Archived: Green Park Nursing*

Updated 30 November 2015

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 22 September 2015 and was carried out by one adult social care inspector and a specialist nurse advisor. The inspection was unannounced.

Before the inspection, the provider completed a 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 gathered more information we needed during the inspection visit. We also reviewed the information we held about the service, such as notifications we had received from the registered manager. A notification is information about important events which the service is required to send us by law. We planned the inspection using this information.

On the day of the inspection we spoke with six people who lived at the home, the manager and five members of staff. After the inspection we spoke with two health care professionals and one social care professional.

We spent time observing the interaction between people who lived at the home and staff.

We looked at some areas of the home, including some bedrooms (with people’s permission), bathrooms, communal areas and office accommodation. We also spent time looking at records, which included the care records for seven people. We looked at the recruitment, supervision and appraisal records of three members of staff, a full staff training matrix and other records relating to the management of the home.

Updated 30 November 2015

This inspection took place on 22 September 2015 and was unannounced. Green Park Nursing Home is registered to care for up to 30 older people with nursing needs. There is a passenger lift to assist people to the upper floors and the home is located close to a pleasant park area and transport links. On the day we visited the service there were 13 people living at the home.

The home did not have a registered manager in place.The home had been without a registered manager since 7 May 2014. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, 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. However, the home did have a manager who had been in post since June 2015 and who was completing the application form for registration with CQC.

At the last inspection on 14 January 2015 we found that there were breaches of four regulations. The provider sent us an action plan, outlining how they would meet the relevant requirements and in what timescale. When we visited the service, the timescales for completion had all been reached.

At our last inspection 14 January 2015, we found that the registered person had not protected people against the risks associated with insufficient staffing. This was in breach of regulation18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

At this inspection there were sufficient staff to care for people safely. This was no longer a breach of the regulation.

At our last inspection 14 January 2015, we found that the registered person had not protected people against the risks associated with inadequately supervised staff. This was in breach of regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

At this inspection people were cared for by staff who were supervised and supported in their role. This was no longer a breach of the regulation.

At our last inspection 14 January 2015, we found that the registered person had not protected people against the risk of insufficient involvement in decisions about their care or assessment of their mental capacity. This was in breach of regulation 11 of the Health and Social Care Act 2008 (Regulated activities) Regulations 2014.

At this inspection improvements had been made. People were involved in their care which was provided with regard to their mental capacity. We saw evidence that decisions were made in people’s best interests including a multidisciplinary approach in line with the requirements of the Mental Capacity Act 2005. However some people who required mental capacity assessments did not have these in sufficient detail to guide staff clearly. While this was no longer a breach of the regulation we have made a recommendation about this.

At our last inspection 14 January 2015, we found that the registered person had not protected people against the risks associated with receiving sufficient fluids and receiving appropriate pressure care. Also the environment was not sufficiently adapted to caring for people living with a dementia related illness. This was in breach of regulation 9 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

At this inspection people were protected against the risks associated with receiving sufficient fluids and receiving appropriate pressure care. They received the clinical care they required in these areas and records of monitoring had improved. Staff and people they supported reported they were afforded the time to offer this care effectively. This was no longer a breach of the regulation.

Some improvements had taken place in providing items of interest and stimulation for people, including those who were living with dementia. This was no longer a breach of the regulation. However, although the manager had carried out research into this area, they had not yet addressed the need for signage to support people living with dementia. We have made a recommendation about this.