Prestbury Care Home

Updated 17 March 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 11 February 2021 and was announced.

Updated 17 March 2021

About the service

Prestbury Care Home is a residential care home providing nursing and personal care to 57 people at the time of the inspection. The service is registered to support up to 75 people in one adapted building. The home has three floors known as Gawsworth on the first floor, dedicated to residential care and specialist dementia support, and Haddon (second floor) and Capesthorne (ground floor) for nursing care.

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

Improvements had been made with regard to staffing levels. There were enough staff to meet people’s needs safely and ensure people received person-centred care. However, during the inspection we observed a lack of staff presence in the main lounge at tea time on the first floor floor, due to ineffective deployment of staff. We made a recommendation about this.

The environment of the home was pleasant and clean throughout, although there were some furnishings in need of replacement. Some parts of the home had been adapted to support people living with dementia, however there was a lack of signage to ensure people could orientate around the home safely. We made a recommendation about this.

People were supported by kind and caring staff who treated people as individuals and with dignity and respect. The provider had robust recruitment systems to ensure staff were safely recruited. Staff spoke knowledgeably about the systems in place to safeguard people from abuse.

People told us they felt safe. Risks to them were identified and managed. Where required people were safely supported with their medicines needs. Infection control measures were in place to prevent cross infection. The support required by people with health and nutritional needs was identified and provided.

People received care and support which was personalised and responsive to their needs. People’s choices regarding their care and how they were supported were respected, and there were enough staff to support this. Care plans were kept up to date to reflect any changes in people’s needs and wishes. People and family members knew how to complain, and they were confident about complaining if they needed to. Complaints were used to improve the service.

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.

The management of the home promoted a person-centred service. There was an open and transparent culture and good partnership working with others. The quality and safety of the service was monitored through regular checks.

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 11 January 2019) and there were multiple breaches of regulation. 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 was a planned inspection based on the previous rating.

Follow up

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.