5 January 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 19 and 20 November 2018 and was unannounced. The inspection was completed by two inspectors.
During the inspection process the local authority care commissioners were contacted to obtain feedback from them in relation to the service. We referred to previous inspection reports, local authority reports and notifications. Notifications are sent to the Care Quality Commission by the provider to advise us of any significant events related to the service, this is a legal requirement. As part of the inspection process we also look at the Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We had received the PIR for Parkside and used this to help inform our inspection plan. During the inspection we spoke with 10 members of staff, including, two RGNs, one activities co-ordinator, two care workers and four of the staff from the senior management team. We spoke with 10 people who are supported at the service, in addition to two relatives.
Care plans, health records, additional documentation relevant to support mechanisms were seen for eight people. In addition, a sample of records relating to the management of the service, for example staff records, complaints, quality assurance assessments and audits were viewed. Staff recruitment and supervision records for eight of the newly appointed staff were looked at. As part of the inspection process we completed observations during lunchtime, as well as interacting with people over the inspection process. We reviewed 15 medicine records across all three floors.
5 January 2019
Parkside is residential care home for up to 72 people, that provides a service to both older and younger adults, and people who may have physical disabilities. The service is registered to provide accommodation in addition to personal and nursing care to people. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The home offers 72 en-suite bedrooms and multiple communal rooms, kitchenettes, dining rooms and additional bathrooms across three floors. A spacious rear garden further offers additional space for people to use. All floors are accessible by an operating lift and stairs.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
At this inspection we found the service remained Good.
Why the service is rated good
The service continues to keep people safe. Recruitment procedures and staff deployment ensured that sufficient staff are employed to support people and help keep them safe. Risk assessments continued to consider least restrictive options to enable people to continue engaging in activities that they appreciate and brings them joy.
Medicine management continued to be provided in a safe way, with audits illustrating that people received their medicines in a timely way and how they wished. Medicines were stored correctly, and ordered to ensure that people were not without their medicines at any point.
Staff training was kept up to date, and a plan was being actioned to ensure appropriate supervisions and appraisals took place that allowed reflective practice.
People's needs were assessed initially upon admission, and thereafter reviewed monthly to ensure care was the most appropriate. People were encouraged to personalise their rooms in a style that they preferred, with furnishings that brought a personal touch to their rooms.
People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible. This included making decisions about their care, food choice as well as activities. The policies and systems in the service supported this practice.
Staff approach remained caring. People were supported by a staff team that knew them well, and ensured they enabled them to maintain their independence, and retain things important to them. Where care support was required, people's dignity and privacy was maintained. People communicated in their preferred way, with records clearly highlighting this.
The service continued to focus on the delivery of person centred care. Care plans were written for people, detailing how they wished to be supported. Activities, both in-house and external were responsive to peoples preferences. With specific activities created for people to enhance their well-being.
The service continued to be well-led. There was a clear vision and direction from the senior management team that reflected on staff practice. A new manager had been appointed who was in their induction process. Whilst new to the service, they hoped they could bring their expertise forward to ensure the service continued to progress in the right direction. An open door policy was practiced, whereby staff were able to approach the management team and discuss any issues.
Good community links were created, and the service worked efficiently with visiting health professionals. The service continued to have good governance and reflective practice, ensuring compliance with the regulations.
Further information is in the detailed findings within the report.