Prospect House Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question inadequate. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. For example, no new people had been admitted to the home for some time therefore there were no pre‑admission or initial assessments available to review. However, care plans evidenced people’s needs were monitored effectively through regular reviews, which were completed monthly and updated promptly when changes in needs were identified.

People and their families were involved in the review process. Family members confirmed they were contacted by telephone or email to inform them of planned reviews and to request their input, ensuring care remained person centred and reflective of people’s wishes. In addition, the local authority continued to monitor and review people’s care, with 4 reviews completed during February 2026. A professional partner reported staff were consistently able to provide detailed information about people’s routines, health and mobility needs to support effective assessments.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. For example, nationally recognised assessment tools were used to assess and monitor people’s needs, including tools to identify risks of malnutrition, dehydration and pressure ulcers. Staff applied their training, skills and knowledge effectively to identify when people required additional support or referral to external professionals.

People’s nutritional and hydration needs were clearly documented in their care plans, and staff were knowledgeable about the support each person required. Kitchen staff had access to up‑to‑date information to ensure meals and drinks were prepared safely and correctly, including for people who required modified diets.

Best practice guidance was followed to support people’s orientation and independence. Clear signage was displayed throughout the home to help people identify key areas such as bathrooms, toilets, lounges and the dining area.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. For example, managers and staff worked effectively with each other and external services to support people’s care and ensure continuity. Professional partners described the home as well run, responsive and knowledgeable, with an open and respectful staff and management team, timely referrals and effective follow up. People were supported to attend health and wellbeing appointments, and outcomes were clearly recorded and used to update care plans promptly. Referrals to external services, including GPs, the falls team, mental health teams and dietitians were made in a timely way and followed up appropriately. Managers and staff reported good teamwork and positive working relationships with professional partners.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. For example, people were encouraged to maintain social connections and take part in meaningful activities, including armchair exercises, arts and crafts, music and time in the garden, which family members confirmed.

Staff demonstrated good knowledge of people’s nutritional needs, including modified diets, thickened fluids and diabetes management. Menus promoted healthy eating and reflected people’s preferences, and kitchen staff prepared meals in line with professional guidance. People were regularly encouraged to drink, with drinks kept within reach. Food and fluid records assured us people’s fluid intake was consistently monitored to ensure they received a healthy intake.

The provider routinely monitored people’s care and treatment to ensure outcomes were positive and consistent. For example, care plans identified people’s individual needs, the intended outcomes, and how these outcomes would be achieved. Monitoring charts were in place and completed in line with risk management plans, including for skin integrity and food and fluid intake, providing ongoing oversight of people’s care.

Positive outcomes for people were evident. Records demonstrated a reduction in the use of as and when required medicines, as staff effectively used calming, reassurance and distraction techniques to support people during periods of anxiety or agitation. Effective care and timely intervention also helped prevent unnecessary hospital admissions, supporting people to remain safely in the home and achieve better health outcomes.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. For example, staff were observed explaining what they were about to do and seeking people’s agreement before providing care. This included checking with people before assisting them to move and offering choices about daily routines, such as whether to get up for breakfast or have breakfast in bed.

Where people lacked capacity to make specific decisions, assessments were completed in line with the Mental Capacity Act (MCA) 2005. Decisions made on behalf of people were undertaken following best‑interest principles, with involvement from family members and relevant external professionals where appropriate. Deprivation of Liberty Safeguards (DoLS) applications were submitted and renewed in a timely manner, and a DoLS tracker was in place to monitor authorisations and ensure they remained current and reflective of people’s needs.

A policy and clear signage were in place regarding the use of CCTV within the home. People and their families had been consulted about its use, and family members confirmed this.