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Park House Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 24 March 2020

About the service

Park House is a residential care home providing personal and nursing care to 36 people aged 65 and over at the time of the inspection. The service can support up to 42 people in one purpose built facility.

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

People were not always treated with dignity and respect. Staff were task focussed and did not always put people first.

Risk assessments and care plans didn't always contain up to date, clear information about people's current risks. Staff did not act in accordance with measures put in place to manage risk.

Systems and processes in place to monitor and improve the quality of the service were ineffective. The registered manager had not identified or acted on the issues we found during inspection.

Relatives spoke positively about staff and management. Relatives told us people were safe and they were protected by staff who understood their responsibilities and how to keep people safe.

Appropriate recruitment checks took place before staff started work and there were enough staff available to meet people's needs. Staff received comprehensive training to enable them to carry out their roles effectively. Staff were happy working for the service and felt supported by the registered manager and colleagues.

The home was well equipped, clean and tidy and good infection control practices were being followed. Further work was being considered to make the home more suited to people living with dementia.

People took part in activities they enjoyed and plans were in place to expand the range and times that activities were available. Visitors were welcomed. The home had good relationships with health and social care professionals.

People and their relatives were involved in the planning and delivery of their care, and were asked for feedback which was acted upon appropriately.

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 provider was keen to work in partnership with key organisations including the local authority to improve the service for people. Staff at the service worked with healthcare professionals to ensure good outcomes for people.

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 (published 9 August 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to safety, dignity and respect, and governance of the service.

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 from 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 24 March 2020

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 24 March 2020

The service was not always effective.

Details are in our Effective findings below.

Caring

Requires improvement

Updated 24 March 2020

The service was not always caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 24 March 2020

The service was not always responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 24 March 2020

The service was not always well led.

Details are in our Well-Led findings below.