Park Hall is a residential care home providing personal care to up to 60 people. The service provides support to adults and older people, some of whom may have dementia. At the time of our inspection there were 58 people using the service. Park Hall accommodates people in one adapted building over 2 floors.
People’s experience of using this service and what we found
Quality assurance systems were not robust enough. People did not always have health-specific risk assessments in place. Medicines were generally safely managed, although some ‘as and when’ protocols needed more details. Building safety checks were completed. People and their relatives felt they were safe and protected from abuse. There were enough safely recruited and suitably trained staff. Staff were preventing infections in the home and visitors were supported to come into the home safely. Lessons were learned when things went wrong.
People had care plans in place, but some were not updated to reflect a change in need and actions had not been taken to seek professional input. People’s cultural and religious needs were considered as part of their care planning. Staff were supported through supervisions and meetings. People were supported in line with their dietary needs. The home was clean and well-maintained. Staff supported people in line with other professionals’ recommendations.
Systems in place were not always robust enough to identify errors or to make sure they were acted on in a timely manner. People, relatives and staff felt the home was well-managed. There was a learning culture in the service and an action plan in place to address areas of concern. The home manager was responsive to our feedback and resolved issues both during and after the inspection.
No one was at the end of their life, specific training for staff had been planned around this area of support. People had personalised care plans in place. People’s communication had been considered as part of their care plans. People were supported to participate in activities of their own choice and staff supported people to maintain contact with their relatives. People and relatives were able to raise concerns.
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 caring and respected people’s dignity and promoted their independence. Staff listened to people and their relatives.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us on 10 October 2020 and this is the first inspection. The last rating for the service under the previous provider was good (published on 28 March 2019).
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.
The inspection was prompted in part due to concerns received about staffing and due to the service not having been inspected under the new provider. A decision was made for us to inspect and examine those risks.
We have found evidence that the provider needs to make improvements. Please see the safe, and well-led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
The provider has taken action to mitigate risks by acting on feedback from this inspection during and after the inspection. We will check the effectiveness of this when we next inspect.
We have identified breaches in relation to ineffective monitoring and auditing systems as well as the overall governance of this service at this inspection.
Please see the action we have told the provider to take at the end of this report.
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.