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Prospect House Requires improvement

We are carrying out a review of quality at Prospect House. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 15 October 2019

Prospect House is a residential care home providing personal and nursing care to 55 older people at the time of the inspection. The service can support up to 65 people in one adapted building across three separate areas, each of which has separate adapted facilities. Two of the areas specialise in providing care to people living with dementia.

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

The management and administration of medicines was not robust which placed people at risk of harm. Records relating to people's care were not always up to date and accurate. People's needs had been assessed before they moved into the service, but this information had not always been fully transferred into people’s plans of care.

The systems in place to monitor the quality of the service were not always effective and had not highlighted the concerns identified during this inspection. The provider and registered manager were open and transparent and took immediate action to address the issues identified during the inspection.

The service was clean and hygienic. Some shortfalls identified in relation to the accessibility of paper towels and hand soap in some communal toilet facilities were addressed during the inspection.

People's dietary needs and preferences were catered for and people enjoyed the homemade food on offer. However, the meal time experience of some people living with dementia could be improved.

People were treated with dignity and respect by kind and caring staff that knew them well. People and their relatives described staff as being "Lovely", "Excellent" and "Knowledgeable".

People benefitted from the wide range of stimulating and enjoyable activities on offer which were meaningful to them. People were supported to access the community and enjoyed the entertainers that visited the service.

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 and their relatives were happy with management of the service and the care people received. They had the opportunity to give their views in a number of ways and felt listened to. One relative commented "You couldn't ask for more".

There were sufficient numbers of suitably qualified and experienced staff on duty to meet people's needs.

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 (report published 9 November 2018)

Why we inspected

The inspection was prompted in part due to concerns received about the administration of medicines and the accuracy of records. A decision was made for us to inspect and examine those risks.

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

The provider took effective action to mitigate these risks during and after the inspection.

Enforcement

We have identified breaches in relation to the management of medicines, the completion of records and the governance of the service.

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

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 15 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 15 October 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 15 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 15 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 15 October 2019

The service was not always well-led.

Details are in our well-Led findings below.