Archived: Pilgrim Homes - Framland

Updated 30 January 2016

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 7 and 8 December 2015 and was unannounced. The inspection was carried out by one inspector.

Before the inspection we reviewed the information we held about the service as well as statutory notifications. Statutory notifications are information the provider is legally required to send us about significant events.

We spent time walking around the home and observing how staff interacted with people. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with four people, two relatives, two members of staff and the registered manager. We looked at the care records of four people. We looked at two staff files including recruitment procedures, as well as the training and development of all staff. We checked the latest records concerning complaints and concerns, safeguarding incidents, accident and incident reports and the management of the home.

Updated 30 January 2016

This inspection took place on 7 and 8 December 2015 and was unannounced. Pilgrim Homes Framland provides accommodation for 23 people who require personal care without nursing. 21 people were living in the home at the time of our inspection. The home cares for elderly protestant Christians.

Pilgrim Homes Framland is set over two floors. The home has a large lounge and a separate dining room. There were other seating areas around the home for people to sit in. The home had an enclosed garden.

A registered manager was in place as required by their conditions of registration. 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.

People told us they felt safe living in the home. This was confirmed by relatives. Risks for individual people had been assessed. Staff were knowledgeable on how best to support people when they were at risk of harm. Staff had been trained to support and protect the people they cared for. People were protected against abuse because staff knew how to report any concerns of abuse to the relevant safeguarding authorities. Policies to protect people were in place to give staff guidance.

People’s medicines were managed and administered appropriately, however the stock levels of medicines held in the home was not recorded. We were told that checking of the medicine stock levels would be added to their monthly audit. Appropriate cleaning and systems to prevent the spread of infections were in place.

People and their relatives were positive about the care and support they received from staff. They were involved in planning for their care. Their individual needs were assessed, planned and reviewed but did not always provide staff with adequate guidance. We were told this would be reviewed by the registered manager. People were encouraged to make decisions about their care and support. They were supported to maintain their health and well-being and access additional care and treatment from other health care services when needed.

Staff were passionate about their role. People were at the heart of the service. Both the people and their relatives complimented the caring nature of staff. We received many positive comments about the home. Whilst people’s spiritual needs were met, they did not always have the opportunity to take part in other recreational activities. However, the registered manager was reviewing the activities provision as part of the company’s Dementia Strategy as the home is a pilot home for this.

The registered manager and provider had a good understanding of their role and how to manage the quality of the care provided to people. Quality monitoring systems were in place to check and address any shortfalls in the service. People and their relatives felt that any concerns raised were dealt with immediately. There were sufficient numbers of staff to ensure people’s needs were being met. Staff had been suitably recruited and trained to carry out their role.