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Inspection Summary


Overall summary & rating

Good

Updated 11 August 2018

Parkhills Nursing Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package. CQC regulates both the premises and the care provided and both were looked at during this inspection. Park Hills Nursing Home is registered to provide care for 17 people. At the time of our inspection there were 16 people living at the home. Parkhills also provides a home care service. This offers a variety of services, including assistance with personal care, support with medicines, help with meals and domestic tasks. At the time of our inspection there were 23 people receiving care from the home care agency. During this inspection we looked at the care provided both at the nursing home and by the home care agency.

Our last inspection of the service was in February 2016. At that inspection we rated the service good overall, although we found one breach of the regulations of the Health and Social Care Act (2008). This was because the service had failed to provide adequate supervision of its care and nursing staff. At this inspection we found improvements had been made and the service was no longer in breach of the regulations. We found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

We have made two recommendations. The first is in relation to the documentation for recording decisions around consent to treatment. The second is in relation to providing meaningful activities/stimulation for people.

The service had a registered manager. 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.

Systems remained in place to help safeguard people from abuse. Staff had a good understanding of safeguarding matters, how to identify signs of abuse and what action to take to protect people in their care.

Risk assessments had been completed to show how people should be supported with everyday risks, such as risks of falls and pressure ulcers. Risk assessments had been completed to identify potential hazards in people’s homes for those people receiving care from the home care agency.

Recruitment checks had been carried out to ensure staff were suitable to work in a care setting with vulnerable people. At the time of our inspection there were sufficient staff on duty in the nursing home to respond promptly to people’s needs. People receiving support from the home care agency told us they received care from a consistent team of care assistants, who were familiar with their needs.

Systems were in place to ensure medicines were managed safety.

The home was well-maintained, clean and decorated to a good standard. There were effective infection control and prevention measures within the service. Checks and servicing of equipment, such as for the gas, electricity, fire-fighting equipment and hoists were up-to-date. The service did not have a Legionella risk assessment. We have asked for this to be carried out.

Staff had undergone training to ensure they had the knowledge and skills to support people safely. All staff received regular supervision. This ensured the standard of their work was monitored and gave them the opportunity to raise any concerns.

The service was working within the principles of the Mental Capacity Act (MCA) 2005 and theDeprivation of Liberty Safeguards (DoLS). However, consent to care and treatment had not always been recorded properly in care files.

People we spoke with were complimentary about the care and support they received fro

Inspection areas

Safe

Good

Updated 11 August 2018

The service remains good.

Effective

Good

Updated 11 August 2018

The service was effective

Staff had received training and regular supervision.

The provider was meeting the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS).

Caring

Good

Updated 11 August 2018

The service remains good.

Responsive

Requires improvement

Updated 11 August 2018

The service was not always responsive.

There was a lack of activities/stimulation for people living at the home.

The service had a system in place for receiving, handling and

responding to complaints. No recent complaints had been

received.

Well-led

Good

Updated 11 August 2018

The service remains good.