Prospect House

Updated 3 August 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Act.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was completed by three inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Prospect House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Prospect House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with CQC to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

We used the information the provider sent us in the provider information return. This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with three people who used the service and we spent time observing the daily life in the service. We looked around the building to check environmental safety and cleanliness. After we visited the service, we spoke with five relatives of people who used the service about their experience of the care provided.

We spoke with 10 members of staff including the registered manager, care staff, other ancillary staff and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 3 August 2022

About the service

Prospect House is a residential care home which provides personal care to older people and people living with dementia. The service provides support to up to 33 people. At the time of our inspection there were 31 people using the service.

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

People received the care they needed, when they needed it. There were enough staff on shift to meet people’s needs in a timely manner. People felt safe and risks to people were assessed and managed well. Medicines were managed safely and there were systems in place to protect people from the spread of infections.

People and their relatives were happy with the care they received. Staff knew people well and provided person-centred care, according to people’s preferences. Staff were kind and caring and had a positive, friendly rapport with people using 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’s needs were assessed and kept under regular review. People were supported by staff who received training to ensure they had the right knowledge and skills to support people effectively. All staff felt well supported and were regularly supervised to ensure they completed their roles effectively. Staff supported people to maintain their health and they sought timely advice from health professionals, when necessary.

People, their relatives and staff said they would not hesitate to raise any concerns with the registered manager. The provider had a suitable system in place to manage and act on any complaints.

The service had a friendly, welcoming culture. Staff morale was positive, and they all enjoyed their jobs. The service was managed by an experienced registered manager who coordinated the service well. There were suitable systems in place to monitor the quality and safety of the care provided. The service was clean, and people had access to facilities and any equipment they needed.

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 the service under the previous provider was good (published on 7 March 2019).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the key question of ‘is the service safe?’. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.