Green Park Care Home

Updated 14 May 2021

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection prevention and control measures the home had in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector, an Expert by Experience and a specialist nurse. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Green Park is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The service did not have a manager registered with CQC. The registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of the inspection, an interim manager had been recruited and the appropriate registration paperwork was in the process of being completed.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. The provider was not asked to complete the required 'Provider Information Return'. We took this into account in making our judgements in this report. All the information we reviewed and received helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with one person who lived at the home, 11 relatives about their experience of the care provided, five members of staff as well as the interim manager, area manager and quality improvement manager.

We reviewed a range of records. Records included eight people’s care records, several medication administrations records and five staff personnel files in relation to recruitment, as well as a variety of records relating to the management and governance of the service, including policies and procedures.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at audit and governance data, as well as infection prevention and control policies and procedures.

Updated 14 May 2021

About the service

Green Park is a ‘care home’ providing accommodation, nursing and personal care for up to 103 older people; some of whom lived with dementia. At the time of the inspection 69 people were living at the home across four different units.

People’s experience of using this service and what we found

Effective governance and quality assurance measures meant that the provision of care was monitored and helped to improve the quality and safety of care being provided. However, we identified that not all units were at the same consistent standard across the home. We have made a recommendation regarding this.

People received care and support that was centred around their individual care needs. Areas of risk were appropriately assessed; the relevant support measures were put in place and people’s overall health and well-being was regularly reviewed. Care records contained updated changes as and when reviews had taken place.

People's care plans and risk assessments contained the most up to date information, which enabled staff to provide a person-centred level of care they needed. People’s level of risk was appropriately reviewed, and the correct support measures and monitoring tools were implemented as a way of keeping people safe.

Safe medication management procedures were in place. People received their medicines as prescribed; staff were fully trained and regularly had their competency levels reviewed. Medication audits were regularly carried out, these ensured that safe systems and processes were well maintained, and any areas of improvement were quickly identified.

Although the home was supported by a large number of agency staff, staffing levels were closely monitored, people received the care and support they needed by staff who were familiar with their support needs. Effective recruitment processes were in place; people received support from staff who had been safely recruited and had undergone the appropriate pre-employment checks.

We were assured that infection prevention and control (IPC) measures were appropriately followed. The home was clean, hygienic and well-maintained. Health and safety measures were in place and the provider ensured that all regulatory compliance certificates were in date.

We received positive feedback about the management of the home. Staff and relatives all expressed they were happy with the level of care being provided and loved ones were well cared for. One relative said, “On the whole we are very happy and would recommend this home because of the staff giving such good service, we cannot praise the home enough.”

Rating at last inspection and update

The last rating for this service was ‘good’ (published June2019).

Why we inspected

We carried out an unannounced inspection of this service to follow up on a number of concerns we had received. We found no evidence during this inspection that people were at risk of harm. Please see the safe and well-led sections of this full report.

Our report is only based on the findings in those areas at this inspection. The ratings from the previous comprehensive inspection for the effective, caring and responsive key questions were not looked at during this visit.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used to calculate the overall rating at this inspection.

We looked at infection prevention and control measures under the 'Safe' key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively

The overall rating for the service has remained ‘good’. This is based on the findings at this inspection. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Green Park 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 our inspection programme. If we receive any concerning information we may inspect sooner.