We carried out a review of the data available to us about Prince Philip Duke of Edinburgh Court on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Prince Philip Duke of Edinburgh Court, you can give feedback on this service.
Lord Harris Court is a care home providing personal and nursing care to 52 adults at the time of the inspection. Some people at the service have a diagnosis dementia. The service can support up to 76 people.
People’s experience of using this service and what we found
This was a targeted inspection that considered the risks of people falling and safe moving and handling practices. Based on our inspection, we are satisfied that the service is proactively preventing people from risk of falls and related injuries. Appropriate measures were in place to assess risks and lessen them. Staff were appropriately trained in moving and handling techniques. Incidents and accidents were recorded, investigated and used to learn when things went wrong.
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 Good (published 21 November 2017).
Why we inspected
We undertook this targeted inspection to check on specific concerns we had about people’s falls, and the safety of moving and handling practices. The overall rating for the service has not changed following this targeted inspection and remains good.
CQC have introduced targeted inspections to follow up on a Warning Notice or other specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
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.
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.
The service did not have a registered manager, at the time of the inspection visits. The provider was actively recruiting to the post. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The service provided staff with training to assist them to keep people, staff and visitors to the service as safe as possible. People were protected from all types of abuse and/or poor practice by staff who knew what action to take if they had any concerns about people’s safety or treatment. Health and safety policies and procedures were followed and ensured that as far as possible people who lived in, worked in or visited the service were safe. Any risks to safety were identified and managed to minimise them.
People were provided with staff who had been recruited through reliable recruitment processes which ensured that as far as possible they were suitable to provide safe care to people. However, there were a large number of temporary staff used. People were not confident with the care provided by some temporary staff specifically those who covered night shifts. Improvements were needed to the way night care was monitored. There were enough staff to meet people’s needs safely. People were not always supported to take their medicines safely and whilst improvements had been made further improvement was needed in this area.
People were provided with effective care that respected their diversity, preferences and choices and met their needs. People were supported to make decisions and choices about their care. Staff upheld people’s legal and human rights with regard to decision making and choice.
People’s rights were protected by a management and staff team who understood the Mental Capacity Act (2005). This legislation provides a legal framework that sets out how to act to support people who do not have capacity to make a specific decision. 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’s needs were met by a caring staff team who worked together in the best interests of the people they offered care to. Staff built positive relationships with people and others who were important to them. People’s individuality and differences were recognised and respected and they were treated with kindness, respect and dignity at all times. Any special needs were taken into account and people were offered the appropriate care.
People were offered a variety of well organised and meaningful activities which enhanced their lifestyle. They were encouraged to enjoy and participate in them by specialised staff.
The service was well-led by an interim manager, in the absence of a registered manager. The management team were described as open, approachable and supportive by the majority of the staff. The service had a large number of ways to monitor and assess the quality of care they offered. Any shortfalls or improvements needed were identified and acted upon.