We carried out a review of the data available to us about Park House Residential Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Park House Residential Home, you can give feedback on this service.
Park House is a residential care home providing personal care to 27 people aged 65 and over at the time of the inspection. The service can support up to 30 people. The inspection took place on 26 September 2019.
The service was housed in an older building over three floors.
People’s experience of using this service and what we found
People told us they were happy with the care they received. It was evident that people were settled and had built good relationships with staff. Relatives told us they were happy with the care given at the home and staff communicated well with them. People were encouraged to maintain their independence as far as possible.
People felt safe and there were enough staff to meet people’s needs. Risks were assessed, and measures put in place to manage them safely. Procedures were in place to recruit staff safely. People were supported with their medicines safely.
We found that staff knew people well and understood the ways in which they liked to be supported. We did however make a recommendation to review care planning and ensure that it included person centred details. End of life care planning was basic and needed further development to ensure plans were fully person centred. The key question of ‘was the service responsive?’ was rated as required improvement.
Staff were positive about their training and support and felt able to discuss any concern or issues with the registered managers. People were supported nutritionally and were able to see the GP when needed. We made a recommendation in relation to the environment of the home to ensure all hazards were managed safely.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The home was well led with two registered managers in place. There was a positive culture within the home and staff were positive about working there. The registered managers were aware of their responsibilities in line with their registration. There were systems in place to monitor the quality of the service provided.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (28 February 2017).
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Park House on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
The registered manager was also the registered provider. This report will refer to them as the registered manager. 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 safe living at Park House and relatives echoed this opinion. People and their relatives were positive about the care they received and praised the staff and management. People and relatives told us staff were kind, attentive and caring. We saw staff were respectful in their interactions with people. Staff sought permission from people before any care or support was offered and personal care was carried out in the privacy of the person's room.
There were sufficient staff to meet people's needs. Staff were not rushed in their duties and had time to chat with people. Throughout the inspection, there was a calm atmosphere and staff responded promptly to people who needed support. The home had robust recruitment procedures and conducted background checks to ensure staff were suitable for their role.
People were supported by staff who could explain what constitutes abuse and what to do in the event of suspecting abuse. Staff had completed safeguarding training and understood their responsibilities.
Staff received appropriate training and support to be able to effectively offer safe care and treatment. Staff understood people's needs and preferences for the way they wished their care to be delivered.
People's care and support plans identified how they wished their care to be given and where potential risks were identified, support and management plans were in place. The home had taken reasonable steps to mitigate the risks to the health and safety of people receiving care. Care records contained up to date guidance for staff to manage the risks associated with peoples care and staff followed this guidance.
People were encouraged to make choices and were involved in the care and support they received. Staff had an awareness of the Mental Capacity Act and Deprivation of Liberty Safeguarding (DoLS) and how to support people within their best interests.
Staff spoke positively about the service provided and the supportive culture at the home. The registered manager had quality assurance and audit systems in place to monitor the care and support people received.
People had opportunities to take part in a variety of social activities and to pursue their hobbies and interests. The home had good links with the local community. The home had a mini-bus that was available to take people out for shop visits and outings, which increased people's independence and opportunities for social activities.
People's care needs were assessed and kept under review to make sure they received care and support, that was responsive to their needs and wishes. Staff monitored people's health to make sure they had appropriate care and treatment when required. People received their medicines safely from staff who had received specific training to carry out the task.
People told us they would be comfortable to make a complaint. They said the registered manager was very open and approachable and they could speak with them about any concerns.
People told us that the food was good. There were daily menus which were rotated every four weeks with a choice of main meal.
We spoke to three staff who demonstrated they knew how to recognise signs of abuse. All care staff had received safeguarding training and were able to tell us who they would contact and what they would do if the felt there was a safeguarding issue.
The provider had a range of measures in place to ensure the quality of service provision was maintained and continually improving.
Care and treatment and support was planned in a way that ensured people's safety and welfare. One person said 'The staff are a great comfort very caring.'
All staff were subject to appropriate checks and references were taken up prior to commencement of employment. Staff were trained to be able to deliver the care and support required by individuals. One person said 'I feel very safe here.'
We spoke to the Manager, staff, people who use the services and relatives present on the day of the site visit. Comments we received were all positive and included 'This is wonderful place to work' and 'This is one of the best places that I looked at and I have not been disappointed in the care my mother had received.'
Staff spoken to had a good awareness of the individuals care and support needs and the importance of treating people with respect and dignity. This was confirmed by the training provided by the provider around respect and dignity and by talking to people who use the services. One person said 'The staff are well trained I was a nurse myself so I can see that they know what they are doing' and 'they always have time to listen even when they are busy.'