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Inspection Summary


Overall summary & rating

Good

Updated 5 April 2018

Prince George House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and care provided, and both were looked at during this inspection. Prince George House provides accommodation and nursing or personal care for up to 80 people. At the time of our inspection there were 79 people living at the service.

This unannounced comprehensive inspection took place on 5 and 6 December 2017.

A registered manager was in post when we inspected the service. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The overall rating of this service was Good at our last inspection of 25 and 29 September 2015. At this inspection the overall rating remains Good, while the key question of Responsive has improved to Outstanding.

A significant strength of the service was people had the opportunity to take part in various social events and activities based on their expressed preferences. Activities were both innovative and involved members of staff from all departments such as catering and maintenance. Service staff made the wishing tree, that listed peoples wishes, come true and happen. There were strong links to the local community, people had the opportunity to meet and engage with people of varying ages and enjoy a large variety of events and entertainment brought into the service.

Staff provided care that was person centred and people's individual needs were clearly documented. Staff had received training to provide care to people living with dementia and supported people in a holistically and person-centred way. People living with dementia were supported by staff to play a part in the everyday activities of the service.

People living at the service and their relatives were involved in planning and reviewing their care and had opportunities to feedback about the service. People were supported to follow a wide range of planned hobbies and interests and to take an active and purposeful part in the daily life of the service.

Staff knew how to keep people safe from the risk of harm as they had been trained and knew what to do if they had concerns. Risks were assessed and management plans were in place to minimise the risk to people’s safety while respecting their right to pursue interests of their choice.

Medicines were managed safely and sufficient numbers of trained staff were deployed to meet people’s needs.

Staff had received infection control training and used this information for the storage of food and cleanliness of the accommodation.

The senior managers learned from incidents and accidents within the service and made the necessary improvements. They shared this information with the staff through supervision and staff meetings. The staff received training to support them to meet the needs of the people.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the polices and systems in the place support this practice.

Staff were kind, caring and promoted people’s privacy and their dignity was respected.

People had contributed to the menu planning and enjoyed nutritional meals.

People were involved in the planning of their care and staff were responsive to their needs. The staff treated people with respect and dignity.

The service was responsive because people’s care had been planned following an assessment of their needs. People were provided with opportunities to pursue their social interests in the local community and in the planning of group activities provided from within the service.

Service staff worked to provide personalised care to

Inspection areas

Safe

Good

Updated 5 April 2018

The service remains Good

Effective

Good

Updated 5 April 2018

The service remains Good

Caring

Good

Updated 5 April 2018

The service remains Good

Responsive

Outstanding

Updated 5 April 2018

The service provides very responsive care

People received care that was very individualised and that met their needs

There was a range of opportunities for people to take part in meaningful activities and leisure pursuits. Community involvement was promoted and people really enjoyed this.

Complaints were investigated and lessons learned where appropriate. People felt comfortable in raising any concerns or complaints.

Well-led

Good

Updated 5 April 2018

The service remains Good