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Pinewood Residential Home Good

Inspection Summary


Overall summary & rating

Good

Updated 31 October 2019

About the service

Pinewood is a residential care home providing personal and nursing care to 32 people aged 65 and over at the time of the inspection. The home is a large, converted period property with sea views. Accommodation is arranged over four floors and can support up to 35 people.

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

There had been several changes at the service since the last inspection, including a change of registration from a nursing home to a residential home, a change in the management team and a turnover of staff. This, combined with a flu outbreak, had impacted significantly on the running of the service over the previous 12 months. The provider and registered manager told us they had prioritised the care of people at the same time as making improvements to quality and safety. This was still a work in progress

People told us they felt safe living at Pinewood Residential Home. Most risks to people's safety were assessed and managed well, however this was not always the case. Although risks were well understood and managed by staff, there was a potential for error because the information documented on the computerised system, and paper records kept in people’s rooms did not always correspond, and both were in use. A new computerised care planning system was being sourced. In the meantime, the registered manager encouraged staff to refer to the paper care plans, which contained a summary of people’s needs, and had been completed for 90 percent of people at the time of the inspection.

Staff did not always follow best practice guidance when administering medicines. The member of staff administering the medicines was frequently interrupted during the medicines round which meant they were unable to focus fully on the task. The provider took immediate action to address this, ensuring staff understood and followed the processes for administering medicines safely.

The registered manager was in the process of reviewing and updating quality monitoring processes to improve their effectiveness. Policies and procedures were also being reviewed to reflect that the service now provided residential rather than nursing care.

There were systems in place to protect people from abuse and avoidable harm. There were enough staff to support people safely and the provider had robust recruitment processes to help ensure they were suitable for the role.

The registered manager had reviewed and updated the induction and training programme, so that staff received the training they needed to help them do their job effectively. People received the support they needed to maintain their health and wellbeing, including a healthy balanced diet. The provider had considered how the home environment could be adapted to meet people's needs, and was considering further improvements, including pictorial signage to promote the independence of people living with dementia.

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.

Staff were compassionate and caring and people felt respected and valued as a result. Although the majority of the staff team had started working at the service since the last inspection, they knew people well and had developed positive working relationships with them. Staff enabled people to make choices about their care on a daily basis and the home had a culture that promoted dignity and independence. An equality, diversity and human rights approach was firmly embedded at the service.

People received personalised care that took into account their needs, preferences and backgrounds, including their preferences around end of life care. People enjoyed a dynamic programme of activities, based on their interests and aspirations. This included visiting musicians, arts and crafts and visits from the ‘library ladies’, who broug

Inspection areas

Safe

Requires improvement

Updated 31 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 31 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 31 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 31 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 31 October 2019

The service was well-led.

Details are in our Well-Led findings below.