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Pratt House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 30 July 2019

About the service

Pratt House is a residential care home providing personal care to 29 people aged 65 and over at the time of the inspection. The service can support up to 29 people. Pratt House accommodates people in one adapted building. People are accommodated on the ground and first floors, with communal areas such as the lounge and dining room on the ground floor. The second floor is for staff use only and consists of a training room and a storage area.

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

People were happy with their care and had positive relationships with staff. They described staff as “Wonderful, kind, caring, pleasant and helpful”. They confirmed their nutritional and health needs were met. They were supported by a consistent staff team but felt the current staff vacancies meant staff were more stretched than usual. They had access to activities and felt able to raise concerns.

People and staff were happy with the way the service was managed. However, records were not suitably maintained, and the provider had failed to monitor and audit the service to satisfy themselves that people got safe care. People's medicines were not appropriately managed, the home was not suitably clean and risks to people were not mitigated which had the potential to put people at risk. The required documentation was not available to evidence staff were suitably recruited. Person centred care was not consistently provided and the Accessible Information Standard (AIS) was not met.

People felt safe and systems were in place to safeguard people. The service had a consistent staff team but had three staff vacancies that they were covering, without the use of agency staff. This resulted in people feeling that staff were not available to them when their assistance was required. The registered manager was addressing this, and new staff had been appointed.

The service was not suitably maintained and fit for purpose. The provider had a total refurbishment plan in place and they confirmed after the inspection the work had commenced. We have made a recommendation about improving the environment to ensure it is safe and suitable for people. 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 assessed prior to admission to the service. Their health and nutritional needs were identified and met. Staff were trained and supported in their roles.

People confirmed staff were kind and caring. Their privacy and independence were promoted. People had access to activities. Their end of life preferences were identified. Systems were in place to deal with concerns and complaints which enabled people to raise concerns about their care if they needed to.

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 5 October 2016).

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence that the provider needs to make improvements. Please see the safe, effective, responsive and well-led sections of this full report. The provider confirmed they had taken action after the inspection to address our findings and mitigate risks.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Pratt House on our website at www.cqc.org.uk

Enforcement

We have identified breaches in relation to the management of risks, medicine administration, recruitment of staff, person centred care, records and good governance at this inspection.

Please see the action we have told the provider to take at the end of this

Inspection areas

Safe

Requires improvement

Updated 30 July 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 30 July 2019

The service was not effective.

Details are in our effective findings below.

Caring

Good

Updated 30 July 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 30 July 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 30 July 2019

The service was not always well-led.

Details are in our well-Led findings below.