Prospect House - Care Home

Updated 14 December 2023

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 Health and Social Care Act 2008.

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

The inspection was carried out by 3 inspectors and an Expert by Experience. An Expert by Experience also made calls to relatives the following day. 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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 about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). 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 used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with 5 people who use the service and 7 relatives about their experience of care provided. We spoke with 10 members of staff including the operations manager, the registered manager, the deputy manager, the housekeeper and 6 care staff.

We reviewed a range of records. This included 4 care records and multiple medication records. We looked at other records relating to the management of the service including recruitment, supervision, and systems for monitoring quality.

Updated 14 December 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Prospect House is a residential care home comprising of 4 small units and 2 ‘independent living’ flats. At the time of our inspection, it was providing personal care to 20 people. The service can support up to 22 people.

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

Right Support:

We have made a recommendation about staffing; people received the care and support they needed to be safe. However, staff appeared rushed. Care became task focused rather than person centred. Staff supported people to take part in activities and pursue their interests in the local area. One person was supported to work in the voluntary sector and lived in their own flat within the service. People had a choice about their living environment and were able to personalise their rooms. Staff communicated with people in a way that met their needs. People were supported with their medicines in a way that promoted their independence and achieved the best possible health outcome. 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.

Right Care:

People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it. People’s care, treatment and support plans reflected their range of needs, and this promoted their well-being and enjoyment of life. Staff and people collaborated to assess risks people might face, where appropriate, staff encouraged and enabled people to take positive risks.

Right Culture:

People were supported by staff who understood best practice in relation to the wide range of strengths, impairments, or sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs. Staff placed people’s wishes, needs, and rights at the heart of everything they did. People and those important to them were involved in planning their care. Staff ensured the risks of a closed culture were minimised so that people received support based on transparency, respect, and inclusivity.

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 (published 12 December 2018)

Why we inspected

This inspection was prompted by a review of the information we held about this service and due to the length of time since the service was last inspected.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Prospect House – Care Home on our website at www.cqc.org.uk

Recommendations

We have made a recommendation about staffing levels. The provider needs to review this to ensure there are sufficient staff on duty to respond to people’s changing needs.

Follow up

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