Archived: Park Manor Limited

Updated 13 July 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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Park Manor Limited 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. Park Manor Limited 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 the Care Quality Commission 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 safeguarding teams. 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 spoke with eight people who used the service about their experience of the care provided. We spoke with and received feedback from 12 members of staff including the registered manager and deputy manager. 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 reviewed a range of records. This included six people's care records and six medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data, policies and procedures.

Updated 13 July 2022

About the service

Park Manor is a residential care home registered to provide personal care to up to 37 older people. There are 19 bedrooms split across three floors in the main house and 12 apartments linked to the home via a corridor. There were 23 people living at the home at the time of inspection

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

Improvements had been made to medicines management within the home and people received their medicines as prescribed. Staff responsible for giving medicines were trained and had their competency assessed to ensure safe practices. Infection control procedures were in place and robust, these had been enhanced due to the COVID-19 global pandemic.

Improvements had been made and the home undertook various audits to ensure safety and quality. There was an overall action plan which demonstrated the home continually sought to improve and develop. Staff morale had improved, however, staff told us they did not always feel appreciated for the work they did. We raised this with the registered manager who told us they would continue to work to improve staff morale.

People told us they felt safe living at Park Manor. People were supported by staff who were knowledgeable and knew them well. Comprehensive risk assessments were in place to ensure staff worked in a safe way and people were protected from avoidable harm. Staff received training in safeguarding people and felt confident any concerns would be taken seriously and dealt with promptly.

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. Where restrictions for people’s own safety were in place the home complied with the law.

Staff were recruited safely, and robust checks were in place. Staffing levels were good, and recruitment was ongoing. Recruitment was challenging as it is with many providers due to the national shortage of health and social care workers in England. Accidents and incidents were reviewed and analysed to prevent reoccurrence.

The home undertook various audits to ensure safety and quality. There was an overall action plan which demonstrated the home continually sought to improve and develop. Involving others and seeking feedback on the quality of care and satisfaction was important to the home. The registered manager understood their role and responsibilities and staff felt proud to work for Park Manor.

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 requires improvement (published 1 October 2019) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 11 and 12 September 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Park Manor Limited on our website at www.cqc.org.uk.

Follow up

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