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Archived: Pippins Residential Care Home Good

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Reports


Inspection carried out on 31 May 2016

During a routine inspection

Pippins residential care home offers accommodation with personal care for up to 21 older people. Nursing care is not provided by the service.

This unannounced inspection took place on 31 May 2016. The service was last inspected on 3 December 2013 when it was meeting the requirements that were looked at.

A registered manager was employed at the service. A registered manager is a person who has registered with the Care Quality Commission 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 person employed a registered manager although there was no legal requirement to do so. This was because the registered provider is an individual, rather than a company.

People’s personal information was not always stored in a confidential way. However, following the inspection the manager told us they had removed all personal information from communal areas.

Medicines were not always managed safely. People’s medicines were not always ordered in time to ensure stocks were maintained. When medicines were received the total quantity of medicine in stock was not always recorded. Temperatures of the fridge used to store certain medicines were not always recorded. Other aspects of medicine administration were managed safely.

People’s needs were met in a safe and timely way as there were enough staff available. People told us they were happy with staffing levels and told us “Staff are very good, take their time” and “If you ring the bell they always come”. People’s needs were met by kind and caring staff who ensured people’s privacy and dignity was respected at all times. People said “This is absolutely the best”, “They look after us well”, “I’m thoroughly spoilt” and “I count my blessings that I am here”.

There were ways for people to express their views about their care. Each person had their care needs reviewed on a regular basis which enabled them to make comments on the care they received and voice their opinions. Some people had completed their own care plans, indicating their needs and preferences. The home operated a key worker system where each person had a nominated member of staff who coordinated their care. Staff told us this helped them build relationships and get to know people well. People knew who their key worker was and could ask them if they needed anything. One person told us they had chosen their key worker. They said “she’s brilliant. She can tell from my face if I’m worried about anything”.

People were encouraged to make suggestions about improving the quality of the service provided. For example, people had requested a box to place outgoing mail into. Such a box had been placed in the hall way.

An activities organiser was employed and there was a range of activities on offer including word games and trips out. People told us they had recently been on a boat trip down the river Dart and had ice cream. During the inspection people were enjoying walking around and sitting in garden. One person said “I like sitting in the garden for fresh air”.

People were supported to maintain good health. A healthy balanced diet was available and people saw their GP when needed. People told us “Food is wonderful. They ask what we would like on the menu” and “It’s a lovely place, good food, good care”.

People told us they felt safe. Staff had received training in how to recognise and report abuse. Thorough recruitment procedures ensured the risks of unsuitable staff being employed were minimised.

Staff received training that helped them meet people’s needs. For example, staff had received training in moving and transferring, infection control and first aid.

Staff displayed a good understanding of the principles of the Mental Capacity Act 2005 and the associated Deprivation of Liberty Safeguards (DoLS). This ensured people’

Inspection carried out on 3 December 2013

During a routine inspection

17 people lived at Pippins at the time of our inspection. We observed that people appeared at ease and comfortable around care workers. People were treated with dignity and respect.

We spoke with seven people who lived there the owner, the manager and two members of staff. People told us that staff were kind and helpful. Comments included, “It is lovely here, the girls are very kind, nothing is too much trouble”.

People took part in a range of activities and were encouraged to maintain independence. People and their relatives were involved in planning their care, as much as they wished to be. People's needs were assessed and care and treatment was planned and delivered in line with their individual care plan. Care plans were reviewed regularly and as necessary. Records showed that prompt referrals were made to health professionals and their advice was followed. Procedures were in place to deal with emergencies.

Pippins was homely, comfortable and well maintained.

There was an effective quality assurance system in place.

Inspection carried out on 23, 26 October 2012

During a routine inspection

People living at Pippins said that this was their home. They felt respected and that their independence and privacy were promoted and valued. They said they were well cared for and felt safe. One person said “Its marvellous here, the staff are lovely, my room is just how I like it and I am very happy”.

People enjoyed their social lives and could choose how to spend their days. People told us they enjoyed the range of activities offered and were involved in the planning of these.

Medication was well managed at the home.

Staff demonstrated a good understanding of how to protect people from abuse. People’s health and welfare needs were well met. Risks to people’s health and wellbeing were identified and plans were in place to manage these risks. People's needs were met by staff who were skilled, trained and who received supervision. Staff were described as “very kind”, “great fun” and “just lovely” by people living at the service.

No complaints had been received by the service but there was a robust procedure in place if needed. People said they knew how to complain and felt satisfied complaints would be dealt with appropriately.

Inspection carried out on 7 March 2012

During a routine inspection

On the day of our visit the manager was on duty at the home and they showed us around the home and answered any questions we had.

We completed this review on the 7th and 13th March 2012. We spoke in private with two people living at the home, the manager, three staff, and one relative.

Staff told us how people were encouraged to make their own decisions, especially in relation to how they received the care they needed. We heard people being offered choices about how they wanted to spend their time. For example one gentleman was deciding whether or not to go outside as it was a warm morning, staff were heard supporting this decision and helped him with his coat.

We heard staff speaking with people in a kindly, friendly way and people that we spoke with confirmed that staff always treated them with respect. We saw staff respond promptly, discretely and sensitively to people when they asked questions or needed help. People told us “The staff are wonderful, anything I ask them to do it’s no trouble”, and “I am very happy living here, the staff are like my family”.

We spoke with one relative, and they told us that the home always kept them informed about their relative's care and positively praised the care her mother received. She visited the home every day and said it was always the same, she said, “I could not recommend it enough, it is really lovely. The staff are fabulous they make my Mum laugh and they sing to her”.

Each person had a care file that contained a range of documents relating to their care and support needs. Each file we looked at contained detailed pre-admission assessments that included details of next of kin and some of the individual's preferences. A range of risk assessments had been completed including those for pressure areas nutrition and moving and handling.

During our visit we looked at the communal areas of the home and some bedrooms. Areas that we saw were very clean and tidy and there were no unpleasant odours.

The home works hard to try and provide the people living there with activities that they would really enjoy; recently a person living at the home had a hot air balloon ride accompanied by the manager over Torquay. Two weeks ago three people also enjoyed at trip to Goodrington for the afternoon, they were taken by taxi with staff to help them, this was funded by the home as are all trips and outings.

Staff told us that Pippins provided staff with a thorough ongoing training programme, which included mandatory training such as First Aid, Food Hygiene and Health and Safety as well as additional specialised training which related more directly to the individual needs of people who lived in the home such as dementia.

Staff that we spoke with told us that they had received training on safeguarding people and they were able to tell us about different types of abuse and what they would do if they suspected abuse was occurring.

Regular meetings are held for people that lived at the home (and people who support them) so that they could discuss any concerns they might have.

Reports under our old system of regulation (including those from before CQC was created)