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Ilford Park Polish Home Good

Reports


Inspection carried out on 21 January 2019

During a routine inspection

About the service: Ilford Park Polish Home is a residential care home that provides personal and nursing care for up to 95 people who qualify for admission under the 1947 Polish Resettlement Act. At the time of our inspection there were 80 people living at Ilford Park.

People’s experience of using this service:

• The service met characteristics of good in all areas.

• The service had safe systems around safeguarding and risk assessment and implemented the least restrictive principle to promote people's safety and rights.

• People and relatives told us staff were kind and caring and they felt well cared for. They could express their views about the service and provide feedback.

• People were treated with dignity and respect.

• People were supported to take their medicines in a safe way, but handwritten changes to medicines records were not always recorded and signed by two members of staff. We made a recommendation to the provider about this.

• People were assisted to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems at the service supported this practice.

• There was enough staff on duty at the right time to enable people to receive care in a timely way.

• The provider had procedures in place to ensure potential staff were suitable to work at the service. We made a recommendation to the provider about reviewing their recruitment policies.

• Staff received appropriate training and support to enable them to perform their roles effectively.

• People's care was personalised to their individual needs. Some care plans, daily records and risk assessments would benefit from further person-centred information to ensure staff had the information they needed to provide responsive care.

• People were supported by staff to maintain good nutrition and hydration.

• We received mixed feedback about the meals provided by the home. Food was discussed at resident’s meetings and the chef regularly met with people. The menus were under review to ensure they reflected people’s choices.

• Staff worked well with external professionals to ensure people were supported to access health services and had their health care needs met.

• The service provided a variety of activities in line with people's interests and encouraged people's involvement.

• The environment was comfortable and was adapted to meet people's needs.

• Management and staff demonstrated a good understanding of and response to people's diverse needs.

• Appropriate governance processes were in place to ensure high quality care.

Rating at last inspection: Good (The date the last report was published was 18 August 2016)

Why we inspected: This was a planned inspection based on the rating at the last inspection. The service remains good.

Follow up: Going forward we will continue to monitor this service and plan to inspect in line with our inspection schedule for those services rated Good.

Inspection carried out on 12 July 2016

During a routine inspection

This unannounced inspection took place on 12th and 13th July 2016.

Ilford Park Polish Home is a care home for older people some of whom may be physically frail or living with dementia. The home provides nursing and residential care for up to 95 people. Ilford Park provides residential and nursing care to former members of the Polish forces, and their spouses, under British command in World War 2. At the time of our inspection there were 78 people living at Ilford Park. The home has retained a strong sense of community and commitment to Polish values and traditions and is affectionately known by its residents, the local community in Devon and Polish organisations as “Little Poland”.

The home had a 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 and associated Regulations about how the service is run.

The home environment was unique and was set up to resemble a polish village community. There were four living areas each with their own communal lounge and “streets”, containing people’s private bedrooms, branching off in each direction. All lounges and streets had Polish names such as Warsaw, Wroclaw and Gdynia. A separate nursing unit branched off from Warsaw area. The living areas and streets were all individually decorated to a high level and were light and airy. The home benefits from beautifully tended gardens for people to enjoy. All bedrooms were pleasantly decorated and all were fitted with a call system and had access to bathroom and toilet facilities.

People who live at the home told us they felt safe, and we found that the provider had a number of systems and processes in place to promote safety. Staff received training in and understood their responsibilities in safeguarding of vulnerable adults.

People had care plans that clearly explained how they would like to receive their care and support. Care plans were regularly updated and amended where necessary to meet peoples changing needs. Care plans included an assessment of people's needs and were written to reflect people's individual preferences and wishes. They told us they had read and understood the care plans and ensured they followed them. We found risks to individuals were well assessed and clear plans were in place to minimise these risks.

We looked at the way in which the home managed people’s medicines. Medicines were stored safely and accurate records were maintained. Staff received regular competency assessment checks to ensure the on-going safe management of medicines. Safe systems were in place to manage medicines so people received their medicines at the right times.

Staff were knowledgeable about people living at the home and understood how to meet their diverse needs. We observed warmth and affection between staff and people who lived in the home. People were treated with dignity and respect.

The service was working within the principles of the Mental Capacity Act and Deprivation of Liberty Safeguards (DoLS). Applications had been submitted to the local authority for assessment and authorisation where necessary. Care plans contained assessments of people's capacity to make decisions in line with the Mental Capacity Act 2005. Where people lacked capacity to make a decision we saw documentation of best interests decisions and who had been involved in making those decisions.

Recruitment processes were robust and thorough checks were always completed to make sure staff were safe and suitable to work in the care sector before they started work at the home. Staff told us they felt supported by the registered manager and they were given appropriate training such as how to support people living with dementia.

We were told by some people that they did not enjoy the food. They told us that the menu did no

Inspection carried out on 14, 15 January 2014

During a routine inspection

People living at Ilford Park told us they were very happy with their care. Comments included �Since I have been here, I have been much better�, �It�s really good here�, �Nothing, in my opinion could be better� and �In my opinion it is very good.�

We were told people were treated respectfully, had agreed to care being provided and been involved in their care. One person said �nobody interferes; I live here peacefully, as I like.�

Relatives were also happy with care at the home. One said they had �more peace of mind� since their family member had moved to the home and that their health had improved.

People were complimentary about the activities arranged by the home and said they could participate or opt out as they chose.

The people we spoke with told us they felt safe living at Ilford Park. People knew who to speak to if they were unhappy about aspects of their care. Care workers had received training in safeguarding vulnerable adults and knew the correct procedures to follow if abuse was suspected.

People told us they thought the staff were �wonderful�, �polite� and �friendly.� One person said �They must have picked some special people to work here.� We saw there was a robust recruitment and induction process in place for staff.

Records management at the home had improved since our last inspection. Care records were now more detailed with further improvements being introduced.

Reports under our old system of regulation (including those from before CQC was created)