21 November 2017
During a routine inspection
The service provides care and support for up to 44 older people who do not have nursing needs, but some of whom are living with mild to moderate dementia. At the time of our inspection there were 36 people using the service. Two of these people were cared for in bed. The accommodation was situated over four units; each had its own dining room and lounge areas and small kitchenette.
At the last Care Quality Commission (CQC) inspection on 30 September 2015, the service was rated Good in Safe, Effective, Caring and Well Led domains with an overall Good rating. However, the Responsive domain Required Improvement. We recommended to the provider to seek advice and guidance from a reputable source and to carry out research on published guidance about the benefits of and types of activities recommended for people living with dementia.
At this inspection we found the service remained good.
The service has a registered manager. The registered manager was not available on the day of our inspection as they were on holiday. 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.
The registered manager provided good leadership. They checked staff were focussed on people experiencing good quality care and support.
There were activities located around the home for people to engage with independently and each dining room table was set up for people to be engaged in different activity. All staff took the time to sit and engage with people and take an interest in what people were doing. Staff made time for people.
Staff encouraged people to actively participate in activities, pursue their interests and to maintain relationships with people that mattered to them.
People and staff were encouraged to provide feedback about how the home could be improved. This was used to make changes and improvements that people wanted. Records were consistent and robust.
People continued to be safe at Pilgrims View. Staff knew what their responsibilities were in relation to keeping people safe from the risk of abuse. Staff recognised the signs of abuse and what to look out for. There were systems in place to support staff and people to stay safe.
Medicines were managed safely and people received them as prescribed.
There were enough staff to keep people safe. The registered manager continued to have appropriate arrangements in place to check the suitability and fitness of new staff.
Each person had an up to date, personalised support plan, which set out how their care and support needs should be met by staff. These were reviewed regularly.
Staff received regular training and supervision to help them to meet people's needs effectively.
People were supported to eat and drink enough to meet their needs. They also received the support they needed to stay healthy and to access healthcare services.
The Care Quality Commission is required by law to monitor the operation of the Deprivation of Liberty Safeguards. The provider and staff understood their responsibilities under the Mental Capacity Act 2005.
Staff showed they were caring and they treated people with dignity and respect and ensured people's privacy was maintained particularly when being supported with their personal care needs.
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 home supported this practice.
The registered manager ensured the complaints procedure was made available in an accessible format if people wished to make a complaint. Regular checks and reviews of the home continued to be made to ensure people experienced good quality safe care and support.