• Care Home
  • Care home

Archived: Abbey Park House

Overall: Inadequate read more about inspection ratings

49-51 Park Road, Moseley, Birmingham, West Midlands, B13 8AH (0121) 442 4376

Provided and run by:
Abbey Park House

Latest inspection summary

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Background to this inspection

Updated 11 July 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector and one assistant inspector on the 04 June 2019 and one inspector on 05 June 2019.

Service and service type

Abbey Park House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager but was not registered with the Care Quality Commission although the provider was registered. This means the provider is legally responsible for how the service is run and for the quality and safety of the care provided. There has not been a registered manager in post since November 2018.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the Local Authority, professionals who work with the service and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection

We spoke with six people who used the service about their experiences of the care provided. We spoke with seven members of staff including the nominated individual, senior care workers, care workers and the chef. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Overall inspection

Inadequate

Updated 11 July 2019

About the service

Abbey Park House is a residential care home providing personal care to 16 people aged 65 and over at the time of the inspection, some who were living with dementia. It does not provide nursing care. The service can support up to 28 people.

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

Risks to people's health, wellbeing, safety and the environment were inadequately managed, and people were placed at risk. Some people had not received their medicines as prescribed. Staffing levels were not always sufficient to meet people's assessed needs and level of support. There were continued concerns with staff practices and the environment regarding infection prevention and control.

The provider did not ensure staff had the skills, training, knowledge or experience to meet the individual needs of people. People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the provider’s policies and systems did not support good practice. The environment did not meet people’s needs and well-being. People shared mixed views about food. People told us they had access to health professionals when needed.

People did not receive a service that was caring and individual to them. People were not treated in a consistently respectful and dignified manner and the care and support they received did not consider their past lives, feelings and aspirations.

People did not receive personalised care which met their needs. Staff did not know what people’s needs were and how support should be provided. People did not have the opportunity to undertake interesting and stimulating recreational activities they enjoyed. People, however, told us they felt confident to raise a complaint.

Leadership within the home was inadequate and had failed to ensure positive outcomes for people who lived there. The registered provider’s systems failed to ensure people received the care and support they needed and had failed to monitor the quality of the service and ensure people were protected from harm. The provider had not taken sufficient action to address many of the concerns we highlighted in our previous report.

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

Rating at last inspection (and update)

The last rating for this service was Inadequate (published 05 December 2018) and there were multiple breaches of regulation. The service was placed in Special Measures. We placed conditions on the provider’s registration which required them to send us monthly reports. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

This service has been in Special Measures since October 2018. At this inspection enough improvement had not been made and the provider was still in breach of regulations. The service remains as Inadequate overall. Therefore, this service remains in Special Measures.

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence that the provider needs to make improvements. Please see the safe, effective, caring, responsive and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Abbey Park House on our website at www.cqc.org.uk.

Enforcement

We have identified continued breaches in relation to safe care and treatment, dignity and respect, person-centred care, staffing and good governance at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

The overall rating for this service is ‘Inadequate’ and the service remains in ‘special measures’. Services in special measures are kept under review. Following the inspection, we took urgent action to ensure people were not exposed to ongoing risk of harm. At the time of the publication of this report, our action had been completed and there were no longer any people living at the service which is now closed. Therefore we will had not taken any further enforcement action.

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