Preston Glades Care Home

Updated 30 December 2021

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.

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 conducted by one inspector.

Service and service type

Preston Glades Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 announced. There was a prevalence of COVID-19 in the geographical area at the time of the inspection and we needed to ensure it was safe and there were sufficient management staff available to support the inspection.

Inspection activity started on 14 December 2021 and ended on 15 December 2021.

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, commissioners and professionals who work with the service. We also looked at information we had received and held on our system about the service, this included notifications sent to us by the provider and information passed to us by members of the public. We used all this information to plan our inspection.

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.

During the inspection

We spoke with five people who used the service. We spoke with two relatives about their experience. We spoke with nine members of staff including the registered manager, deputy manager, an area manager and care workers and two members of the catering staff. We also spoke with two external health care professionals and received their feedback of the quality of the service. We looked at a variety of records to gather information and assess the level of care and support provided to people. We reviewed in detail three care records. We looked at staff rotas, risk assessments, multiple medicine records and four recruitment files. We also considered a variety of records relating to the management and governance of the service, including policies and procedures.

We looked around the home in both communal and private areas to establish if it met the needs of people who lived there and if it was safe.

After the inspection

We continued to seek clarification from the registered manager to validate evidence found.

Updated 30 December 2021

About the service

Preston Glades Care Home is a residential care home registered to accommodate up 65 people in need of nursing and personal care. Accommodation is provided over two floors with single rooms. All rooms have en-suite facilities. On the days of the inspection there were 56 people living at the home.

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

Recruitment processes needed to be reviewed as some pre-employment checks were missing. We have made a recommendation about this that can be seen in the 'Safe' section of this report.

The service made appropriate notifications to us and other authorities of safety incidents.

Medicines were safely administered and people received their medicines as prescribed from well trained staff.

Infection prevention control measures were robust and safe visiting processes were in place to ensure people could see their visitors safely.

People told us they felt safe and were happy with the service they received. We noted good interactions between people, management and staff.

Staff understood how to protect people from abuse and there were enough staff to meet people's needs and to ensure their safety. Staff told us they had received training and support relevant to their roles and when they commenced employment.

Care plan records provided a guide to enable people to retain their independence and receive support with minimum risk to themselves or others. People's care and support needs were assessed prior to them using the service to ensure their needs could be met. Where people's needs could not be met, the home worked well with others to ensure people were appropriately supported.

Quality assurance systems, audits and checks were robust and embedded within the service. We did not find any shortfalls around care planning and record keeping. This assisted in ensuring people received proper and safe care.

People, staff and health care professionals were happy with the way the service was managed. Staff felt valued and enjoyed working at the home. People's views and opinions of the service were sought and acted on.

Staff supported people to have access to health professionals and specialist support and the service worked well with external professionals.

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 13 October 2020).

Why we inspected

We received some concerns regarding staffing and oversight of the service. As a result, we undertook a focused inspection to review the key questions of 'Safe' and 'Well-led' only. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this 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 Preston Glades Care Home on our website at www.cqc.org.uk

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.