Background to this inspection
Updated
18 February 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
One inspector completed the inspection.
Service and service type
Porte Rouge 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. Porte Rouge 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was not a registered manager in post. The manager had recently taken over the role and was in the process of registering.
Notice of inspection
We gave a short period notice of the inspection because it was carried out at the weekend. We needed to be sure a manager would be available to support the inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 2 people and 6 staff members including the manager and nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed 2 people’s care records, 2 people’s medicines records and a range of records relating to the management of the service, such as meeting minutes and audits.
Updated
18 February 2023
About the service
Porte Rouge is a residential care home providing personal care to up to 30 people. The service provides support to older people some of whom may be living with dementia. At the time of our inspection there were 26 people using the service.
People’s experience of using this service and what we found
Staff had a good understanding of how to keep people safe. People confirmed they felt safe living at Porte Rouge.
Staffing was planned so that people’s needs could be met efficiently. People told us staff responded promptly when they requested help or support.
The manager and senior managers in the organisation had recognised some improvements needed to be made to how medicines were recorded. There was a clear plan in place about how the improvements would be made. People told us staff managed their medicines well and ensured they received them at the right times.
Systems were in place to ensure the service was clean and met good infection control practice. Audits and checks of the environment and equipment helped ensure the service consistently met the correct safety standards.
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 told us they were happy and comfortable living at the service, and that they were treated kindly by staff. All staff were focused on helping people achieve good outcomes. A staff member told us they enjoyed being responsive to people’s choices as this helped people have control over their lives.
There was a clear aim to constantly review and improve the service. The nominated individual and manager spoke about plans to empower people to take more control over their lives.
The manager and other senior managers within the organisation had a good understanding of their role and how it fed into the overall quality of the service. Information and updates were regularly shared across all the provider’s services.
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 (published 10 January 2019).
Why we inspected
This inspection was prompted by a review of the information we held about this service. We undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good based on the findings of this inspection.
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.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Porte Rouge on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.