Background to this inspection
Updated
23 July 2022
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 carried out by one inspector. An Expert by Experience carried out phone calls to people’s relatives after the site visit. 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
Prideaux Manor 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. Prideaux Manor 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was not a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we held about the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spent time with people living at the home and observed interactions between staff and people. We spoke to seven people and seven people’s relatives. We spoke with seven members of staff which included the provider, deputy manager, registered nurses, senior carers and carers. We received feedback from three health professionals that worked with the service. We reviewed three people’s care plans and multiple medication administration records. We looked at documents relating to quality monitoring of the service and were sent training records and information around staff supervisions and observations.
Updated
23 July 2022
About the service
Prideaux Manor is a residential nursing home providing personal and nursing care to up 27 people. The service provides support to older people and people living with dementia. At the time of our inspection there were 15 people using the service.
People’s experience of using this service and what we found
There had been multiple changes in management and staffing which had affected consistency and morale of staff. Staff were positive about the current management team. There was currently no registered manager at the service, the provider was involved in the day to day management of the home and was working with the staff team to embed a person-centred ethos.
Improvement was needed to aspects of record keeping to ensure that staff were accurately recording the support they provided for people. Systems had not yet been embedded into practice to record people’s and their relative’s views.
People were supported safely by staff that knew them well. People were protected from the risk of harm and abuse. Risks to people were assessed and staff understood how to manage those risks. There were enough staff to support people and staff were recruited safely. The home was clean and hygienic and had recently undergone extensive renovations.
People’s needs were assessed before they moved into the home to ensure staff could support the person. People's care plans were developed from these pre-admission assessments and people and families were involved in writing them. Staff had received training that was relevant to their role and the people they supported.
People were cared for by staff that were kind and caring and respected people's equality and diversity. People and their relatives were positive about the staff team. Relatives told us, "They seem very professional, incredibly patient all of them and very caring from what I can see."
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 CQC website at www.cqc.org.uk
Why we inspected
The service was registered with us on 5 May 2021 and this is the first inspection. The last rating for the service under the previous provider was requires improvement, published on 12 March 2020.
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, which will help inform when we next inspect.