We carried out a review of the data available to us about Prestwood Lodge on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Prestwood Lodge, you can give feedback on this service.
We found the following examples of good practice.
¿ People and their family members had been consulted on how visiting arrangements should be implemented at the home, following the relaxation of restrictions in March 2021. Individual visits went ahead by prior arrangement, with the requirement of visitors needing to undertake a Lateral Flow test and wear Personal Protective Equipment (PPE), in line with guidance.
¿ Some people preferred their visits to continue in the home's 'Pod', an adapted staffroom, with glass screen, voice intercom and separate access, which minimised the risk of the spread of infection.
¿ People also kept in touch with family and friends using video and telephone calls. Relatives and friends were kept informed via a regular newsletter and emails.
¿ The registered manager and staff had worked closely with public health and infection control professionals to effectively manage an outbreak in January 2021. New PPE stations had been introduced and staff had received additional training to safeguard staff and people using the service.
¿ The home environment was clean. Staff completed regular touch point cleaning and deep cleans and the provider had introduced a room disinfection system to ensure the risk of cross transmission was minimised.
¿ The layout of communal areas had been reviewed to promote social distancing, whilst maintaining a homely feel. Changes had been made to staff breaks to reduce mixing and ensure social distancing could be achieved.
¿ Staff felt supported by the provider and registered manager and had been offered the opportunity to access counselling to support their wellbeing during the outbreak.
¿ The registered manager was in regular contact with the provider and took part in weekly meetings hosted by the local authority, to ensure infection outbreaks were effectively prevented or managed.
Prestwood Lodge is a residential care home providing personal care to 28 people aged 60 and over at the time of the inspection. The service can support up to 30 people.
People’s experience of using this service and what we found
People were treated with kindness and compassion. People had personalised care plans and risk assessments in place which helped staff understand their needs and learn about their preferences.
People were supported by compassionate staff who respected their privacy and dignity. People were involved in regular reviews of their care and encouraged to offer feedback. People were supported to receive their medicines safely.
People were supported in a clean environment and staff wore protective equipment where required to reduce the risk of infection. Any accidents and incidents were reported by staff to the management team and actions were taken to reduce any future risk. This meant people’s support was flexible depending on their level of need.
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’s privacy and dignity was respected by staff.
People were supported to maintain a healthy diet and had access to healthcare professionals should they need them. People had detailed care plans which were updated when their needs changed. This ensured the staff knew people well and provided care which was effective.
People had access to a variety of activities and the service had good links with the local community.
The provider learned lessons when things went wrong and completed regular reviews of the quality of the service to ensure continuous improvements to people’s care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was good (published 08 June 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission 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.
People told us they felt safe and staff knew how to recognise and report potential abuse. We found that risks to people were managed in a safe way and when people needed specialist equipment this was provided. Staff we spoke with knew who was at risk and how this should be managed to keep them safe. There were safe systems in place to manage medicines. When people had as required medicines there was guidance in place for staff to follow.
People told us they enjoyed the food and were offered a choice. People and relatives said they were involved with reviewing their care and when needed people had access to health professionals. People told us staff knew them well and the staff were provided with an induction and training that helped them to support people. We found there were enough staff available to meet people’s needs.
People’s privacy and dignity was promoted and they were treated in a caring way. People were encouraged to make choices about their day. They told us they were offered the opportunity to participate in activities and pastimes they enjoyed.
There was no one currently at the home who lacked capacity to make decision for themselves however the registered manager had an understanding of what action to take if this changed.
Staff felt listened to and were able to raise concerns. The provider used feedback from people and relatives to bring about changes. Quality monitoring checks were completed to make improvements to the service. The provider had a system in place to ensure staff suitability to work within the home.