• Care Home
  • Care home

Archived: Preston Lodge

Overall: Requires improvement read more about inspection ratings

291 Preston Road, Harrow, Middlesex, HA3 0QQ (020) 8904 2866

Provided and run by:
Mrs Juliette Taylor

Latest inspection summary

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Background to this inspection

Updated 31 July 2019

The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008 in relation to the warning notices issued to the service following the comprehensive inspection on 2 May 2019.

Inspection team: The inspection team consisted of one inspector.

Service and service type: Preston Lodge is a 'care home'. People in care homes receive accommodation or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The home had a manager registered with the Care Quality Commission. 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.

Notice of inspection: This was an unannounced follow-up inspection.

What we did: We undertook a follow-up inspection of Preston Lodge on 2 July 2019. This inspection was completed to check that improvements to meet legal requirements in relation to the warning notices had been made in respect of staff training and supervision and quality assurance and governance.

We spoke with the registered manager and one member of staff. We also reviewed records relating to staff member’s training and support and the management of the home.

Overall inspection

Requires improvement

Updated 31 July 2019

About the service:

Preston Lodge provides accommodation and personal care for a maximum of six people with dementia. At the time of our inspection, there were five people living in the care home.

People's experience of using this service and what we found:

Some improvements had been made to training and the support provided to staff members. However, more improvements were still required to ensure that staff members had completed mandatory training and received regular supervisions and yearly appraisals.

Improvements had been made to the quality assurance systems. Checks to monitor service delivery were carried out. The service had introduced various audits in respect of the management of the service and these were completed in May and June 2019.

At this focused inspection on 2 July 2019. the service demonstrated that they had taken some action to comply with the warning notices. However, staff training and support and quality assurance still needed further improvements to fully meet the requirements of the Regulations. We therefore found that there was a continuous breach of Regulation 17 and 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Rating at last inspection: Requires Improvement (Report published 28 June 2019)

Why we inspected:

We carried out an unannounced comprehensive inspection of this service on 2 May 2019 and found breaches of legal regulations. For two of those breaches we issued the service with a warning notice. One breach was in relation to staff training, supervision and appraisals. We were not confident that staff members had received appropriate and relevant training to assist them in carrying out the duties they were employed to perform. Another breach was in relation to the service not having effective systems and processes in place to assess and monitor the quality and safety of the services provided, to mitigate risks to the health, safety and welfare of people using the service, and to ensure that records relating to service users were accurate and complete.

We undertook a focused inspection on the 2 July 2019 to check whether the service had met the warning notice and to confirm that they now met legal requirements. We inspected the effective and well-led domain only at this inspection. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for 'Preston Lodge' on our website at www.cqc.org.uk'.

Follow up:

We will continue to monitor the service and we will revisit it in the future to check if improvement have been made. For more details, please see the full report which is on the CQC website at www.cqc.org.uk