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Care at Parkside Requires improvement

We are carrying out a review of quality at Care at Parkside. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 30 October 2020

About the service

Care at Parkside is a residential care home providing personal care to 15 people aged 65 and over at the time of the inspection. The service can support up to 24 people.

People’s experience of using this service and what we found

The provider had made improvement in medicine processes. However, improvement was required with medicine records. Medicine care plans were sparse and lacked detail. Best practice guidance for medicines was not always followed.

Staff had an understanding in infection control and had completed the relevant training. The home had increased infection control practises and implemented risk assessments during the COVID-19 pandemic, however not all areas of best practice were considered. We have made a recommendation about the provider implementing best practices in infection prevention and control.

We saw activities taking place and information about people's interests had been gathered as part of the assessment process. However, the information was not always used to develop or inform meaningful activities or opportunities for people. Documentation in relation to activity planning and recording was poor.

Quality monitoring systems were not always robust. Audit systems had not picked up on the discrepancies found during the inspection. Daily recording processes were not effective.

The provider had appointed a new manager who intended to register with the CQC. The manager had started to implement some changes to systems and processes; however the new systems had not yet embedded to make a positive impact.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 22 July 2019) and there was a breach of regulation 12. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found enough improvement had not been made and the provider was still in breach of regulations.

Why we inspected

We undertook this targeted inspection to follow up on specific concerns identified at the previous inspection; in respect of medicines, activities and records. A decision was made for us to inspect and examine those risks.

CQC have introduced targeted inspections to follow up on Requirement Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

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 coronavirus and other infection outbreaks effectively.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified a new breach in relation to governance systems and records.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for 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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 30 October 2020

At our last inspection we rated this key question requires improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Effective

Good

Updated 30 October 2020

Caring

Good

Updated 30 October 2020

Responsive

Requires improvement

Updated 30 October 2020

At our last inspection we rated this key question requires improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Well-led

Requires improvement

Updated 30 October 2020

At our last inspection we rated this key question requires improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.