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Parc Vro Residential Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 21 October 2020

About the service

Parc Vro Residential Home is a care home that provides personal care for up to 15 predominantly older people. On the day of our inspection 12 people were living at the service. The service is a detached two-story building with enclosed gardens that have been used to facilitate relatives visits during the Covid Pandemic.

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

Risks within the service, as a result of peoples’ support needs, had had not been appropriately identified or mitigated. Where accidents and incidents had happened, necessary investigations had not been completed. This meant the service was unable to identify patterns or trends in incidents or take action to prevent reoccurrences.

The service was short staffed at the time of our inspection and the new manager had recently been regularly working as the service’s cook. In addition, we found there were significant variations in staffing levels between weekdays and the weekends. The service’s dependency tool was confusing, and the provider was unable to explain how current staffing arrangements met people’s needs.

Necessary disclosure and barring service checks had been completed prior to the recruitment of staff. However, we have made a recommendation in relation to the service’s systems for establishing people’s previous employment histories.

People felt safe and well cared for and relatives were complimentary of the quality of care the service provided. Comments received included, “Oh yes I am safe here, and happy. That’s why I am smiling. I have nothing to worry about”, “I feel very spoilt living here. They look after me so well” and “I wouldn’t change a thing. I’ve recommended the home to two people who have gone and viewed and agreed with me.”

Medicines were managed safely, and premises were clean and well maintained. Infection control procedures had been updated in line with Covid-19 guidance to help protect people, visitors and staff, from the risk of infection.

Since our last inspection the provider had stepped back from their role in the day to day leadership to the service and a registered manager had been recruited.

At the time of our inspection the registered manager was absent from the service for an extended period and a new interim manager had been appointed. The new manager had received limited induction to their new role and did not fully understand the service’s systems and procedures.

Quality assurance processes were ineffective as they had not identified that care documents did not provide staff with sufficient guidance on the management of risk.

The provider and new manager accepted the initial findings of the inspection and following feedback, immediately began to take action to resolve the issues identified. Risk management and incident investigation processes were reviewed, and guidance sought from the local authority on current best practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at the last inspection

This service was previously inspected on 3 October 2017 when it was found to be good in all areas.

Why we inspected

We undertook this focused inspection in response to information of concern we had received about staff practices, risk management and the leadership of the service. A decision was made for us to inspect and examine those risks.

Follow up

We will continue to monitor information we receive about the service until we return to check that the issues identified in this report have been resolved. If we receive any concerning information, we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 21 October 2020

The service was not always safe.

Details are in our safe findings below

Effective

Good

Updated 21 October 2020

Caring

Good

Updated 21 October 2020

Responsive

Good

Updated 21 October 2020

Well-led

Requires improvement

Updated 21 October 2020

The service was not always well-led.

Details are in our well-Led findings below.