We carried out a review of the data available to us about Pinfold Lodge Nursing Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Pinfold Lodge Nursing Home, you can give feedback on this service.
We found the following examples of good practice.
Visiting to the home took place as per current guidance and appropriate testing and checks were in place. The home had ample supplies of appropriate PPE which was stored hygienically and kept safe. Staff were provided with suitable areas to put on, take off and dispose of PPE safely. Staff completed online training including putting on and taking off PPE, hand hygiene and other IPC and COVID-19 related training and updates.
The provider’s infection prevention and control policy was up to date and had been updated regarding COVID-19 government guidance. Risk assessments for staff and people were in place to minimise further risks.
Social distancing practices were in place for people and staff in communal areas and where appropriate, and this was carried out safely. Any new admissions to the home were carried out safely and in according to government guidance.
The registered manager ensured extra cleaning of the home took place and regular checks were completed to ensure infection prevention and control standards were met. Risk assessments relating to COVID-19 were in place for people who used the service and staff.
People and staff were tested regularly which helped identify cases of COVID-19 in a timely manner.
Pinfold Nursing Home is a care home providing personal and nursing care to 31 people at the time of the inspection. The service can support up to 34 older people, some of whom may have cognitive impairment or physical disabilities.
People's experience of using this service and what we found
People told us they felt safe and that staff looked after them very well. Staff understood how to identify and report any concerns regarding abuse or harm, including any external agencies they would need to report to. Risks to people were identified and monitored. Guidance was clear for staff to follow, which minimised risks to people. Staff had good working relationships with a variety of health professionals and worked with them to achieve the best outcomes for people. Medicines processes had been reviewed and improved to ensure medicines were managed, stored and disposed of appropriately.
Staff were friendly, considerate and kind towards the people they cared for. The atmosphere was homely and welcoming. Some areas of the home had been newly refurbished and decorated taking on board suggestions from people living at the service and their relatives. Health professionals told us they felt welcomed and supported by staff when visiting the home. People told us staff considered their privacy and dignity when supporting them in all aspects of their care needs. Processes were in place to maintain confidentiality of people’s personal information. Staff told us they were able to meet people’s needs and take time to interact with them and their relatives throughout their shifts.
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 aware of the importance of gaining people's consent prior to carrying out care and support.
People received a varied menu of food each day and had additional choices according to their preferences. Staff knew the importance of maintaining people’s hydration and encouraged plenty of additional fluids. People and their relatives told us they felt involved in making decisions about their care. Relatives described how staff tailored care to support people’s individual needs, including emotional support when needed. People experienced personalised care, which supported them to feel valued, and well cared for. The service had identified activities as an area they could improve. Additional one to one support was provided to people in their rooms and the activities team supported people to take part in a range of interactive activities to promote physical and mental stimulation.
The registered manager inspired staff to provide support to people in line with best practice guidance. They had introduced improved governance systems that had already impacted on the service and the quality of support provided. The registered manager had a hands-on approach and was well respected by all the staff team. Since they had come into post they had engaged with the local authority and health professionals to continuously drive improvements throughout the service and had made an impact on the staff team working more productively together to achieve positive results.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published April 2017).
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.
At the last inspection on 6 November 2014 the service was rated as ‘Good’. At this inspection we found the service remained ‘Good’.
People told us they felt safe and were well cared for. The registered provider followed robust recruitment checks, to employ suitable people. There were sufficient staff employed to assist people in a timely way. People’s medicines were managed safely.
Staff had completed relevant training. We found that they received regular supervision, to fulfil their roles effectively.
People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.
People said they enjoyed good food. People's health needs were identified and staff worked with other professionals, to ensure these needs were met.
People’s independence was promoted. Health and social care professionals spoke positively about the quality of care provided and said they had a good impression of Pinfold Lodge and the staff when they visited the service. The service had achieved a quality award for end of life care. The service had good links with the local hospice and provided people with care that met their wishes and choices, whilst protecting their privacy and dignity.
Staff were knowledgeable about people’s individual care needs and care plans were person centred and detailed. There was a range of social activities offered including meals to celebrate special events and festive holidays. Spiritual needs were met through in-house services and one-to-one pastoral care when requested.
People told us that the service was well managed and organised. The registered manager assessed and monitored the quality of care provided to people. People and staff were asked for their views and their suggestions were used to continuously improve the service.
Events requiring notification had been reported to CQC. The service met all relevant fundamental standards we inspect against.
Further information is in the detailed findings below.
This inspection was carried out on 06 November 2014 and was unannounced. The previous inspection was carried out on 12 September 2013 CQC had no concerns at that inspection.
Pinfold Lodge is owned by Complete Care Homes. The home is registered to provide care for up to 34 older people with physical disabilities and personal care or nursing needs. It is situated in the village of Hunmanby just outside Scarborough. There was a registered manager in place at the time of our inspection although they were due to be leaving a short time after the inspection. 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. Senior staff within the organisation were already in the process of recruiting a new manager.
We found that this service was safe and people told us that they felt safe living in the home. Staff were recruited safely and checks were made before staff were employed to ensure that they were considered suitable people to work with people who used the service.
There was sufficient staff with appropriate skills and knowledge on duty to meet the needs of the people who used the service. Staff received supervision from more senior staff which enabled them to discuss any matters pertinent to their work and to develop personally. This was not always done regularly but was an area the senior staff were working to improve. There was a full training programme in place and staff reported that they were able to access appropriate mandatory and additional training.
The staff spoke kindly to people and treated them with respect which was reflected in the good relationships between staff and people who used the service we observed during our inspection.
Staff were able to explain how they would safeguard people and if necessary how they would report any incidents that may have caused people harm. We saw that staff had received training in safeguarding vulnerable adults. This meant that staff awareness around safeguarding was good and if any situation arose where someone was at risk of harm staff would know what to do. We found medicines were managed appropriately ensuring that people received their medication safely.
The registered manager was following the principles of the Mental Capacity Act 2005 and had made applications in respect of people being deprived of their liberty where required.
The environment was well maintained and decorated and the building was fully accessible and appropriate for people using the service. The environment included alterations to ensure anyone with a dementia related condition could navigate easily around the building. Activities were designed to provide meaningful and enjoyable occupation during the day. Bedrooms were personalised and people had brought personal items and photographs to decorate their rooms.
There was an effective quality assurance system in place which helped in the development of the service and making changes and improvements.
When we spoke with people who used the service they told us they enjoyed the food and always had plenty to eat. One person told us 'It always smells very nice and tastes good'. A relative told us "The food is excellent. It always tastes nice and there is a good range which is adjusted seasonally. If my relative is hungry they will get them extra food even in the middle of the night'.
We found most areas of the service to be clean and tidy. The kitchen was found to be reasonably clean. There was a lack of storage and there were a large amount of items on surfaces. This meant it was difficult to ensure that all areas were cleaned thoroughly. We looked at staff files and documentation associated with recruitment and induction of staff and found this was done appropriately.
There were systems in place for gathering feedback from residents, relatives and staff but these were in need of updating and improving to ensure they were timely and effective. The new manager was reviewing all of these processes at the time of our visit.
When we visited in February 2013 we found that the level of care had improved. People we spoke with who used the service told us that staff were much less rushed than before and support was given at a pace that was right for them. People confirmed that staff spent time with them and the activities had improved greatly. Care plan documentation had been subject to improvement and more rigorous monitoring.
We looked at rotas and spoke with staff and people who used the service about staffing levels. All those we spoke with felt there had been a great improvement in the levels of staff working in the home and staff told us they no longer felt overworked.
We looked at complaint documentation and records of action taken following issues being raised. Records of complaints and any actions taken were kept appropriately.