• Care Home
  • Care home

Patron House

Overall: Requires improvement read more about inspection ratings

212 Stoke Lane, Westbury-on-Trym, Bristol, BS9 3RU (0117) 968 2583

Provided and run by:
Ablecare Homes Limited

Latest inspection summary

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Background to this inspection

Updated 8 March 2023

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

The inspection was carried out by one inspector on the first day of inspection and two inspectors on the second day of inspection. An Expert by Experience made calls to relatives. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Patron House 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. Patron House is a care home without 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. 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. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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

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

During the inspection

We spoke with the registered manager, five care staff, one cook, six people and five relatives. We observed staff practices and how they interacted with people. We reviewed a range of records relating to the management of the home. This included five people's care records, staff training and recruitment records. We considered all this information to help us to make a judgement about the home.

Following the inspection we emailed staff to gain feedback about the care people received and regarding the leadership and support at the home.

Overall inspection

Requires improvement

Updated 8 March 2023

About the service

Patron House is a residential care home providing personal care. The service provides support to a maximum of 12 people in one adapted building. At the time of our inspection there were ten people using the service.

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

There had been changes to the provision of meals at the home since our last inspection. We observed portion sizes to be small and where people declined the food that was offered, alternative food was not always available for them.

Staff morale was low, although this had been recognised by the provider and action was being taken. We also received mixed feedback about staffing numbers at the home.

We have made a recommendation about staffing at the home.

People felt safe and supported by staff who were kind and caring. Medicines were managed safely, and staff had the relevant training, skills and knowledge to undertake their roles.

People had residents meetings throughout the year to discuss any concerns and improvements they would like to see in the home. Maintenance records of the care home were kept up to date. The care home had a good working relationship with healthcare professionals.

Staff understood the principle of giving people maximum choice and control of their lives however during our inspection we found people had limited choice around their nutritional needs being 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 good (5 December 2019)

Why we inspected

This inspection was prompted following concerns we had received about the service. Concerns included issues relating to staffing, nutrition and diet. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.

We have found evidence that the provider needs to make improvements. Please see the safe, effective and well led sections of this full report.

Follow up

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