Archived: Prestwood House

Updated 1 October 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by two inspectors, a specialist nurse advisor and an expert by experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Prestwood House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, clinical commissioning group and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used this information to plan our inspection.

During the inspection-

We spoke with seven people who used the service, seven relatives, four care staff, two nurses, three members of the housekeeping team, the newly appointed manager and the registered manager. We looked at 11 people’s care records, medicines records, complaints, health and safety and quality assurance records. We also looked at two staff recruitment records.

After the inspection

At the end of the inspection we requested some additional information from the manager, this was received without delay.

Updated 1 October 2019

About the service

Prestwood House is a residential care home providing personal and nursing care to 37 people at the time of the inspection. The service can support up to 59 people across three floors, each of which has separate facilities. Some of the people at Prestwood House are living with dementia.

People’s experience of using this service and what we found

We found a number of improvements had been made since the last inspection. People now received safe care when they were supported with their mobility and assessments of people's capacity were now recorded. The provider had also improved their complaints process and some improvements had been made to the home environment. However, we identified further improvements were still required.

Improvements were required to the standard of documentation and care records. We found some care planning documents and risk assessments were generic in nature and required updating to ensure they reflected people’s individual needs. People’s fluid intake had not been consistently monitored to ensure people were not exposed to health risks. Although some aspects of the home environment had improved since the last inspection, further work was required.

People told us they felt safe and staff knew how to identify and report concerns relating to people’s safety. Risks were assessed and managed to reduce the risk of avoidable harm. People received support to take their medicines safely. There were enough staff available to meet people’s needs. Staff were safely recruited.

People were asked for their consent before care was provided. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People’s needs were assessed and documented to ensure they received consistent support from a trained staff team. People received sufficient amounts to eat and drink to maintain their health. Staff received training relevant to their role and understood people’s individual needs well. Some improvements were required to the home environment.

People were supported by a caring staff team who knew people well. People were supported to maintain their independence where possible and their dignity was valued and respected. People were encouraged to make daily living decisions and staff supported them to make their own choices.

People were supported by a staff team who knew them well and understood their needs and preferences. People and their relatives were involved in the assessment and planning of their care. People were supported to participate in activities and follow their own interests. People knew how to raise a concern if they were unhappy about the service they received.

People, relatives and staff felt the service was well managed. The manager and provider had made improvements since the last inspection. People and staff were given opportunities to share feedback about the service. The manager undertook regular auditing to ensure the quality of care provided. Staff worked well with other partner agencies to ensure people’s needs were met.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published 18 September 2018).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.