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Park House Nursing Home Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 29 September 2018

This inspection of Park House Nursing Home took place on 14 August 2018 and was unannounced.

Park House Nursing Home provides, accommodation, nursing and personal care for up to 52 people; some of whom are living with dementia. It is also registered to provide the regulated activity; treatment, disease, disorder and injury. At the time of this inspection there were 47 people living in the service.

At the last inspection on 19 July 2017, the service was rated 'requires improvement' in the areas of safe and well led. At this inspection, we found the service had made improvements under the questions is the service safe and well-led? The service is now rated as good.

Park House Nursing Home 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.

There was a registered manager in post at the time of this inspection. 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.

Care plans did not all provide detailed guidance to staff to ensure that people were receiving the appropriate care at all times. People felt safe and staff knew how to respond to possible harm and how to reduce risks to people. People were looked after by enough staff, who were trained and supervised to support them with their individual needs. Pre-employment checks were completed on staff before they were assessed to be suitable to look after people who used the service.

Lessons were learnt about accidents and incidents and these were shared with staff members to ensure changes were made to staff practices and to reduce further occurrences.

People’s medication was well managed by staff that had received training and have been assessed as competent.

People were looked after by enough staff, who were trained and supervised to support them with their individual needs. Pre-employment checks were completed on staff before they were assessed to be suitable to look after people who used the service.

People’s privacy and dignity was promoted and maintained by staff. People received a caring service as their needs were met in a considerate manner and staff knew the people they cared for well. People were involved in their care and staff encouraged people’s independence as far as practicable. Activities were offered to support people’s interests and well-being. Equipment and technology was used to assist people to receive care and support which included the use of call bells.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. People’s confidential records were held securely.

Systems were in place to promote and maintain good infection prevention and control.

People received a choice of meals, which they liked, and staff supported them to eat and drink. People were referred to health care professionals as needed and staff followed their advice. The registered manager and staff team worked with other health and social care organisations to make sure that people's care was coordinated and person centred.

Compliments were received about the service and complaints investigated, responded to and resolved where possible to the complainants’ satisfaction. Staff worked well with other external health professionals to make sure that peoples end-of-life care was well managed and this helped ensure people could have a dignified death.

Quality monitoring procedures were in place and action was taken where improvements were identified. There were clear management arrangements in place. Staff, people and their relatives w

Inspection areas

Safe

Good

Updated 29 September 2018

The service safe.

Staff understood their roles and responsibilities in safeguarding people.

Risks to people were assessed and managed by staff. Accidents and incidents were recorded and appropriate was action taken and communicated to staff to reduce the risk of recurrence.

People�s prescribed medication was managed safely.

There were enough staff to meet people�s needs in a timely manner.

Effective

Good

Updated 29 September 2018

The service was effective.

Mental capacity assessments and best interests� decisions had been made for people in line with the legal requirements.

People had choice over their meals and were being provided with a specialist diet if required.

People were supported to access the healthcare services they needed.

Caring

Good

Updated 29 September 2018

The service was caring.

People were supported by kind and patient staff who met their individual needs.

People and their relatives were involved in planning their care and staff showed people that they mattered. Visitors were welcomed.

Staff respected people�s privacy and dignity and encouraged people to be as independent as they were able to be.

Responsive

Requires improvement

Updated 29 September 2018

The service was not always responsive.

Records relating to people�s care did not always give staff sufficient information about people�s individual care and support needs.

Activities were arranged and people benefitted from these by having regular social stimulation.

A complaints procedure was in place and complaints and concerns were investigated and resolved to the complainants� satisfaction where possible.

End of life care were discussed with people to ensure their wishes were known.

Well-led

Good

Updated 29 September 2018

The service was well-led.

Quality assurance systems were in place which reviewed the quality and safety of people's care.

People were enabled to make suggestions to improve the quality of their care.

Staff were aware of their roles and responsibilities in providing people with the care that they needed.