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Inspection Summary


Overall summary & rating

Good

Updated 21 February 2019

This inspection took place on 15 and 16 January 2019. At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Parkview Nursing Home provides accommodation with nursing and personal care for up to 88 older people, some of whom have dementia. At the time of this inspection there were 77 people using this service. Accommodation is provided over three floors with two modern lifts enabling access around the building. There were large communal lounges on each floor and dining rooms that were also used to provide day care during the week. The garden was well maintained and accessible for people.

Staff knew how to keep people safe and demonstrated a good knowledge of how to recognise abuse. Risk assessments were developed to minimise the potential risk of harm to people during the delivery of their care while still encouraging people to be as independent as possible. There were systems in place for the safe storage, administration and recording of medicines. Staff were recruited safely with appropriate checks on their backgrounds completed. All staff completed an induction programme and on-going training was provided to ensure skills and knowledge were kept up to date. All areas of the service were clean and well maintained. Cleaning schedules were in place and staff had access to personal protective equipment when required.

People’s needs were assessed and met by trained, supervised and appraised staff. People’s mental capacity was assessed and supported. People ate well and staff supported them to access healthcare services as necessary.

People and relatives told us staff were caring and kind. Staff respected people’s privacy and dignity and promoted their independence. People and staff shared positive relationships and visitors were made to feel welcome at the service.

Staff were responsive to people’s changing needs. People’s healthcare needs were detailed in their care plans. People engaged in a range of activities made available at the service. The provider managed complaints appropriately. Staff ensured that people were cared for compassionately at the end of their lives and in line with their preferences.

The service was committed to improving the robustness of its quality assurance processes so that action was taken where shortfalls were identified. Staff felt supported by the registered manager and encouraged to share their views regarding improvements to the service. The provider sought and responded to feedback from people and relatives and made information available to them. People benefitted from the provider’s partnership working with external organisations.

Inspection areas

Safe

Good

Updated 21 February 2019

The service remains ‘good’.

Effective

Requires improvement

Updated 21 February 2019

The service was not always effective because people’s social care needs and choices were not consistently assessed.

Staff were supported to meet people’s needs with training, supervision and appraisals.

People chose what they ate and received the support they required to meet their assessed dietary and nutritional needs. Where people required support to eat this was stated in care records and followed by staff.

Staff supported people to access the healthcare services they needed to maintain their health.

Staff were aware of their responsibilities in relation to the MCA and Deprivation of Liberty Safeguards (DoLS).

Caring

Good

Updated 21 February 2019

The service remains ‘good’.

Responsive

Good

Updated 21 February 2019

The service remains ‘good’.

Well-led

Good

Updated 21 February 2019

The service remains ‘good’.