The Care Quality Commission

Archived: Park View Residential Care Home

70-72 Peverell Park Road, Peverell, Plymouth, Devon, PL3 4NB (01752) 669541

Provided and run by:
Ashley Residential Care Limited

All Inspections

25, 28 June 2013

During an inspection in response to concerns

We carried out two unannounced inspections due to receiving concerns from the local authority about staffing issues and the home's inability to provide people with enough food to meet their needs in light of a food supplier not supplying the home due to outstanding payment. This had meant that the local authority had to subsidise the home on 21 June 2013 to enable basic food items to be purchased.

We spoke with six people living at the home, one relative, five members of staff, which included the unregistered manager and two visiting health and social care professionals. We also attended a meeting with the local authority on 28 June 2013.

People we spoke with commented: 'I have plenty to eat, I never go hungry', 'I probably eat too much' and 'I have no complaints about the amount of food provided to me."

During our visit on 25 June 2013 it was confirmed that the local authority were in the process of moving people out of Park View Residential Care Home to placements where it could be assured that their needs could be met. As a result some regular staff said they were leaving because of the situation. The local authority was then tasked with covering staff shortfalls within the home to ensure that people received care to meet their needs.

We wrote to the provider on 25 June 2013 asking for any documents, information or records they had that showed they had taken all reasonable steps to ensure the financial viability of Park View Residential Care Home.

10 May 2013

During an inspection looking at part of the service

We carried out an unannounced inspection on 10 May 2013 to follow up on the compliance actions set at our previous visits on 12 February 2013 and 28 February 2013. The provider had not provided us with an action plan. During our visit we found that improvements had been made.

On the day of our visit we were told that there were 14 people living at Park View Residential Care Home. We spoke with six people, four staff members and the unregistered manager following our visit. We looked at four people's care files in detail, observed care and reviewed information provided to us by the unregistered manager.

We saw evidence of the home working in cooperation with others to ensure that appropriate care planning took place.

Evidence showed that the unregistered manager and their staff had taken the concerns about the premises seriously to ensure that people were cared for in an environment which was safe.

We saw evidence that the unregistered manager and their staff were making progress in monitoring the quality and safety of the service. The unregistered manager recognised that they still had work to do.

Care records were now stored securely in order to protect people's confidentiality.

24 April 2013

During an inspection looking at part of the service

We spoke with two people living in the home who told us they were happy with the way medicines were given to them. We found that improvements had been made to the way medicines were handled in the home, and were still being introduced, but these changes had not yet been fully implemented.

12, 28 February 2013

During an inspection looking at part of the service

We carried out an unannounced out of hour's inspection on 12 February 2013 to follow up on the compliance actions set at our previous visit. The provider had not provided us with an action plan. We carried out a further visit on 28 February 2013 after receiving information of concern about medication management within the home.

We were told there were 15 people currently living at the home. We spoke with 13 of the 15 people living at the home, two relatives and three members of staff. We spent time observing the interactions between staff and people living at the home, looking at six people's care files and medication records and touring the building and its outdoor space. Following our visit we asked the provider for additional information about how they ensured the quality and safety of the service being provided to people.

People we spoke with informed us that their care and welfare needs were being met.

People were not protected against the risks associated with medicines.

We toured the rear of the building and found two access gates to the back lane both unlocked and one open. There was no security light or any other lighting available in this area. This posed a security risk to people living in the home.

People did not express any concerns about the home's recruitment process.

People's records were not accurate, which could place them at risk of receiving inappropriate or unsafe care.

1 November 2012

During an inspection in response to concerns

We carried out an unannounced out of hours inspection on 1st November 2012 in response to receiving concerning information about people's needs not being adequately met and insufficient staffing levels and competencies to meet the diverse and complex needs of the people living at Park View. We spoke with five people living at the home, four staff members (two day staff, one night staff and one sleep-in staff) and looked at four people's care files. Prior to our visit and afterwards we reviewed information received from relevant health and social care professionals. Following our visit we asked the provider to send us additional information about how they ensured the quality of the service being provided to people.

15 May 2012

During an inspection looking at part of the service

We carried out this inspection on 15 May 2012 to follow up on the issues raised at our earlier inspection on the 26 March 2012. Ashley Residential Care Limited provided us with an action plan on how they were going to improve the service at Parkview. During our visit we saw that improvements had been made.

People we spoke with informed us that their care and welfare needs were being well met. Comments included:

'The staff are very good.'

'It is excellent here, been here since 2008 and have no concerns.'

'I feel safe here, no reason for concern.'

'Call bells are answered promptly.'

'I am being supported to mobilise regularly, its precautionary to make sure I do not get a pressure sore.'

During an earlier inspection on 26 March 2012 we found that people's care needs were not being adequately assessed, planned and at times met. In response to these concerns the provider sent us an action plan about how they were going to make improvements. The action plan detailed how the home would review all people's care plans and liaise with the local authority to ensure completeness and accuracy. During our visit on 15 May 2012 we found care plans were detailed and reviewed on a monthly basis or in response to changing needs.

People we spoke with informed us that their food and fluid intakes were being met and appropriately monitored by the staff working at Parkview. Comments included:

'I am offered plenty of fluids and always have a jug of juice near me.'

'The staff make sure I eat regularly and monitor my weight.'

'I like the food here and the staff know what foods I like.'

People we saw and spoke with confirmed that they felt safe and supported by staff at Parkview. They had no concerns about the ability of staff to respond to safeguarding concerns. They felt that their human rights were upheld and respected.

People we spoke with felt that their care and welfare needs were met in a timely way. No-one voiced concern that there were insufficient staffing levels.

People we spoke with confirmed that Parkview sought their views about the quality of the service they received and that this information was sought from various resident meetings.

26 March 2012

During an inspection in response to concerns

This review was carried out in response to concerns that were raised about the service's delivery of support for people's hydration and nutrition and the care of people's skin pressure areas.

On the day of our visit there were 13 people receiving a service from the home. We walked around the home, spoke to three people that used the service and one person's relative, and spoke with the staff on duty. We also spoke with social and health care professionals before, during and after our visit to gain further information about the quality of the service being delivered.

People we spoke to during our visit were complimentary about the staff that worked at the care home. We saw the helpful and considerate way in which staff members interacted with people. One person told us that the staff were 'friendly and caring'. However a relative of one person that used the service told us that the staff were doing their best but that there were not enough staff on duty to meet the needs of all the people that lived at the home.

Some people's needs were not being adequately met by the service. We saw evidence that: people that needed to be moved to maintain their skin condition were not being moved appropriately, people with confusion due to dementia had not been adequately supervised to keep them safe, and that people's continence needs were not being met.

Some people that were at high risk of malnutrition and dehydration were not being adequately supported by the service to eat and drink enough to maintain their health.

The home's planning and recording of people's care, specifically people's hydration, nutrition and care of skin pressure areas, was not adequate to manage these issues so that people's needs were met effectively.

We found that due to the needs of the people living at the home the number of care staff on duty could not meet the needs of all the people that lived at the care home at all times.

The management of the home and provider of the service had not effectively monitored or acted to ensure that the service being delivered at the home was meeting peoples' care needs.