Latest Inspection
This is the latest available inspection report for this service, carried out on 9th November 2009. CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Pinxton Manor Nursing Home.
What the care home does well The policy and procedures relating to health and safety have been reviewed and updated to reflect current practice carried out within the organization. All staff have received training in health and safety and one member of staff has been appointed lead in this area. What the care home could do better: This inspection has identified that further improvements could be made to the information recorded when accidents have occurred and include people who are designated both nursing and residential. The home needs to appoint a lead person or a champion for fall prevention. Random inspection report
Care homes for older people
Name: Address: Pinxton Manor Nursing Home Church Street West Pinxton Nottingham NG16 6PX two star good service 19/01/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Nancy Bradley Date: 0 9 1 1 2 0 0 9 Information about the care home
Name of care home: Address: Pinxton Manor Nursing Home Church Street West Pinxton Nottingham NG16 6PX 01773819191 Telephone number: Fax number: Email address: Provider web address: pinxman@hotmail.com Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Pinxton Manor Ltd care home 40 Number of places (if applicable): Under 65 Over 65 0 40 dementia old age, not falling within any other category Conditions of registration: 40 0 The maximum number of persons to be accommodated at Pinxton Manor is 40 The registered person may provide the following category of service only: care home with nursing code - N to people of the following gender - either, whose primary needs on admision to the care home ae within the following categories - Old age OP, Dementia DE Date of last inspection Brief description of the care home Pinxton Manor is situated in the village of Pinxton, close to Junction 28 of the M1, on the boundaries of Derbyshire and Nottinghamshire. The home is modern and purpose built. Accommodation for residents is on the ground and first floors of the home. There is a garden and large patio area accessible to residents. The home provides personal care and nursing care for up to 40 older people.
Care Homes for Older People Page 2 of 8 1 9 0 1 2 0 0 9 Brief description of the care home At the time of this visit the fees ranged from £336.42 to £465 for residential care. For nursing care the fees ranged from £466.57 to £568. Further information can be obtained in the homes Statement of Purpose and Service User Guide and by contacting the Registered Manager. Care Homes for Older People Page 3 of 8 What we found:
This random inspection was undertaken following a notification of a serious incident and was to ensure that health and safety and safe working practices were adhered to. We looked in to the Standard 38 Safe Working Practices, National Minimum Standards for Older People; health and safety issues within the home and accident reports from April 2009. We examined records, spoke with staff, people who live at the home and carried out a partial tour of the home accompanied by the registered manager. The tour identified that the home is caring for some very frail and elderly people. No outstanding health and safety issues were noted. Present during the random inspection was the registered manager and the responsible individual for the Company. The registered provider is Monarch Health care and BIR Holdings. We viewed the homes health and safety policy which is in three parts. The first part is around moving and handling with the second and third parts covering the responsibilities of the staff to maintain a safe environment for the people who live at the home. This original document was dated May 2007 with review dates for April 2008 and March 2009. Examination of these documents indicated the homes policy was not robust in its approach to health and safety and gave minimal information to the staff on how to achieve its aims and objectives. The registered provider has now developed a health and safety corporate policy document for all of its homes and this was viewed in conjunction with addenda which are specific to Pinxton Manor. These documents indicate a more robust approach to health and safety and cover the following areas: Responsibilities for all staff. Information on falls. Actions to take when an accident has occurred. Documentation to be completed following an accident. Moving and Handling. Provider responsibilities under current legislation towards employees, visitors and people who use its services. All completed accident forms were viewed, this identified a further two incidents which had resulted in an admission to hospital following a fall. On both occasions the people returned to the home following an assessment of their mobility and care needs. The third incident is subject to a Coroners investigation. The home record all accidents on a generic form however this allows for limited recording of information. The current form does not allow for a full account of the accident, or the actions taken by the care staff. As discussed at the site with the responsible individual the Company needs to devise more a comprehensive form. The home has reviewed all its practices and procedures following the referral to the Coroners Court . The responsible individual stated that all Regulation 37 notification are now routinely pass to her. Also the home is required to complete an accident /incident form quarterly where falls, violent incidents, moving and handling issues, unexplained injuries, and serious incidents are monitored for any trends. Serious incidents would include reporting requirements to RIDDOR or admission to hospital. The training matrix seen indicated that all staff have received training on health and safety and this included the required updates. Discussions with staff indicated they had a
Care Homes for Older People Page 4 of 8 good understanding of health and safety issues. Care staff are aware how health and safety issues are linked into care people receive. The responsible individual is in the process amending care planning this will be linked to peoples Mental Capacity, mobility and associated care issues. This will be reviewed monthly in line with the homes procedure. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 7 15 Where a need is identified, such as a nutritional requirement a care plan and risk assessment must be undertaken To provide staff with information on the actions and interventions required to address this identified need. 20/03/2009 2 12 16 Activities must be available on a daily basis for people living at the home To ensure their well being is enhanced and their social and recreational needs are met. 20/07/2009 Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 38 13 A comprehensive record must be maintained of all accidents /incidents which occur in the home involving all people who live there. This is to ensure peoples health and safety are promoted and protected. 31/12/2009 2 38 13 The accident form must allow 31/12/2009 for information to be recorded on how the accident occurred, details of any injuries, actions taken and description of the area This is to ensure peoples health and safety are promoted and protected Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 38 The home should look to appoint a person to take the lead in falls prevention.
Page 7 of 8 Care Homes for Older People Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
