# Pilgrim Wood Residential Home

*Operated by Goldenage Healthcare Limited.*

Pilgrim Wood Residential Home is a CQC-regulated home-care agency in Guildford.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Good |

Rating published: 05/10/2021

## Practical info

- Postcode: GU3 1HF
- Registered manager: Mitchell, Sharon
- Local authority: Surrey
- Region: South East
- City: Guildford
- Last CQC check: 05/Oct/2021 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Good partnership working with external healthcare professionals
  - Published: 2022-04-03
- Finding
  - Evidence: Strong engagement with people, relatives and staff via regular meetings and team communication
  - Published: 2022-04-03
- Finding
  - Evidence: Regular staff supervision programme established
  - Published: 2022-04-03
- Finding
  - Evidence: Improved governance, quality monitoring systems and management oversight with two new deputy managers
  - Published: 2022-04-03
- Finding
  - Evidence: Person-centred care plans with detailed information accessible electronically and on paper
  - Published: 2022-04-03
- Finding
  - Evidence: Effective infection prevention and control measures during COVID-19, including staff living on site
  - Published: 2022-04-03
- Finding
  - Evidence: Robust recruitment procedures including DBS checks and references
  - Published: 2022-04-03
- Finding
  - Evidence: Safe medicines management with competency assessments and internal/external audits
  - Published: 2022-04-03
- Finding
  - Evidence: Accidents and incidents reviewed to identify learning and reduce recurrence risk
  - Published: 2022-04-03
- Finding
  - Evidence: Improved fire safety standards including replaced fire alarm system and updated risk assessments
  - Published: 2022-04-03
- Finding
  - Evidence: Stable staff team providing consistent care; people felt safe and well-supported
  - Published: 2022-04-03

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2022-04-03
- Finding
  - Using medicines safely
  - Published: 2022-04-03
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-04-03
- Finding
  - Staffing and recruitment
  - Published: 2022-04-03
- Finding
  - Assessing risk, safety monitoring and management; Learning lessons when things go wrong
  - Published: 2022-04-03

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-04-03
- Finding
  - Engaging and involving people using the service, the public and staff; promoting a positive person-centred culture
  - Published: 2022-04-03
- Finding
  - Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; duty of candour
  - Published: 2022-04-03

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-336017232

HomeCare Compass is an independent guide and is not affiliated with the CQC.