19 November 2019
During a routine inspection
Pavillion Residential and Nursing Home provides care and accommodation for up to 68 people with nursing care needs and people who are living with dementia. At the time of the inspection the service supported 57 people.
People’s experience of using this service and what we found
People felt very safe and secure living in the home. They were happy with the service and spoke highly of staff members, describing them as “really nice”, “lovely” and “kind.”
Risks were well managed. Staff felt confident safeguarding people from abuse and the registered manager raised safeguarding alerts in a timely way. Arrangements were in place for the safe administration of medicines. Staff were recruited in a safe way and there were enough staff on duty to meet people’s needs. The provider learned from previous accidents and incidents to reduce future risks. The premises were clean and tidy.
People’s needs were assessed before they received support. Staff were suitably trained and received regular supervisions as well as annual appraisals. People were supported to have maximum choice and control of their lives, and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. People were supported with their nutritional needs and to access a range of health care professionals.
People were well cared for and supported in a dignified manner. Staff treated people with respect and promoted their independence by encouraging them to care for themselves, where possible. People were supported to access advocacy services, when needed.
Care plans were person-centred and detailed. People’s communication needs were assessed, and staff knew how to communicate with them effectively. People and relatives had no complaints about the service but knew how to raise concerns. Any complaints received were fully investigated and subsequent action was taken. The service organised a wide range of activities for people to enjoy both inside the home and in the local community.
People and relatives were complimentary about the service. One person said, “It is well led. I would recommend it here.” An effective quality assurance process was in place. People and relatives were regularly consulted about the quality of the service through surveys and meetings. Staff were involved in the ongoing development and improvement of the service through regular meetings.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 19 May 2017).
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.