Archived: Pearson Park Care Home

Updated 10 June 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.

Inspection team

1 inspector completed the inspection.

Service and service type

Pearson Park Care Home 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. Pearson Park Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

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 professionals who work with the service. 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 the provider, deputy manager, 2 care workers and 3 people who used the service and 3 relatives. We reviewed a range of records. This included 4 people's care records and multiple medication records. A variety of records relating to the management of the service, including policies and procedures were also reviewed.

Updated 10 June 2023

About the service

Pearson Park Care Home is a residential care home providing accommodation and personal care for up to 24 people, some of whom may be living with dementia and mental health support needs. At the time of inspection there were 14 people living at the service.

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

The provider had made limited improvements at the service since the last inspection and people continued to receive unsafe and ineffective care. Improvements found at the last inspection had not been sustained or embedded. This led to additional breaches in regulation at this inspection.

People were not always treated with dignity and did not receive timely care in line with their needs and preferences. Staff did not recognise when people required assistance and they did not receive appropriate training to support them to deliver effective care. Some improvements had been made to the management of medicines. However, improvements to documentation and the use of topical medicines were still required. We have made a recommendation about this.

The environment continued to require maintenance and areas of the service were not clean or well maintained. Risks to people were not always identified, recorded, or mitigated.

People were not always supported to have maximum choice and control of their lives. However, staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

There was a lack of effective leadership and the provider’s values were not always followed by staff. The provider did not effectively assess areas of safety and quality to ensure people received a good level of care.

For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was inadequate (published 09 February 2023). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made and the provider was still in breach of regulations and continues to be rated inadequate.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection. We undertook a focused inspection to review the key questions of safe, effective, and well-led only. 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 remains inadequate. This is based on the findings at this inspection.

We looked at infection prevention and control measures under the Safe key question. 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.

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

Enforcement and Recommendations

We have identified breaches of regulation in relation to assessing risk, premises and equipment, person-centred care, dignity, staff training and governance. We have made a recommendation about management of medicines.

Full information about CQC's regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Special Measures

The overall rating for this service is ‘Inadequate’ and the service remains in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.