Archived: Priory Paddocks Nursing Home

Updated 4 October 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

This inspection was undertaken by one inspector.

Service and service type

Priory Paddocks Nursing Home 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. Priory Paddocks Nursing Home 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 a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

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 reviewed information we had received about the service since registration. We sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection.

During the inspection

We spoke with five people who used the service and observed staff interactions with people, such as during lunch. We reviewed the care records of three people who used the service and several medicines records. We also reviewed a range of records in relation to the governance and management of the service, including audits, training records and recruitment records of three staff members. We spoke with eight staff members including the registered manager, administrator, care, nursing, activities, maintenance and catering staff.

Following our inspection visit we received electronic and telephone feedback from six relatives of people using the service.

Updated 4 October 2022

About the service

Priory Paddocks Nursing Home is a residential care home providing personal and nursing care to up to 40 The service provides support to older people in one adapted building. At the time of our inspection there were 17 people using the service, some of these people were living with dementia.

People’s experience of using this service and what we found

Since our last inspection of this location, there had been a change in the provider and management of the service. We found improvements had been made overall in the service.

The recruitment of staff was ongoing and there were sufficient staff numbers to meet people’s needs. Staff were recruited safely. There were systems in place to learn lessons when things had gone wrong and actions to reduce future incidents happening. Risks to people were assessed and measures in place to mitigate them which reduced the risks of avoidable harm and abuse. People had access to their medicines when needed and the systems for monitoring medicines supported the management team to identify any shortfalls and address them.

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 were supported to access social and health care professionals where needed and referrals were made to the appropriate professionals where required. People were provided with the support they required with their dietary needs.

People were supported by staff who were caring and compassionate. Their privacy, dignity and independence was promoted and respected. People’s care records included assessments of their needs and guidance provided to staff in how their needs were to be met. This included people’s preferences relating to their end of life care. People received support to access activities which reduced boredom and isolation.

There was a system in place to monitor and assess the service provided and any issues were identified and addressed. There was a complaints procedure in place, however, no complaints had been received since registration.

The service was clean and hygienic and good infection control procedures were carried out, including staff wearing appropriate personal protective equipment (PPE).

People were supported to have visitors from their friends and family. The environment was suitable for people using the service with the necessary equipment in place. There had been a recent issue of subsidence, which was made safe as soon as it was identified. There was ongoing work to address the issue.

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 the service under the previous provider was inadequate (published 27 April 2022). There had been breaches of regulation relating to staff training, governance, safety and safeguarding. The service under the previous provider had been in special measures.

This service under the new provider was registered with us on 20 July 2022 and this is the first inspection. The rating is now good, there are no breaches of regulation and the service is not in special measures.

Why we inspected

We undertook this comprehensive inspection as a newly registered service and to check improvements had been made since the new provider had taken over the service.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.