- Care home
Prema Court
We have taken enforcement action and imposed conditions on Deepdene Care Limited registration at Prema Court, from the 2 June 2026. These conditions restrict the number of people who can live at the location and require the provider to produce a written report each month, setting out any actions taken or proposed at Prema Court in respect of addressing environmental shortfalls.
Assessment report published 23 July 2025
Contents
Ratings
Our view of the service
The assessment began on 25 March and concluded on the 7 May 2025. Prema Court is registered to provide accommodation and support for up to 44 people living with mental health illness. At the time of our assessment, there were 33 people living at the service.
This assessment was prompted in part due to information of concern. We examined those concerns in addition to the action taken to address the breaches of regulation found at our last assessment. We looked at all 34 quality statements across the 5 key questions.
The provider had failed to make timely and necessary improvements. Governance systems were not robust. Stable and consistent management was needed to make and sustain the improvements needed. The provider had failed to notify the commission of events that impact on the delivery of the service as required by law. The service does not have the service user band Learning difficulties or autistic disorder however we identified someone living at Prema Court whose primary need was a learning disability; this was reported to the Local Authority.
Concerns about people’s care and support were raised with the local authority and commissioners. Authorisations to lawfully deprive people of their liberty were not effectively managed so people’s rights were protected.
Whilst people’s care records had been reviewed and updated following our last assessment, information had not been kept up to date reflecting people’s current and changing needs. This was little evidence to show people’s rehabilitation potential, or their mental health and addiction were being supported. Risks to people’s health and well-being were not effectively managed or monitored. Medicines were not safely managed.
There were on-going concerns relating to the safety of the internal and external environment. Hygiene standards also needed improving.
We received a mix response in relation to staffing levels. Opportunities for training and development were provided. However, training in the primary needs of people, such as de-escalation, addiction and mental health, were not provided.
We found 6 breaches of the legal regulations relating to person-centred care, safe care and treatment, safeguarding, environment, good governance and staffing.
In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded.
This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we user our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.
People's experience of this service
We spoke with 2 people and 7 relatives about their experiences. We also observed routines within the service. We found some people had a good rapport with each other and had developed friendships. However, a number of people were sat around in the communal areas, outside smoking or in their rooms. There was little evidence of any structured or meaningful activity taking place, to support people to have meaningful days.
People’s care records reflected their wishes and preferences. Those relatives we spoke with said they had little or no knowledge of the care plans or any reviews of care. Relatives felt there was a lack of communication from staff or involvement of relatives in peoples care.
People’s relatives felt there was a lack of support from staff in supporting people with their personal care needs and dental care. From our observations we found some people looked unkempt.
People were seen to freely come and go from the service. One person was regularly supported to attend church and another person enjoyed cooking. However, we found there was a lack of structured opportunities to support people in their rehabilitation or engage in meaningful activities both in and away from the home based on people’s wishes and preferences.
People felt the accommodation was comfortable. Some people had personalised their bedrooms.