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Parklands Lodge Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 February 2020

About the service

Parklands Lodge is a care home providing personal and nursing care to 37 people aged 65 and over at the time of the inspection. The service can support up to 70 people. The home is purpose built over four floors. All but one floor support people living with dementia.

People’s experience of using this service

Improvements had been made in accordance with the provider’s action plan and the breaches of regulations found at the last inspection had been met.

Risk in relation to; completion and maintenance of records, development of individualised care plans, and meeting the requirements regarding peoples consent to care, had been reduced.

People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems to support this had improved. There was still a need for managers and staff to fully evidence clear, consistent, assessments for individual key decisions for people who lacked the ability to consent to care.

We made a recommendation regarding this.

The managers and the staff that we spoke with demonstrated their commitment to providing high-quality, person-centred care. Comprehensive care records reflected an improvement to people’s level of individualised care. People’s feedback regarding care and their level of involvement also reflected this improvement.

The key parts of the provider’s action plan, developed following our last inspection, had been met; these included improved electronic care records and documentation. The recruitment of new staff had supported a more consistent level of care for people.

People living at Parklands Lodge, relatives and staff were informed of any changes and encouraged to contribute to discussions.

Rating at last inspection and update

The last rating for this service was requires improvement (published 30 September 2019). There was a breach of regulations relating to records and personal care. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service in May 2019. A breach of three legal requirements was found. We issued a notice for one of these breaches and told the provider to improve. The provider completed an action plan after the last inspection to show what they would do and by when to meet these statutory requirements and improve care and treatment.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Effective, Responsive and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those Key Questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has not changed and remains Requires improvement.

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

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

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

Inspection areas

Safe

Requires improvement

Updated 30 July 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 11 February 2020

The service was not always Effective

Details are in our Effective findings below.

Caring

Requires improvement

Updated 30 July 2019

The service was not always Caring.

Details are in our Caring findings below.

Responsive

Good

Updated 11 February 2020

The service was Responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 11 February 2020

The service was well led

Details are in our Well led findings below.