Prestwood House is a residential care home providing personal and nursing care to 37 people at the time of the inspection. The service can support up to 59 people across three floors, each of which has separate facilities. Some of the people at Prestwood House are living with dementia.
People’s experience of using this service and what we found
We found a number of improvements had been made since the last inspection. People now received safe care when they were supported with their mobility and assessments of people's capacity were now recorded. The provider had also improved their complaints process and some improvements had been made to the home environment. However, we identified further improvements were still required.
Improvements were required to the standard of documentation and care records. We found some care planning documents and risk assessments were generic in nature and required updating to ensure they reflected people’s individual needs. People’s fluid intake had not been consistently monitored to ensure people were not exposed to health risks. Although some aspects of the home environment had improved since the last inspection, further work was required.
People told us they felt safe and staff knew how to identify and report concerns relating to people’s safety. Risks were assessed and managed to reduce the risk of avoidable harm. People received support to take their medicines safely. There were enough staff available to meet people’s needs. Staff were safely recruited.
People were asked for their consent before care was provided. 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.
People’s needs were assessed and documented to ensure they received consistent support from a trained staff team. People received sufficient amounts to eat and drink to maintain their health. Staff received training relevant to their role and understood people’s individual needs well. Some improvements were required to the home environment.
People were supported by a caring staff team who knew people well. People were supported to maintain their independence where possible and their dignity was valued and respected. People were encouraged to make daily living decisions and staff supported them to make their own choices.
People were supported by a staff team who knew them well and understood their needs and preferences. People and their relatives were involved in the assessment and planning of their care. People were supported to participate in activities and follow their own interests. People knew how to raise a concern if they were unhappy about the service they received.
People, relatives and staff felt the service was well managed. The manager and provider had made improvements since the last inspection. People and staff were given opportunities to share feedback about the service. The manager undertook regular auditing to ensure the quality of care provided. Staff worked well with other partner agencies to ensure people’s needs were met.
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 18 September 2018).
Why we inspected
This was a planned inspection based on the previous rating.
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.