Pinewood Nursing Home

Updated 2 April 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

The inspection team consisted of two inspectors.

Service and service type

Pinewood Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider 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 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 four people who used the service and four relatives about their experience of the care provided. We spoke with eight members of staff including the provider, deputy manager, nurses, care workers, cleaners and the chef. The registered manager was on holiday at the time of the inspection.

We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies, audits and procedures were reviewed. We looked at training data and quality assurance records.

After the inspection

We continued to seek clarification from the provider and the registered manager to validate evidence found.

Updated 2 April 2020

About the service

Pinewood Nursing Home is a residential nursing home providing personal and nursing care to 26 people aged 65 and over at the time of the inspection. The service can support up to 30 people.

The home has 26 single rooms and two double rooms over two floors. People have access to a communal lounge, a dining room and a conservatory. Many rooms have an en-suite bathroom and access to the gardens. There are also shared bathrooms with fully accessible baths and showers.

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

Trained staff administered medicines safely. Since the last inspection there had been improvements to the medicines administration procedures. People were kept safe from the risk of abuse by well trained and caring staff. The home was kept in good safe repair and was clean and smelled fresh. Safety checks on equipment used in the home were carried out routinely. Staff were recruited safely and there were enough staff to support people and spend time with them. A staff member told us, “No one is ever rushed, they can take their time, for example when getting up in the morning. Christmas time was just lovely, we made sure everyone was involved."

People were looked after in a personalised way. Early assessment and frequent reassessment of the care people needed made sure staff were able to give people the care they required. A relative told us, “Since Mum has been here she has not fallen once, in over a year. The carers are caring and so mindful of Mum's needs.” Staff were well trained and enjoyed opportunities to do extra training beyond subjects considered essential for care. People were supported to eat and drink and had a balanced diet they enjoyed. People were able to cook with staff at the home. People were referred to outside healthcare agencies when necessary and staff supported people if they needed to attend appointments outside the home.

People at the home were treated with kindness by respectful staff. People could decide how to spend their days and although encouraged to take part in activities and not become isolated, they had the freedom to stay quietly in their rooms if they preferred. A relative told us, “The other day he didn't feel well and they asked him if he wanted to get up. He said no, so they gave him a duvet day. I couldn't come at the weekend but I rang up and the staff were lovely and told me not to worry. He's clean and tidy they look after him.”

People were supported to keep in contact with friends and family. The registered manager used a ‘wish book’ for people to write their ideas for things they hoped to do. These things could be simple, such as a trip to the beach, or more complicated, such as a trip to London to see a show. Photographs showed people’s wishes being fulfilled. The home ensured there were always activities for people to do if they wished, events were organised by a dedicated activities coordinator. Relatives and people felt able to raise issues with the registered manager and knew they would be acted upon.

The home was well led by a registered manager with support from the provider. Since the last inspection the registered manager had worked to address the issues around the medicine errors and things had improved. Regular audits of the service ensured issues or errors were spotted quickly and could be rectified promptly. Staff told us they were happy working at the home. People and their relatives told us the service was good, and the registered manager led the staff well. A relative said, “Staff are good at handling all situations. There have been no problems, I feel able to speak to people.” People were involved in decisions made at the home and there were regular residents’ meetings.

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.

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 (published 21 February 2019) and there were multiple 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.