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Archived: Parkfields Nursing Home Good

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Inspection Summary


Overall summary & rating

Good

Updated 4 July 2017

Parkfields Nursing Home is registered to provide accommodation and nursing care for up to 49 people. At the time of our inspection 33 people were living there. The inspection took place on 27 April and 4 May 2017 and was unannounced.

There was a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered provider, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We previously inspected Parkfields Nursing Home on 28 and 29 June 2016. At the time of our previous inspection we found improvement had been made and two breaches of legal requirement highlighted in the earlier report were met and we rated the service as requires improvement.

People and their relatives we spoke with were confident improvements had taken place within the home which had resulted in the delivery of better care and support.

Staff told us how they would recognise concerns to people’s safety and were aware of the action they would need to take if people were at risk of harm or abuse. People were supported to remain as independent as possible. Staff were mindful to support people in a way which maintained their dignity and upheld their right to privacy.

Staff had undertaken training relevant to their role and in order to meet the needs of people. Staff were confident they had the skills needed and felt supported by the management team. There were sufficient staff on duty to meet the needs of people who lived at the home.

Risks associated to the care and support of people were assessed and staff were aware of these risks. The registered manager had introduced new systems to ensure accurate records were maintained and was aware further improvement was needed with these

Improvements had been made in the recruitment of staff and the measures taken to ensure staff were suitable to work with people living at the home. We found improvement to the systems in place for the safe management of medicines. The registered manager introduced additional systems to ensure people always received their medicines as prescribed during the inspection process.

People were supported by staff in a kind and caring way. People were involved in planning their care and how they spent their day. Staff were aware of people’s interests and sought to engage people in these to stimulate them. The cultural needs of people were respected and met. Staff sought permission from people before care and support was provided. The registered manager and staff were aware of the importance of gaining consent and were aware of the need to involve other relevant people if looking at people’s best interests. People were confident they could raise concerns if they had any with the management team. Staff spoke highly of the management and of the changes they had brought about.

Inspection areas

Safe

Good

Updated 4 July 2017

The service was safe.

Staff knew how to recognise and report concerns about people�s safety.

Staff were aware of the risks to people's health and welfare and of how these could be reduced.

The registered manager introduced additional audits to ensure people received their medicines as prescribed.

People care needs were met by sufficient numbers of staff.

Effective

Good

Updated 4 July 2017

The service was effective.

People were supported by staff who were suitably skilled and supported to provide effective care.

Staff sought people's consent before supporting them and people were assisted to make their own decisions wherever possible.

People were offered choice of food and drink and were supported to eat and drink sufficient amounts.

Staff monitored people's health and supported people to access health services when required.

Caring

Good

Updated 4 July 2017

The service was caring.

People were supported by staff who were caring and respected their individuality including cultural needs.

People were supported to make choices about the care and support their received which respected and had their independence promoted.

People�s privacy and dignity was respected.

Responsive

Good

Updated 4 July 2017

The service was responsive.

People were supported by staff who knew their needs and preferences well.

People had opportunities to engage in a range of activities which supported their individual hobbies and interests.

People knew how to raise concerns or complaints and the provider had a complaints policy to ensure they were managed.

Well-led

Good

Updated 4 July 2017

The service was well led.

Staff and relative spoke positively about the management and acknowledged improvements had been made in the home.

The registered manager had checks in place and introduced additional ones to monitor the quality of the service so continual improvements were made.