Pinelodge Care Home

Audits and checks were completed with regards to safety, equipment, and risks. A monthly summary was compiled for each unit and shared with the registered manager by senior staff, however analysis for themes and trends and the actions taken in response was not evident. Anomalies in data and information did not give assurances that oversight of safety was robust. The registered manager stated they would take action to make improvements.

Care plans and risk assessments were in place, however some of the records viewed would benefit from further information being included. We shared this feedback with the registered manager who felt the introduction of the electronic care planning system would address this, but confirmed they would complete a review of the documentation currently in place.

People told us they felt safe living at the service and had no concerns for their health, safety or wellbeing.

We observed staff working safely and using equipment to mitigate risks to people.

The environment was clean and hazard free. Infection prevention and control measures were in place.

At our last inspection the provider had failed to take sufficient action to address the areas in the home that required refurbishment in a timely manner. This was a breach of regulation.

Enough improvement had been made at this inspection with regards to the refurbishment of the service. However, whilst the provider had assurance checks and audits in place, these did not provide an accurate overview in relation to the safety and quality of the service for the registered manager. The provider remains in breach of regulation.

Governance systems were not robust. We found inconsistencies within data and information provided, which had not been identified by the registered manager.

Staff gave positive feedback about the management of the service and felt informed and listened to.