Park View Nursing Home

At the last inspection, the service was rated Good.

At this inspection we found the service remained Good.

Why the service is rated overall Good:

We found the service was very responsive to people's needs and ensured people were supported in a very thoughtful and personalised way. There were numerous examples of staff going an extra mile and accommodating people’s wishes to maximise their well-being and contribute positively to their quality of life. Staff used reflective practice and learning to enhance people’s lives and incorporated new ways of providing support as a result.

People benefitted from excellent provision of activities at Park View. Staff ensured activities provided enhanced people’s quality of life and impacted on their wellbeing whilst recognising people’s cultural and diverse needs. People were supported by a team that took on a key role in providing opportunities for people that enabled them to form meaningful relationships with the wider community, local schools and community groups.

The team were particularly skilled in providing a compassionate and dignified end of life care and support. The compassionate nature of staff was also reflected in the bereavement support they provided to people’s families. The service worked closely with a number of local health professionals including the local hospice when caring for people that reached the end stage of their life. We received excellent feedback from health professionals that commented on high quality of end of life care provided at the home.

The service continued to be well-led by an experienced registered manager who was supported by the new directors. They worked to established new systems and embed corresponding policies. The team promoted an open and inclusive culture that put people at the forefront of service delivery. The service worked well with external professionals who were very positive about how the service was run.

People remained safe living in the service and there were sufficient staff to meet people's needs. Risk assessments were carried out and plans were in place how to manage these risks. People received their medicines safely and as prescribed. However we found the records around some medicines needed to be improved. The manager told us they would take immediate action to address this.

People continued to receive care from staff that had the right skills and knowledge to support them effectively. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible. People were supported to access health professionals when needed and received food and fluid to meet their nutritional needs.

The service continued to provide support in a caring and compassionate way. Staff respected people’s privacy and treated them with dignity. People were involved in decisions about their care needs and their independence was promoted. People’s confidentiality was respected.

Is the service safe?

Is the service effective?

Is the service caring?

Is the service responsive?

Is the service well-led?

Below is a summary of what we found.

Is the service safe?

Staff rotas took in to account people's care needs. This made sure that there were appropriate numbers of staff on duty with qualifications, skills and experience to meet people's needs.

CQC monitors the Mental Capacity Act 2005 Deprivation of Liberty Safeguards (DoLS) which applies to care homes. The registered manager had made application for DoLS in the past showing us that there were suitable policies and procedures in place.

Is the service effective?

People told us they were involved in the assessment of their needs. Records showed people signed their care records. Where people were assessed as lacking capacity, family members signed on their behalf. Regular reviews with people showed that care plans reflected their current needs.

People had specialist equipment to meet their physical needs For example where people were identified as at risk of developing pressure ulcers they had a pressure relieving mattress.

Is the service caring?

We spoke with six people being supported by the service. People were positive about the care they received. One person told us 'the staff are kind and considerate', Another told us 'it's lovely here, the staff are lovely'.

One staff member told us that staff 'are passionate and genuinely care about residents'

Care was delivered at a pace that met people's needs. We observed staff being kind and attentive, offering choices in a way that showed patience and understanding.

We looked at five care records and saw that people's wishes had been taken into consideration when recording care needs. Records were written in a way that showed respect and dignity.

Is the service responsive?

People we spoke with told us they knew how to make a complaint . One person told us the manager had 'a nice relaxed style which means she is easy to talk to'. One relative visiting the home told us 'I would be happy to raise a concern and there is always someone you can talk to'.

People's views were sought when planning activities. There were group and individual activities taking place during our inspection. for example some people were supported to go out into the grounds.

Is the service well-led?

The service carried out twice yearly satisfaction surveys sent out to all people using the service and their relatives. Records showed positive results and concerns raised were addressed in a timely manner. For example the condition of the garden had been raised as a concern and work had commenced to improve this area.

Monthly quality audits were completed and these were used to identify the priorities for improvements to the service.

Monthly residents meetings were held. Records of the meetings showed that comments made by residents had been acted upon.

We were told that the care and nursing staff were friendly and caring. Several people told us the manager was approachable and friendly and they felt they could raise any concerns or issues they had.

We saw everyone had care plans in place that were personalised and being regularly reviewed. We saw that where needs had increased this had been recorded and the care plan updated accordingly.

We found that the home provided regular activities and entertainment and that this was enjoyed by the people living in the home.

People were happy with the quality and variety of food provided and said they were given sufficient choice. We found that the home took the necessary steps to ensure that where required people's food and fluid intake were correctly monitored.

Staff completed regular training and were able to access advice and information when this was required. We found that not all staff were receiving regular formal supervision from their supervisors.

There were systems and audits in place to check and monitor the quality of care being provided. Regular checks were also completed which minimised and managed the risks to the people living in the home.

Relatives and visitors to the home told us they were always made welcome and the home was always clean. We found the home to be clean and hygienic and free from odours.

We found that the staff were positive about their roles and committed to providing good care and support. Staff told us they were well supported. We found that the home had the correct recruitment procedures in place and the required checks were completed before people started their employment.

We found that the home had systems in place to monitor and check the quality of service that was provided and people living in the home felt able to comment about the care they received. People felt able to raise concerns or make complaints if the need arose and these were responded to appropriately.