Queens Park Care Home

Updated 7 January 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.

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 2 inspectors.

Service and service type

Queens 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. Queens 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.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. A new manager had been in post for 3 months and had submitted an application to register. We are currently assessing this application.

Notice of inspection

This inspection was unannounced. Inspection activity started on 6 December 2022 and ended on 8 December 2022. We visited the service on 6 December 2022.

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. 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.

During the inspection

We spoke with 2 people who live at the service about their experience of the care provided. We spoke with 6 members of staff including the manager, 3 care staff, the cook and the housekeeper.

We reviewed a range of documents and records. These included 5 people's care records, multiple medication records, staff personnel records relating to recruitment, training, and supervision, and records relating to the management of the service.

Updated 7 January 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people

respect, equality, dignity, choices and independence and good access to local communities that most

people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make

assessments and judgements about services supporting people with a learning disability and autistic people

and providers must have regard to it.

About the service

Queens Park Care Home is a residential care home providing accommodation for people who require personal or nursing care for to up to 16 people. The service provides support to people with a learning disability, autistic people and people with physical health needs. At the time of our inspection there were 10 people using the service.

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

Right Support:

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. Staff were recruited safely and there were enough staff to support the needs of people living at the service. Staff had received training to ensure they were skilled and knowledgeable to effectively meet people's needs. People were supported to maintain their independence. People were supported to personalise their rooms and there were communal areas that people could use. People and staff told us the manager was approachable and listened when they had concerns.

Right Care:

There was a relaxed atmosphere in the home. Where people required support with personal care this was provided with dignity and privacy. People were given choices about the way in which they were cared for. Staff listened to them and knew their needs well. People received their medicines safely. The service worked in partnership with other healthcare professionals to maintain positive outcomes.

Right Culture:

Staff encouraged people to be as independent as possible and respected people's privacy and dignity. We saw staff had formed good relationships with people they supported. People were provided with the opportunity to make suggestions and feedback on their experience, which was taken into account to improve the service. People were protected from the risk of abuse. Risks were assessed and managed effectively. The management team were new to the service and had made improvements since the last inspection. Audit systems had improved but still needed to be embedded and sustained.

Overall the service is meeting 'right support, right care, right culture'. We are aware this is a large service supporting up to 16 people and therefore is larger than good practice guidance suggests.

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 inadequate (published 6 October 2022) and there were multiple 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.

This service has been in Special Measures since 15 July 2022. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last 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.

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 inadequate to requires improvement based on the findings of this inspection.

Follow up

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