CQC report explained · a residential care home
What the CQC found at Prestwich
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home managed infection prevention and control safely. They found arrangements covering visitors, social distancing, admissions, PPE, testing, hygiene and outbreak management.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, September 2020
Brookvale - Prestwich was inspected but not rated; inspectors found good infection control arrangements during the pandemic.
Inspectors visited on 18 August 2020. This was an announced, targeted inspection as part of a review of infection prevention and control in care homes.
The home had stopped most visits, used protective equipment safely, increased cleaning and moved from paper to electronic care records. Staff were allocated to specific areas to reduce movement around the home.
Inspectors were assured about infection prevention, testing, admissions, social distancing, hygiene, outbreak management and the infection control policy. The service was inspected but not rated, so this report does not give an overall quality rating.
Staffing arrangements
Staff were allocated to specific areas of the home. This was intended to reduce movement between areas and limit reliance on outside staff.
“The same staff provided cover in the area when needed to minimise the use of staff from other areas, or bank or agency staff.” from the report
Record keeping
The home moved from paper to electronic care records during the pandemic and provided tablets with cleaning supplies.
“During the pandemic, the service switched from paper to electronic care records to reduce infection transmission.” from the report
Management oversight
Inspectors found a quality assurance system and regular checks with key suppliers about risks and contingency plans.
“The provider had a robust and effective governance structure in place comprised of a thorough quality assurance framework.” from the report
Inspectors raised no specific concerns in this report.
- 01How have visitor arrangements changed since the inspection?
- 02How do you currently test people living here and staff for infections?
- 03Do staff still work in specific areas, and how do you manage cover when staff are absent?
- 04How often is the infection prevention and control policy reviewed?
- 05How are care records kept now, and how are the tablets cleaned?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it was not a full assessment of the home's overall quality of care. This explanation was written from the published report of 2 September 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, March 2018
Brookvale - Prestwich was rated Good overall; inspectors found kind, safe care, with some safety instructions and checks needing attention during the visit.
This was an unannounced, comprehensive inspection on 20 and 21 February 2018. Inspectors spoke with people living in the home, visitors and staff. They observed care and checked care records, medicines, staff files, rotas, policies and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe recruitment, good medicines management, detailed care plans and support for people's health, choices, relationships and activities.
There were three issues during the visit. Fire doors had been wedged open, cleaning products had been left where people could potentially reach them, and instructions for some drink thickeners were not specific enough in medicines records. The home acted on these points during the inspection.
The previous inspection in October 2015 found that staff training and supervision needed improvement. Inspectors found that this had been put right, so the Effective rating improved to Good. The overall Good rating stayed the same.
Kind and respectful staff
People told inspectors they liked the staff. Inspectors saw calm and cheerful interactions, with people treated respectfully and compassionately.
“Some people responded to gentle humour, people were treated with kindness, respect and compassion.” from the report
Improved staff support
The home had put right the previous shortfall in staff training and supervision. Staff had induction, training, supervision and appraisal.
“Staff received the training they needed to carry out their roles effectively and were well supported.” from the report
Person-centred records
Care records described what mattered to each person, their preferences and how staff should support their independence and communication.
“Care records were very person centred and included people's preferences and what was important to them.” from the report
Activities and community links
People could choose from activities in the home and community, including sports, creative activities, holidays, work placements and visits.
“Activities were planned and organised to take into account people's preferences and abilities.” from the report
Fire doors wedged open
seriousDoors on one unit had been wedged open while cleaning. The home removed the wedges immediately and ordered automatic door closers during the inspection.
“Wedging of fire safety doors poses a risk of any fire spreading more quickly.” from the report
Cleaning products left out
needs fixingSome cleaning products had been left on a shelf in the hairdressing salon. Staff removed them after inspectors raised the issue.
“These posed a potential risk to people using the service.” from the report
Thickener instructions
seriousMedicines records for some people who used drink thickeners said only 'as prescribed', rather than stating the exact amount or consistency. The home put a clearer system in place on the second day.
“we saw that peoples MAR were not specific and stated 'as prescribed'.” from the report
- 01How are fire doors checked now, and have the automatic door closers been fitted?
- 02How do you make sure cleaning products cannot be reached by people living in the home?
- 03How are the exact amount and required consistency of drink thickeners recorded and checked?
- 04How do you keep staff training, supervision and appraisals up to date?
- 05How are people and their relatives involved in reviewing care plans and daily activities?
This was an unannounced comprehensive inspection covering all five key questions, and all five ratings were assessed as Good. This explanation was written from the published report of 21 March 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Prestwich
3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- September 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2015Goodup from Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- February 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- December 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 20 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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