Pitches View, an extra care housing service in Suffolk, was rated Good across all five key questions, with people receiving safe, effective, caring, responsive and well-led personal care from a consistent and well-trained team. Minor improvements were noted around risk assessment documentation and the formalisation of post-falls monitoring, both of which the provider was already addressing.
Concerns (2)
minor
Record keeping
: “we identified some gaps in the risk assessment documentation, but this was addressed during the inspection”
minorIncident learning: “While post falls monitoring was undertaken, it was not always formalised.”
Strengths
· Enough staff to cover planned visits with safe recruitment checks completed
· Medicines administered as prescribed with regular competency checks and stock audits
· Robust infection control with PPE provision and regular COVID-19 testing
· Staff received induction, training, supervisions and competency observations
· Person-centred care plans reflecting individuality, dignity and independence
Quality-Statement breakdown (21)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies; Supporting people to access healthcare servicesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles; duty of candourGood
well-led: Engaging and involving people, the public and staff; Continuous learning and working in partnershipGood