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Archived: The Park Residential and Nursing Home Good

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Inspection report

Date of Inspection: 8 October 2012
Date of Publication: 6 December 2012
Inspection Report - DN published 6 December 2012 PDF


Inspection carried out on 8 October 2012

During a themed inspection looking at Dignity and Nutrition

People told us what it was like to live at this home and described how they were treated by staff and their involvement in making choices about their care. They also told us about the quality and choice of food and drink available. This was because this inspection was part of a themed inspection programme to assess whether older people living in care homes are treated with dignity and respect and whether their nutritional needs are met.

The inspection team was led by a Care Quality Commission (CQC) inspector joined by a practising professional.

We observed that when staff were supporting people when delivering care they treated people with respect and dignity. The registered nurses and care workers were polite and treated people in an appropriate manner. We saw staff were aware of people�s preferred names and used this name when speaking with people.

We saw that one of the registered nurses and the majority of care workers were not particularly attentive when they were supporting individual people with their meals. For instance talking with them whilst supporting them to eat or drink and explaining what food was on their plate.

Staff were not attentive to people's needs. They did not recognise how one person's behaviour at the dining table impacted on other people, or see that people could not reach their meals comfortably as they were sat too far away from the table.

We saw that people were not supported to have sufficient food and drink. Two people left the dining room after lunch having not been offered a drink with their meal. No one was offered an alternative meal or snack if they did not eat their main meal.

Relatives and people spoken with did not raise any concerns about living at The Park or about the care they received. Staff had a good understanding of the forms of abuse people would need protecting from. Staff told us what action they would take if they witnessed any abusive practices and would �always report incidents to the nurse in charge or the manager.�

We asked people if they thought there were enough staff to meet their needs. People did not raise any concerns that their needs were not responded to at any time. We spoke with three care workers about staffing levels.

They told us they felt the staffing levels were sufficient to meet people�s needs as long as everyone was doing their job properly. They explained that this meant not taking additional breaks during the shift. The registered nurses told us they felt that the staffing levels for care workers were not adequate, and they had raised their concerns regarding this.

People were asked if staff spoke with them about their care needs. They told us staff did not speak with them about their care needs and they had not seen their care plans. They did not express any concerns about this. One person told us they hadn�t seen their relative�s care plan but they weren�t concerned about this, as they knew what care was being delivered and were satisfied with this.

Care records and food and fluid diaries were not accurate and up to date. Several care records did not have up to date care plans and feeding regimes for people who required supporting with maintaining adequate nutrition.