Background to this inspection
Updated
26 April 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 Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Parc Vro is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
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. The new provider and manager of Parc Vro had submitted an application to be registered with the Care Quality Commission.
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 relatives, the local authority and professionals who work with the service. We received five e-mails from relatives sharing their experience of the service with us.
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.
We used information gathered as part of monitoring activity that took place on 9 March 2022 to help plan the inspection and inform our judgements.
During the inspection
We spoke with eight people who used the service about their experience of the care provided. We spoke with eight members of staff including the provider, manager, care staff, cook and housekeeper.
We reviewed a range of records. This included two people’s care records and medication records. We looked at 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 spoke with a relative after the inspection visit and received an email from another relative. We received two emails from staff who shared their experiences of working at Parc Vro.
Updated
26 April 2022
About the service
Parc Vro provides accommodation with personal care for up to 15 people. There were 14 people using the service at the time of our inspection. The service is a detached two storey building with an enclosed garden.
People’s experience of using this service and what we found
At the previous inspection we found risks had not been appropriately assessed or managed which meant people were unnecessarily exposed to risk of harm and that some aspects of governance systems were not effective At this inspection we found improvements had been made and risks were appropriately managed and new systems had been implemented to provide a better oversight of the service.
The provider and manager had implemented new electronic systems that covered areas such as care plans, risk assessments and governance systems. Care plans informed staff on how to support people, but further direction would be beneficial. For example, when stating staff would provide ‘reassurance’, it did not direct or guide staff how to provide this. This was discussed with the manager and care coordinator who stated they could see the benefit of expansion. This meant staff who did not know people well would not understand how to meet people’s emotional needs. We made a recommendation about this in the report.
At the previous inspection a new provider and new manager had recently commenced.. They had now been in post for five months and had submitted their application to be registered with the Care Quality Commission.
People, relatives and staff were all positive about the new management team. Comments from relatives included “They are terrific, they keep me informed”. People said they found the new managers approachable and had no concerns. Staff said, “I wouldn’t be here if it wasn’t for the managers.”
People told us they were ‘happy’ living at Parc Vro and their care needs were met by caring and skilled staff. Comments included “It’s fantastic here”, “Staff are so good” and “It’s a lovey home.”
Relatives were complimentary about the care their family members received. Comments included “The staff are exemplary, they go above and beyond in all aspects of care for our family member” and “Our relative summed up her feelings for Parc Vro she told us “ I know this is a care home but it feels like my home.”
Safeguarding processes were in place to help safeguard people from abuse. Medicines were safely managed.
There were processes in place to prevent and control infection at the service, through regular COVID-19 testing, additional cleaning and safe visiting precautions.
There were enough staff to meet people's needs and ensure their safety. Appropriate recruitment procedures ensured prospective staff were suitable to work in the service.
Staff told us that they had received the training they needed to meet people’s needs safely and effectively. The training matrix tracked staff training, and this ensured all staff received the training and updates needed to provide safe consistent care.
Staff were supported in their roles through a plan of supervision. Staff told us they felt supported by senior staff and the manager.
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.
The manager had employed an activities coordinator. People were complimentary about the amount of activities on offer and how much they enjoyed them. People told us “There's enough to do here”. People were supported to access activities within and outside the service. The service had developed positive relationships with the local primary-junior school who visited the service.
The management team maintained oversight of complaints, accidents and incidents and safeguarding concerns. The management team engaged well with health and social care professionals.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection.
The last rating for this service was requires improvement (published 19 October 2020) 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
This inspection was prompted by a review of the information we held about this service.
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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.