Prospect House Care Home

Updated 8 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

One inspector and an Expert by Experience carried out the inspection. 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

Prospect House 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. Prospect House Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

The provider is an individual ‘registered person’. They are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. As the provider is an individual, they are not required to have a registered manager to oversee the delivery of regulated activities at this location.

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 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 annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with the provider and the manager during the inspection. We also spoke with 5 staff members, 5 people who lived at the service and 4 relatives. We reviewed a range of records. This included 3 peoples care records and multiple medication records. We looked at 2 staff files in relation to recruitment and supervisions and a variety of records relating to the management of the service. We looked at policies and procedures and quality assurance records. We continued to seek clarification from the provider to validate evidence found.

Updated 8 March 2023

About the service

Prospect House Care Home is a residential care home providing accommodation and personal care to older people, some of whom may be living with dementia. The service accommodates up to 13 people in one adapted building. At the time of our inspection there were 12 people using the service.

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

People felt safe and were cared for by staff who knew them well. Although some areas of people's care plans would benefit from more detail to ensure all care needs were recorded, people were not affected by this and received good care.

Staff supported people to take their medicines as prescribed. The service was well supported by the local GP service to ensure people had access to appointments and that medication was regularly reviewed.

Management were regularly onsite, and people found them to be approachable. Concerns were acted upon quickly and staff felt well supported in their roles.

Systems were in place to review the safety and quality of the service. Some audits needed expanding to ensure oversight of all areas of care, however the manager worked quickly to update this during the inspection.

Positive feedback was received from people and their relatives about the standard of care. One person told us, “I’m definitely happy here, I can talk to anyone and this gives me a sense of security.” One relative said, “We have no concerns, the care is fantastic, [person's name] is very well looked after.”

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.

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

Rating at last inspection

The last rating for this service was requires improvement (published 4 December 2019).

At our last inspection, we recommended the provider review staffing levels and their deployment within the service. At this inspection, we found the provider had acted on the recommendation and improvements had been made.

Why we inspected

We undertook this focused inspection to review the previous rating. This report only covers our findings in relation to the Key Questions Safe and Well-led.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Prospect House 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.