Archived: Parkfield House Care Home

Updated 5 August 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 16 May 2017 and was unannounced. The inspection team consisted of two adult social care inspectors and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

At the time of our inspection there were 19 people using the service. During the inspection we spoke or spent time with 11 people who used the service and 6 visitors. We spoke with five care staff, the interim manager, and the manager from another of the provider’s homes, the administrator, the care quality manager and one of the providers. We spent time looking at documents and records related to people’s care and the management of the service. These included quality assurance processes, four staff recruitment files and training records. We looked at six people’s care plans and medication records.

Before our inspection we reviewed all the information we held about the home including previous inspection reports and statutory notifications. Before inspections providers are usually asked to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The provider completed the PIR and returned it to us in a timely manner. We also contacted the local authority contracts and safeguarding team.

Updated 5 August 2017

This inspection took place on 16 May 2017 and was unannounced. The last inspection took place on 20 April 2016 and at that time we found the provider was in breach of Regulation 17; Good Governance. This inspection was carried out to see what improvements had been made since the last inspection. At this inspection we found the provider was in breach of Regulation 12; In safe care and treatment, Regulation 13; Safeguarding service users from abuse and improper treatment and Regulation 17; Good governance.

Parkfield House in Thwaites Brow, Keighley provides nursing care for up to 24 people aged over 65 years. It is a converted house which has 17 bedrooms comprising of eight doubles and nine singles. There are two lounges on the ground floor and one lounge upstairs. The home has a large conservatory overlooking tiered gardens and a patio area. There is a passenger lift for access to the upper level as well as stairs. All food is prepared on the premises and there is a laundry.

At the time of our inspection the service was without a registered manager. The previous manager left in April 2017. In the interim a manager from the provider’s other home is overseeing the service until a new manager can be appointed. 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 told us they felt the service was safe. Staff had a good understanding of safeguarding and knew how to report any concerns about people's safety and welfare. We found safeguarding concerns were being referred to the local safeguarding team and the Commission.

The provider followed a robust recruitment procedure to ensure new staff were suitable to work with vulnerable people. Staff training had improved and the majority of staff were up to date with training on safe working practices. However we found staff supervision was not regular or consistent and appraisals had not been completed this year.

Overall we found people's medicines were managed safely. Although records did not always show when creams and lotions known as ‘topical medicines’ were applied and how often; we were told this issue would be addressed by the interim manager during the inspection.

We found staff were not working in accordance with the Mental Capacity Act which meant people's rights were not always protected.

We found people’s health care needs were met and relevant referrals to health professionals were made when needed.

Although staff generally responded to people’s individual needs; this was not always reflected in people’s care records. People’s care plans and other records required improvement.

People had their nutritional needs met and were offered a choice at every meal time. People were offered a varied diet and were provided with sufficient drinks and snacks throughout the day. People with specific nutritional needs received support in line with their care plan.

A range of activities was offered for people to participate in and people told us they enjoyed these.

There were systems in place to ensure complaints and concerns were fully investigated. The provider had dealt appropriately with all complaints received.

We found some areas of the home would benefit from refurbishment. Equipment were appropriately maintained and we noted safety checks were carried out regularly.

People, relatives and staff spoken with had confidence in the service. We found there were systems to assess and monitor the quality of the service, which included feedback from people living in the home and their relatives.

Although there were quality monitoring systems in place they had not been effective in achieving the required improvements in the service. This showed us that further improvements were still required to the governance systems in place at the home.

In addition to an on-going breach of regulation in relation to good governance (Regulation 17) we found two new breaches of regulations in relation to safe care and treatment (Regulation 12) and safeguarding service users from abuse and improper treatment (Regulation 13).

You can see the action we have asked the provider to take at the back of the full version of this report.