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What the CQC found at Prideaux Lodge

Goodpublished 19 February 2024, 2 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The latest report, explained

What inspectors found, February 2021

Inspected but not rated; inspectors found strong infection prevention and support for people during the pandemic.

This was a targeted, announced inspection about infection prevention and control during the coronavirus pandemic. The report says the visit took place on 4 February 2021, although the detailed findings say 5 February 2021.

Inspectors were assured that the home was managing visitors, distancing, admissions, protective equipment, testing, hygiene and possible outbreaks safely. They also found that the infection control policy was up to date.

Staff used dolls, teddy bears and easy-read information to help people understand protective equipment, testing and lockdown rules. The home also changed parts of its environment, practised outbreak arrangements and increased activities to support people's wellbeing.

The home was inspected but not rated. This was not a full assessment of the service's overall quality.

What inspectors praised
  • Clear explanations

    Staff used dolls, teddy bears and easy-read information to help people understand protective equipment, testing and lockdown restrictions.

    “Staff had used people's teddy bears and dolls to demonstrate personal protective equipment (PPE) that staff would be wearing” from the report
  • Infection control changes

    The home changed flooring, radiator covers, hand-sanitiser dispensers, lighting and tables to make cleaning and infection control easier.

    “The provider had made changes to the environment to support infection control.” from the report
  • Outbreak planning

    The home had plans for an outbreak and practised helping people become familiar with spending time in their bedrooms.

    “There were clear plans in place on how to support people in the event of an outbreak.” from the report
  • Support for wellbeing

    Staff continued to provide activities and links with outside projects during the pandemic, including movement and physiotherapy sessions.

    “Staff had focused on people's wellbeing throughout the pandemic.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you help my relative understand testing, protective equipment or any changes to their routine?
  2. 02If there were an outbreak, how would you support my relative if they needed to stay in their bedroom?
  3. 03How would you maintain activities and emotional support during an outbreak or lockdown?
  4. 04How do you make sure there are enough trained staff to cover different roles if staff become unwell?
  5. 05How are visitors, testing and protective equipment managed now?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not provide a full overall rating of the home. This explanation was written from the published report of 18 February 2021 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.

An earlier report, explained

What inspectors found, January 2017

Rated Good; inspectors found significant improvements, safe care and kind staff, with no areas needing improvement.

This was an unannounced follow-up inspection on 8 and 9 December 2016. Inspectors checked whether the home had acted on problems found in October 2015. They reviewed care plans, medicines, staff records, complaints, accidents, audits and the building. They also spoke with people, relatives, staff and health professionals, and observed care.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, detailed care plans and staff who understood people's needs. People appeared happy and relaxed, and were treated with kindness, dignity and respect.

The home had previously received requirement notices for two breaches. Inspectors found significant improvements and said the legal requirements were now being met. No areas requiring improvement were identified at this inspection.

What inspectors praised
  • Improvements since the last inspection

    The home had acted on the problems identified in 2015. Inspectors found no areas requiring improvement during this visit.

    “At this inspection we found significant improvements had taken place and no areas requiring improvement were identified.” from the report
  • Sufficient staffing

    Inspectors found enough skilled staff to provide care safely and without rushing people.

    “There were enough skilled and experienced staff to ensure the safety of people who lived at the home.” from the report
  • Kind and respectful care

    Staff took time to understand people and supported privacy, dignity, independence and personal choices.

    “People were treated with kindness and consideration in their day-to-day care.” from the report
  • Personalised support

    Care plans included people's needs, preferences and routines. Staff had time to update records and share information between shifts.

    “Care plans contained a comprehensive assessment of people's individual needs and clearly identified how these should be met.” from the report
  • Activities and community links

    People could take part in activities at home and in the wider community, based on their interests and choices.

    “People had opportunities to take part in various activities and to access the local and wider area.” from the report
What inspectors were concerned about
  • Some capacity records still being updated

    minor

    Although mental capacity arrangements had improved, the detail in some care plans about best-interest decisions was variable and was still being updated.

    “Where people had been deemed to lack capacity for a specific decision of daily living the detail held within peoples care plans was variable” from the report
  • One infection-control practice

    minor

    Inspectors saw one occasion when a staff member did not follow best practice for infection control. A senior staff member addressed this immediately.

    “During our inspection we observed a member of staff on one occasion not adhering to best practice with regard to infection control.” from the report
Questions to ask them, based on this report
  1. 01How do you now record mental capacity assessments and best-interest decisions for each person?
  2. 02How do you check that staff continue to follow infection-control procedures?
  3. 03How will you review staffing levels if my relative's needs or risk of falls change?
  4. 04How will my relative's personal history, preferences and daily routines be reflected in their care plan?
  5. 05How are medicines records checked after the audit found minor recording discrepancies in October 2016?

This was an unannounced follow-up inspection focused on checking action taken after the October 2015 inspection, and it gave ratings for all five areas. This explanation was written from the published report of 21 January 2017 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.

The story over the years

Every inspection of Prideaux Lodge

2 rated inspections over a year: the service has improved, from Requires improvement to Good.

  1. February 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Prideaux Lodge →

  2. January 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Prideaux Lodge →

  3. November 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. September 2014

    Registered with the Care Quality Commission on 1 September 2014.

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.

Next steps

Weigh the report against the rest

Care at home

19 live-in carers within about an hour of East Sussex

These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £1,000 to £1,400 a week. 13 can care for a couple. 10 years' experience on average.

“When he point blank refused to go into hospital for a life saving blood transfusion she talked him through the situation and agreed to go in the ambulance with him and stayed until he was settled.”
Clare S., about Mihaela B.
“Una felt safe, secure and loved in her time with Debbie which is a gift that I am eternally grateful for.”
Tisana S., about Debra S.
See live-in carers near East SussexProfiles, rates and reviews are free to look at.

Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.