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Inspection Summary


Overall summary & rating

Good

Updated 8 January 2019

At the last inspection on 24 and 25 October and 2 November 2017 we found two breaches of regulation. People’s risk levels had not always been sufficiently assessed to fully minimise potential impact on people, quality monitoring systems had not always identified shortfalls in quality and risk management and robust staff recruitment procedures had not always been followed before staff worked with people.

We asked the provider to complete an action plan, which we received, to show us what they would do and by when, to meet Regulation 17 and 19 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and to improve the overall rating of the service.

During this inspection, on 4 and 5 December 2018, we found people’s risks were assessed and reassessed following changes in health and abilities. Staff started work after appropriate recruitment checks had been completed. Quality monitoring processes identified areas for improvement, which were being planned and completed. The breaches in regulation had been met.

The overall rating for the service has improved to ‘Good’.

About the service:

• Park View is a newly built, residential care home, which opened in 2016. It can provide personal and nursing care to 102 people. At the time of the inspection areas of the home were still being commissioned and 69 people in total received care. The home catered predominantly for people who were 65 years and over. Staff supported a wide range of needs which included people who required very little support, to people who were fully dependent and required nursing care. It also supported people who lived with to dementia.

People’s experience of using this service:

• The building and its adaptions helped people with diverse needs live safely and comfortably. The provider had identified that improvements were needed to the areas where people who lived with dementia were supported. We have made a recommendation about seeking current best practice in doing this.

• Risks to people’s health were identified, assessed and action taken to reduce these, or where possible, remove risk altogether.

• The home’s policies and procedures, staff knowledge and practices supported a zero tolerance of abuse or discrimination.

• Some people commented, there needed to be more staff, however, we observed people receiving timely support and call bells were answered without delay.

• Necessary recruitment checks were completed, before, staff started work at the home in order to protect people from those who may not be suitable to care for them. On-going staff recruitment ensured staff with the right skills and knowledge were employed.

• People’s medicines were managed safely and people received help to take these.

• Planned maintenance, servicing and cleaning arrangements kept the environment and equipment safe and clean.

• Infection control arrangements reduced the risk of infection.

• The building was secured but technology allowed people and designated relatives to come and go as they chose.

• People’s needs were assessed before they moved in and re-assessed at intervals, to ensure their care and treatment remained appropriate.

• Staff received training and support to be able to manage people’s needs, preferences and expectations.

• People had good access to health and social care professionals when needed.

• People had a choice in what they ate and drank and their nutritional wellbeing was supported.

• People’s care was planned with their involvement and, where appropriate, with the involvement of those who represented them. Care records were kept up to date so staff and visiting professionals had the right information about people’s needs.

• Care was delivered in a personalised way, respecting individual choice and preference.

• People had access to supported activities and opportunities to socialise but some felt there was not enough. Action had been taken to support more personalised activities.

• People were supported

Inspection areas

Safe

Good

Updated 8 January 2019

The service was safe.

Improvements had been made to how people�s risks were assessed and to the implementation of the provider�s staff recruitment process in order to protect people.

Details are in our Safe findings below.

Effective

Good

Updated 8 January 2019

The service was effective.

The home�s environment provided comfortable, modern living for people with diverse needs. The home had been purpose built with additional adaptions to support these needs. The provider had identified that some improvements to how the first-floor environment was presented were needed so that it could better support the needs of people who lived with dementia.

Details are in our Effective findings below.

Caring

Good

Updated 8 January 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 8 January 2019

The service was responsive.

People were supported to take part in activities and social events. It had been recognised that activities needed to be more personalised to people�s individual needs and preferences and action had been taken to address this.

Details are in our Responsive findings below.

Well-led

Good

Updated 8 January 2019

The service was well-led.

Improvements had been made to the quality monitoring processes in order for necessary improvements to be sufficiently identified and acted on. A plan of on-going improvement was in place to further enhance people�s quality of life and their opportunities.

Details are in our Well-Led findings below.