Preston Private Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This was the first assessment for this service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 67 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Although the service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them, information held in some peoples care plans were at times contradictory.

People had appropriate assessments in place in their care plans. Care records were detailed, and people’s needs were being appropriately assessed/reviewed and monitored. However, some information in care plans was contradictory. The registered manager, deputy manager and unit leads worked to address this during our inspection.

Staff told us how management and peoples relatives were involved in creating peoples care plans. People’s relatives told us they had been involved in developing their loved one’s care plan. One relative said, “My mum was admitted as an emergency admission for her own safety and from day 1 I have been involved in her care plan.”

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. Though some contradictory paperwork did not always easily support staff to do this in line with legislation and current evidence-based good practice and standards.

People had appropriate nutritional care plans and risk assessments in place, though some information in this part of care plans was contradictory. The registered manager, deputy manager and unit leads worked to address this during our inspection. People and their relatives said they received enough to eat and enjoyed the food. One relative said, “My mother likes her food, but I asked them to give her smaller portions because she doesn’t like waste.” We found some examples of necessary referrals being made should anyone need clinical support.

The service worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

People and their relatives felt services worked together and told us that they/their loved one got see healthcare professionals when needed. We witnessed healthcare professionals visiting their patients to support them whilst we were on site. Health professionals told us they felt they had a good handover of information from staff at the service.

Staff spoke about how they were told when people’s needs change including at handover. Emergency transfer sheets/hospital packs were in place, which held relevant information for each person. These are documents that get sent with a person if they need prolonged external support, for example, if a person was sent to hospital. These documents helped to ensure the hospital was aware of (and could meet) people's needs on admission. We saw evidence of handover records, and we saw evidence of the management working with other services to try and drive improvement.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were able to access healthcare support when they needed it and staff spoke about how they monitored/recorded people’s health.

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Some relatives spoke about the positive things the home did to promote better outcomes. One relative said, “My mum is encouraged keep her independence and she can do most things, but the staff do prompt her.” The registered manager told us how they reviewed and monitored people’s care. They spoke about how people’s weights were monitored, they said, "We do a monthly weight analysis, and the regional manager checks this. We complete MUSTs (Malnutrition Universal Screening Tool) then we do weekly weights for anyone on a score of 2 or more (which indicates high risk of malnutrition)." People’s care plans were being regularly reviewed, and appropriate tools were in place to manage people’s weights and skin integrity.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment.

Appropriate consent forms were in place, and we witnessed care staff asked people for consent before delivering care. Staff said they asked for consent before delivering care, one staff member said, “We always ask the residents permission before any tasks.”