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Inspection Summary


Overall summary & rating

Good

Updated 7 June 2016

This was an unannounced inspection, carried out on 14 April 2016.

Parkside Care Home is a residential care home in St. Helens. The service offers accommodation and support for up to 30 older people. There were 26 people living at the service on the day we visited. The building is arranged across two floors with lift, staircase and stair lift access to the upper floor. There are 24 single rooms and three shared rooms. Twenty one rooms have ensuite facilities. Car parking is available at the front of the building.

The registered manager had been registered with the Care Quality Commission (CQC) since January 2011. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The last inspection of Parkside Care Home was carried out in November 2015 and we found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The registered provider had not met the requirements of Regulation 9 Person centred care and Regulation 12 Safe care and treatment and had been served a warning notice for Regulation 17 Good governance. The registered provider developed action plans to address all areas highlighted and these had all been actioned by the day we visited.

People who used the service said they felt safe. Staff knew about the systems in place to protect people from the risk of harm and they also knew how to recognise and respond to allegations of abuse appropriately.

There were sufficient staff on duty to ensure the needs of people were met. Effective recruitment processes were in place and were followed by the service. Staff received on-going training and support to ensure they carried out their role effectively.

Medicines were managed safely and processes in place ensured that the administration and handling of medicines was suitable for the people who used the service. People received care and support from staff that knew them well, and had the knowledge and skills to meet people’s individual needs. People told us staff always treated them well and promoted their choices regarding their care and support. People spoke positively about staff, their comments included, “Staff are supportive and helpful” and “Staff are excellent”.

People’s risks were anticipated, identified and monitored. Staff managed risk effectively and supported people’s decisions, so they had as much control and independence as possible.

The CQC is required by law to monitor the operation of the Deprivation of Liberty Safeguards (DoLS) and to report on what we find. We saw that there were policies and procedures in relation to the Mental Capacity Act 2005 (MCA) and DoLS to ensure that people who could not make decisions for themselves were protected.

People had enough to eat and drink. People were offered drinks and snacks throughout the day. People who were at risk of poor nourishment were regularly weighed. This ensured people’s health and well-being was closely monitored and any changes were responded too.

Staff were patient and friendly and knew people well. Staff interacted well with people and engaged in conversation about things of interest to them.

People’s care and support needs were up to date and reviewed on a regular basis with the person or other appropriate people. Individualised care plans had been developed since the last inspection in November 2015. Staff provided people with person centred care and support.

People were aware of how to make a complaint if required and they told us they would not be worried about complaining if they needed to. People were confident that their complaints would be listened to and acted upon. Complaints reviewed had been followed in accordance with the registered providers policy and procedure.

Systems were in place to regularly check the quality of the service provided and to ensure improvements to the service were made. The registered manager and staff established good working relationships with family members and visiting professionals to the benefit of people who used the service.

Inspection areas

Safe

Good

Updated 7 June 2016

The service was safe.

Staff knew how to recognise and report abuse and potential abuse.

There were sufficient staff on duty to meet people’s needs.

Medication was safely managed and people received their prescribed medication at the correct time.

Effective

Good

Updated 7 June 2016

The service was effective.

Staff received training and support which enabled them to carry out their role effectively.

People were provided with a choice of regular food and refreshments and they received the support they needed to eat and drink.

People were supported by staff that confidently made use of their knowledge of the Mental Capacity Act 2005. People were involved in decisions about their care and support.

Caring

Good

Updated 7 June 2016

The service was caring.

Staff were kind, caring and patient in their approach.

People’s wishes were listened to and acted upon.

People were respected and treated with dignity. Staff took time to speak with people and they understood people’s needs.

Responsive

Good

Updated 7 June 2016

The service was responsive.

People were involved in decisions about their care and support, and they received person centred care and support.

People’s care and support needs were well documented and their needs were met.

People were aware of how to make complaints and voice concerns about the service.

Well-led

Good

Updated 7 June 2016

The service was well-led.

The service had quality assurance systems in place, which ensured that all areas of the service are assessed, monitored and kept up to date.

Incidents and accidents were appropriately recorded and the information was used to facilitate learning and minimise reoccurrences.

We observed a culture of openness and a friendly and warm atmosphere amongst the people who were living at Parkside Care Home.