Preston Private Care Home

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the service met people’s needs.

This was the first assessment for this service. This key question has been rated good. This meant people’s needs were met through good organisation and delivery.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs.

During observations at Preston Private Care Home, we witnessed person centred care was being provided. People and their relatives felt that people received person centred care that met their needs.

Care plans were person-centred based on the information recorded and included details of peoples likes, dislikes and people’s backgrounds. Staff spoke about what person-centred care meant. One staff member said, “It is about focusing on the persons needs and their interest as a priority." The registered manager spoke about care plans being person centred and how they made peoples care person centred. They said, "We do their life history and gather the information which helps us understand them."

The service understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity.

Relatives told us they were happy with the care provision, and some relatives spoke about how their loved one had been able to stay in the home, but how they had moved units as their care needs progressed, which allowed a level of continuity for them and their loved one.

Throughout our assessment, staff and management referred to various organisations they made referrals to for support when needed. We found examples where referrals were made to ensure people received the right support and treatment. Professionals provided positive feedback in this area. One professional told us, "Yes (they work cohesively with us). We work well together, we have good relationships with the unit leads, they update the care plans when they need to."

The service supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs.

People were able to access information and express their views in numerous ways including at resident meetings, through surveys and by raising complaints. Staff spoke about how they promoted people’s privacy. People’s information was protected using passwords on electronic devices and paper records were stored away in lockable cupboards/offices. A general data protection regulation policy was in place.

The service made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. They involved people in decisions about their care and told them what had changed as a result.

People and their loved ones felt they were listened to. One relative said they were confident that staff were very responsive to their loved ones needs and as a result their loved one was making progress. Staff told us they encouraged people to raise any concerns. One staff member said, “If a relative wasn’t happy about something I would deal with this. I always tell people and relatives to please come to me with any concerns and we can deal with it there and then. I think most people here are quite confident in raising concerns.”

People and their relatives were able to raise concerns or provide feedback through various channels. There had been no complaints made to the home in the last 12 months. Some surveys had been completed in the last 12 months by people, their relatives, staff and visiting professionals. Generally, responses about the service were positive and had been analysed to ensure appropriate oversight. Policies were in place to support people sharing feedback, including a complaints policy.

The service made sure that people could access the care, support and treatment they needed when they needed it.

People could access care and support when needed. Staff felt that home was accessible for people. One staff member said, “The home is accessible for people, they have put signs up for which unit it is and there are handrails on all sides.” The home was generally accessible for people, it is all based on one level, it had grab rails, ramps and multiple toilet facilities across each unit. The service had equipment in place to support accessibility in the home. Professionals felt the home was accessible for people and they also noted that they were able to easily contact the home.

Staff and leaders actively listened to information about people who are most likely to experience inequality in experience or outcomes and tailored their care, support and treatment in response to this.

People and their relatives told us they felt people generally received good outcomes. Staff told us they had no concerns about the care the service provided. Meetings for/with residents were taking place, which kept people up to date with any changes and allowed them to discuss any concerns.

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life.

The registered manager spoke about the end of life care they provided and said, "I think we have a lot of kindness and compassion. The end-of-life care here is phenomenal.”

Generally, most people had advanced care plans in place for their end of life wishes where it was their wish/or where they were able to discuss this.

Although we did not ask people about their end of life wishes we did see that people and their relatives had been involved in their end-of-life care plans.

We saw evidence that people had DNACPR (Do Not Attempt Cardiopulmonary Resuscitation paperwork in place where it was their wish. Staff had end of life training, and an end-of-life policy was also in place.