines and operated their governance systems.
Why we inspected
We undertook this focused inspection to check they had followed the action plan they sent us and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions; Is the service Safe and is the service Well-led?
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service therefore remains unchanged as requires improvement, despite improved ratings of good for both the two Key Questions we looked at this time. The overall rating is based on the findings of this and the service's previous inspection.
Follow up
We will continue to monitor information we receive about the service.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Pinfold Care Home on our website at www.cqc.org.uk.
• Pinfold Home is residential care home that was providing personal care to 26 people with a mental health diagnosis at the time of the inspection.
People’s experience of using this service:
• The service was not consistently safe, with a lack of regular medication training and competency assessments to ensure staff knew how to administer medicines safely.
• Risk assessments and care plans were not always in place to manage specific conditions, namely diabetes. Smoking risk assessments were not always in place where people smoked within the premises.
• We were not assured that potential safeguarding allegations were always dealt with and investigated as necessary, to ensure that people’s concerns were taken seriously.
• Quality assurance processes required improvement to ensure that the registered manager had consistent oversight and review of care delivery and potential areas for improvement.
• People and relatives were pleased with the support that staff and management offered them, in an environment that was inclusive of people’s wishes.
• People felt well cared for and were supported to ensure that they accessed activities of their choosing, all the while feeling their dignity was respected.
• People were supported to make decisions in relation to their care, and relatives were involved where necessary to input into the review process.
Rating at last inspection:
• At our last inspection of 08 December 2017 the service was rated “requires improvement” (report published 24 February 2018). At that inspection we found improvements were needed to risk assessments and fire safety; and that there was no registered manager.
Why we inspected:
• All services rated "requires improvement" are re-inspected within one year of our prior inspection.
• This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.
Enforcement:
• We identified two breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014 around governance and the safe care and treatment. Details of action we have asked the provider to take can be found at the end of this report.
Follow up:
• We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The service is a staffed residential home for 26 people with mental health needs, some of whom may also have a learning disability. There were 24 people using the service at the time of this inspection.
This inspection took place on 8 December 2017 and 10 January 2018. Our first visit was unannounced.
At the last inspection in October 2016, we asked the provider to take action to make sure maintenance staff respected people's privacy. We found this action had been completed.
A registered manager was not in place. Since our last inspection the registered manager had left the service. A new manager was in post and they told us they would be applying to register with CQC. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.
People felt safe living at Pinfold Home and spoke positively about the support provided to them. Staff told us that the service had improved in recent months with the new manager and changes being made in important areas such as medicines management and support planning.
We found some areas of the service required further improvement. Risk assessments required review to help ensure people’s safety by fully addressing all identified risks and the steps in place to reduce these. Documented fire safety checks were not taking place consistently.
Staff were aware of safeguarding procedures. Appropriate recruitment checks took place before staff started work.
Staff had received training which gave them the knowledge and skills to support people effectively. Refresher was being arranged at the time of this inspection. Staff had received training in the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS). People were asked for their consent to the care and support they received.
There was a system in place for dealing with people’s concerns and complaints. People told us they knew how to complain and felt confident to do so.
People were supported to have their health needs met. Staff worked with people to access the GP and other local health services as appropriate to help make sure their individual health needs were met.
You can see what action we told the provider to take at the back of the full version of the report.
Pinfold Home is a residential care home, providing accommodation and personal care for up to 26 people. At the time of the inspection the service was providing support to 18 people.
The service has a registered manager in post at the time of the inspection. 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.
Staff at Pinfold Home understood how to keep people safe. Staff received safeguarding training and knew what actions they needed to take if they thought a person was at risk of abuse. People’s risks were identified and managed reducing the possibility of avoidable harm. Staff were recruited through safe procedures and there were enough staff available to support people. People received their medicines safely and staff recorded medicines administration appropriately.
People received care and support from staff who were trained and supervised. Staff sought people’s consent before delivering support and people’s legal rights were upheld. People received healthy meals and had access to health and social care professionals as required.
The registered manager and staff at the service were caring, however the provider’s maintenance staff did not respect people’s privacy. People were supported to keep in contact with their families and to make decisions about how they received care.
People’s needs were assessed before they received a service and their needs were regularly reviewed. People were involved in developing the care plans. People’s views were sought and they were aware of the complaints procedure. People engaged in activities they chose, however health and social care professionals told us the activities provided did not support people to increase their independent living skills.
We recommend that the service seeks advice regarding skills teaching to promote people’s independence.
The service was led by an experienced and well qualified registered manager. The quality of the service people received was regularly audited. The service worked collaboratively with health and social care professionals.
Care staff supported people with ordinary day-to-day activities such as room cleaning, making snacks or more structured activities such as art, knitting and music. Care staff spoke positively about their work and told us that they liked to work as a team.
People who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening. A safeguarding policy and procedure was in place for staff reference along with the local authority guidelines.
We spoke with four members of staff and all said that they felt supported in their roles. They were able to describe the training and supervision they received. Some members of staff were developing their skills further by participating in further study via the Qualifications and Credit Framework (QCF) in subjects such as Leadership and Dementia.
We saw that the manager ensured that service users were protected against the risks of unsafe or inappropriate care and treatment by ensuring that records were up to date and regularly reviewed. Staff records were also held securely and confidentially with access allowed only by the manager or the employee concerned.
We spoke with seven of the 26 people using the service and their comments about the service at Pinfold House included, "staff do a wonderful job here. I get fantastic care and am making steady progress. This is the place that I want to stay at. The new manager is really helpful. I feel safe here. This place has done a lot for me; I would recommend it to anyone. The staff motivate me and that does me good."
"The staff love and cherish us and they help me to get up in the morning."
"The service is wonderful and so is the food."
"This place has saved my life. The staff care a lot about me."
We contacted three mental health professionals involved in the care of some of the people using the service and they were satisfied with the care and support that people received. Their comments to us included, "The staff are helpful and they have kept me up to date with what is going on for people. They have worked very well with one person whose mental health had deteriorated and this had prevented them from being readmitted to hospital."