Background to this inspection
Updated
10 March 2023
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 Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was undertaken by 3 inspectors, a nurse specialist 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
Priory Court Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Priory Court Care Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
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 used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We considered a recent report from Healthwatch as part of their ‘Enter and View’ Programme. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.
During the inspection
We spoke with 6 people and 6 family members about their experience of the care provided. We spoke with 13 members of staff including the registered manager and deputy manager. We received feedback from 4 healthcare professionals.
We reviewed a range of records. This included 16 people's care and support records and medicine administration records. We looked at 10 staff records in relation to recruitment and training. We also reviewed a variety of records relating to the management of the home, including policies and procedures, staffing rotas, accident and incident records, safeguarding records and reports.
We used all this information to plan our inspection.
Updated
10 March 2023
About the service
Priory Court Care Home is a residential care home providing personal and nursing care to up to 89 people, many of whom live with dementia. At the time of our inspection 89 people were using the service, living in three units within the home.
People’s experience of using this service and what we found
Improvements were made, and the home was well-led. There was a robust governance and auditing system in place. Audits were up to date and identified any lessons learnt following incidents and accidents so that action could be taken to keep people safe. There were enough staff to keep people safe and meet their needs. People told us they did not have to wait when they needed support and did not feel rushed when staff provided their care.
People told us they felt safe at Priory Court Care Home. They were supported by staff who were trained and who understood their responsibilities with regards to providing people with safe and effective care. Assessments were carried out to identify any potential risks to people and measures put in place to mitigate these. Medicines were managed safely. The home was clean and hygienic, and staff maintained effective systems of infection prevention and control. The provider exercised safe recruitment practices. Any incident, accident or untoward event that occurred at the service was investigated by the registered manager.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were supported to maintain good health and to access healthcare services when they needed them. They received person centred care, planned and reviewed to meet their individual needs. People and relatives told us staff knew them well. Staff supported people in a kind and compassionate way, considering their dignity and respect.
People, relatives and staff spoke positively of the culture within the home. There was good and consistent communication between all members of staff, which helped ensure people received safe care with good outcomes. Staff felt well-supported by their managers and there were effective working relationships with other professionals involved in people's care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 21 September 2020). The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Priory Court Care Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.