Pinehurst Residential Home

Updated 16 January 2020

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

One inspector carried out this inspection.

Service and service type

Pinehurst Residential Home 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.

One of the provider’s directors held the position of nominated individual and registered manager with the Care Quality Commission. The nominated individual is responsible for supervising the management of the service on behalf of the provider. They are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, professionals who work with the service and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. 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 with nine people who used the service and two relatives about their experience of the care provided. We spoke with five members of staff including the registered manager, assistant manager, senior care workers and care workers.

We reviewed a range of records. This included three people’s care records and multiple medicine records. We looked at two staff files in relation to recruitment and staff supervision. We reviewed a variety of records relating to the management of the service, including staff training, quality and safety audits and equipment testing.

Updated 16 January 2020

About the service

Pinehurst Residential Home (referred to as Pinehurst hereafter) is a residential care home registered to provide accommodation and personal care for up to 20 people of all ages who may have mental health needs. The home is a large end of terrace property with access to a private park. Accommodation is provided over three floors. Pinehurst is situated within easy reach of the town centre of Dawlish. At the time of the inspection, 17 people were living at the home.

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

People and relatives praised the home, describing the support provided as “perfect” and “excellent”. One relative said people were treated like “royalty” and the staff respected everyone. People felt safe and well cared for. One person said “Yes, a 1000 times yes” and “I wouldn't leave here for a million pounds. This is a wonderful place. I'm very well looked after.”

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 decisions about their care and preferences were respected. Staff were sensitive and attentive to people’s needs. Staff were seen to be kind, caring and friendly and it was clear staff knew people and their relatives well. People, relatives and staff said the home was well managed. Healthcare professionals said they had a good relationship with the home.

Care plans, risk assessments and information about how to support people at times of anxiety had been reviewed and rewritten. These now provided accurate and clear guidance for staff about how to support people in a way which caused the least amount of distress, and which helped to prevent further decline in people’s mental health.

People continued to be supported to lead full and active lifestyles, follow their interests, and take part in social activities. People were supported to have a presence in the community, and we saw people coming and going freely to the local town.

There were sufficient numbers of staff employed to ensure people’s needs were met. Staff had time to sit and engage people in conversation and to support people’s involvement in social activities. Recruitment practices were safe, and staff were well-trained. Staff were aware of their responsibilities to safeguard people.

People received their medicines safely and as prescribed. Medicine management practices were safe.

Quality assurance processes had been introduced which allowed the assistant manager and registered manager to review the quality and safety of the 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 (inspected 13 November 2018 with the report published 4 January 2019). There were three breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected: This was a planned inspection based on the previous rating.

Follow up: We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.