Focused inspection of Pilgrim Wood Residential Home found the provider had addressed previous breaches of regulations 12 and 17, with improvements in fire safety, incident learning, governance, record-keeping and staff supervision. The overall rating improved from Requires Improvement to Good, with both Safe and Well-led rated Good.
Strengths
· Stable staff team providing consistent care; people felt safe and well-supported
· Improved fire safety standards including replaced fire alarm system and updated risk assessments
· Accidents and incidents reviewed to identify learning and reduce recurrence risk
· Safe medicines management with competency assessments and internal/external audits
· Robust recruitment procedures including DBS checks and references
Quality-Statement breakdown (8)
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrong
Good
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
well-led: Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; duty of candourGood
well-led: Engaging and involving people using the service, the public and staff; promoting a positive person-centred cultureGood