25 November 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC's response to the coronavirus pandemic we are conducting a review of infection control and prevention measures in care homes.
The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.
This inspection took place on 10 November 2020 and was announced.
25 November 2020
This inspection took place on 04 October 2018 and was unannounced. At our last inspection completed in March 2016 we rated the service ‘good’. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
Pinetrees is a ‘care home’. People in care homes receive accommodation and 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 care home accommodates up to four people in one adapted building. At the time of the inspection there were four people living at the service.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
A registered manager was in post. 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 manager and staff team strived to ensure people were able to play an active role in the community and to lead full and active lives. A range of work, volunteer and leisure opportunities were arranged in partnership with people taking into account their strengths and personal interests. People were fully involved in the design and review of their care.
People were supported by a staff team who understood how to protect them from abuse. Care staff managed risks to people in a positive way. People were protected from harm while their independence was maximised. People were supported by sufficient numbers of staff who had been recruited safely.
People received their medicines safely and as prescribed. People were protected by effective infection control procedures.
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 service supported this practice.
People were supported effectively to eat and drink sufficient amounts in a way that supported their health. People were encouraged to be involved in monitoring and maintaining their day to day health.
Staff supported people in a way that was kind and caring. People’s privacy was respected and their dignity was promoted and upheld. People were encouraged to be as independent as possible and were supported to maintain important relationships.
People were able to raise complaints and concerns were listened to and responded to appropriately. The registered manager had developed an open and transparent culture within the service where people were respected and everyone was free to share their views. People were fully involved in the development of the service.
A range of quality assurance and governance systems were in place and these were being developed to make further improvements. Care staff had been equipped with the skills they required to support people effectively. Further improvements to training and development were planned.
The provider engaged with the wider community and other organisations in order to drive improvements to the lives of those being supported.