Updated 18 February 2025
This assessment was carried out on 25 and 26 February 2025. Pine View Care Home is a residential service providing support to older people and those living with dementia and physical disabilities. This is the first assessment for this newly registered service. Staff did not always make sure people understood their care and treatment to enable them to give informed consent. Staff did not always review assessments taking account of people’s communication and personal needs. Care records were not always reflective of people’s individual health and support needs. Medicines were not always managed safely. Significant concerns were identified in relation to infection prevention and control, and the environment. People were mostly treated with kindness and compassion. People had choice in their care and were encouraged to maintain relationships with family and friends. Staff responded to people in a timely way. However, there were not enough staff to provide safe care. The provider supported staff wellbeing. Staff did not always provide information people could understand. People knew how to give feedback and were confident the provider took it seriously and acted on it. People were involved in planning their end of life wishes, however we identified care records were not person centred. Leaders and staff had a shared vision and culture based on listening, compassion and trust. Leaders were visible and supportive; however, improvements were required to ensure sufficient oversight of the service. Staff felt supported to give feedback. Governance processes were in place but were not always effective in identifying the significant concerns found during this assessment. Overall, we identified the provider was in breach of 4 legal regulations relating to consent, safe care and treatment, safe environments and good governance.