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Inspection Summary


Overall summary & rating

Good

Updated 8 August 2018

This inspection took place on 30 April 2018 and was unannounced. This meant no-one at the service knew we were planning to visit.

At our last inspection we rated the service good with one breach of regulation of the Health and Social Care Act 2008 (Regulated Activities) 2014; regulation 17, Good Governance. This was because people living at the service had not been protected against the risks of inappropriate or unsafe care or treatment because the registered provider did not have effective systems to monitor the quality of service provision. At this inspection we found the registered provider was no longer in breach of regulations. 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.

Park House Residential Home 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. Park House Residential Home is a care home providing accommodation and personal care up to 20 older people. There were 13 people living at Park House Residential Home at the time of this inspection.

There was a registered manager employed at the service. 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.

People spoken with were very positive about their experience of living at Park House Residential Home. They told us they were happy, felt safe and were respected.

Staff recruitment procedures were in place. The registered provider ensured pre-employment checks were carried out prior to new staff commencing employment to make sure they were safe to employ. We have made a recommendation about the completion of a risk assessment for one staff member employed at the service, to ensure they were of good character and promote people’s safety at the home.

Staff had the necessary skills and understanding to support people to evacuate safely in the event of a fire. We found the service’s fire risk assessment was five years old and therefore recommended the registered provider review the risk assessment, so that changes in legislation and guidance can be taken into account. After the inspection, we received confirmation from the registered provider that the fire risk assessment was to be reviewed by an external company specialising in fire safety.

People’s care records contained detailed information and reflected the care and support being given. We found some care reviews had been missed in records we checked. After the inspection, the registered provider submitted an action plan to the CQC to review everyone’s care records.

The registered provider had a complaints procedure and kept a record of any concerns received. We have made a recommendation about recording completed actions once a complaint is received, to evidence when they have followed their complaints procedure.

There were systems in place to monitor and improve the quality of the service provided. Regular checks and audits were undertaken to make sure full and safe procedures were adhered to. We have made a recommendation about the completion of infection control audits.

We found systems were in place to make sure people received their medicines safely so their health needs were met. Medicine protocols were in place to guide staff when to administer medicines prescribed on an ‘as and when’ basis to meet people’s health needs.

Staff were provided with relevant training,

Inspection areas

Safe

Good

Updated 8 August 2018

The service remains Good.

Effective

Good

Updated 8 August 2018

The service remains Good.

Caring

Good

Updated 8 August 2018

The service remains Good.

Responsive

Requires improvement

Updated 8 August 2018

The service was not always responsive.

Staff understood people’s preferences and support needs. People’s care plans contained a range of information to ensure the care delivered was person-centred. We identified missing reviews of care records, although this had no identified impact, people were put a risk of not receiving person-centred care.

People living at the home were confident in reporting concerns to the manager and felt they would be listened to. We have made a recommendation about recording completed actions once a complaint is received, to evidence that the complaints procedure had been followed.

There was a range of activities available at Park House. People were supported to maintain their hobbies and interests.

Well-led

Good

Updated 8 August 2018

The service was Well-Led.

Audits were carried out regularly, which identified required improvements. We made a recommendation about the completion of infection control audits to promote people’s safety and wellbeing.

Staff were clear about their roles and responsibilities.

The service promoted a positive and open culture, where staff and people living at the home had confidence in the registered manager.