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Pinehurst Care Centre Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 19 April 2019

About the service:

Pinehurst Care Centre is a care home providing accommodation and personal care for up to 50 older people. At the time of the inspection 40 people were in residence.

Pinehurst Care Centre is made up of two buildings. The main building has two units in this called Cedar unit and Hurst unit. The second building is the Pine unit.

People’s experience of using this service:

¿ Medicines procedures were not always handled safely.

¿ Records were not always up to date and accurate. We found missed signatures in medicines administration chart (MARs).

¿We found that risk assessments were updated following a fall or evidence of this in case notes.

¿ Mobility and falls risk assessments were not always reviewed and updated following an incident.

¿ Staff training was not up to date.

¿ Not all staff could demonstrate their understanding of how to meet the needs of people living with dementia.

¿ Recruitment process were in place to make sure, as far as possible, that people were protected from staff being employed who were not suitable.

¿ There was a choice and variety of meals and drinks offered to people, including alcohol.

¿ People were treated with care and kindness.

¿ People and relatives felt the service was safe.

¿ People and their relatives said staff were caring and respected their privacy and dignity.

¿ Staff felt the management was supportive and approachable. Staff were happy in their role which had a positive effect on people's wellbeing.

Rating at last inspection: Outstanding (Report published 28 September 2016)

Why we inspected: This was a planned unannounced inspection based on the rating at the last inspection


We found a breach of regulation 17 relating to mitigating risks in the provider’s governance systems to ensure compliance with the fundamental standards.

Follow up:

¿ We will check that the action is taken.

¿ We will continue to monitor all information we receive about this service.

¿ We will carry out a comprehensive inspection within one year of the publication of this report in

line with our methodology for services rated as requires improvement.

For more details, please see the full report which is on the CQC website at

Inspection areas


Requires improvement

Updated 19 April 2019

The service was not always safe

Details are in our Safe findings below.


Requires improvement

Updated 19 April 2019

The service was not always effective

Details are in our Effective findings below.



Updated 19 April 2019

The service was caring

Details are in our Caring findings below.



Updated 19 April 2019

The service was responsive

Details are in our Responsive findings below.


Requires improvement

Updated 19 April 2019

The service was not always well-led

Details are in our Well Led findings below.