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Reports


Review carried out on 9 September 2021

During a monthly review of our data

We carried out a review of the data available to us about Park Riding on 9 September 2021. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Park Riding, you can give feedback on this service.

Inspection carried out on 13 July 2018

During a routine inspection

At the last inspection on 23 November 2015 we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The inspection of Park Riding took place on 13 July 2018 and was unannounced. Park Riding is a family owned residential care home situated close to the town centre of Holmfirth in West Yorkshire. It provides personal care and accommodation for up to 16 people. On the day of our visit 15 people were using the service.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The consent of the relevant person was usually recorded. However decision specific mental capacity assessments and best interest decisions had not been recorded for a small number of people whose health had deteriorated, and they may now lack the mental capacity to make their own decisions. We made a recommendation about this. The registered manager sent us evidence this was being rectified following our inspection.

People told us they felt safe. Risk assessments were individual to people’s needs and minimised risk whilst promoting people’s independence. Robust emergency plans were in place in the event of a fire or the need to evacuate the building.

Incidents and accidents were analysed and action taken to prevent future risks.

Staff had a good understanding of how to safeguard adults from abuse and sufficient staff were on duty to provide a good level of interaction.

Safe recruitment and selection processes were in place. A system was in place to ensure medicines were managed in a safe way for people.

Staff told us they felt supported and records showed they had received role specific training and regular supervision and appraisal to fulfil their role effectively.

People’s individual nutritional needs were met and people were supported to access a range of health professionals to maintain their health and well-being.

The service worked in partnership with community professionals and used good practice guidance to ensure staff had the information they needed to provide good quality care.

Staff were caring and supported people in a way that maintained their dignity and privacy. Observation of the staff and the management team showed they knew people well and could anticipate their needs. People were supported to be as independent as possible throughout their daily lives.

Individual needs were assessed and met through the development of detailed personalised care plans which considered people’s equality and diversity needs and preferences. People had access to social and leisure activities.

Systems were in place to ensure complaints were encouraged, explored and responded to.

Everyone told us the home was well led. The registered manager had an effective system of governance in place to monitor and improve the quality and safety of the service.

People who used the service and their relatives were asked for their views about the service and these were acted on.

Further information is in the detailed findings below.

Inspection carried out on 23 November 2015

During a routine inspection

The inspection of Park Riding residential home took place on 23 November 2015 and was unannounced. The home had previously been inspected in September 2013 and was found to be fully compliant with the requirements of the Health and Social Care Act 2008.

Park Riding is a family owned residential care home situated close to the town centre of Holmfirth in West Yorkshire. It provides personal care and accommodation for up to 15 people. On the day of our inspection 14 people were using the service.

On the day of our inspection there was a registered manager in post. 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.

People and relatives told us they felt safe and we found that staff knew how to report any safeguarding concerns appropriately. We saw individualised risk assessments that were reviewed regularly.

Staffing levels were appropriate to the level of people’s care needs and the home had a low staff turnover which reflected in how well staff knew the people living there and their needs. Medicines were administered, recorded and stored in line with legislative requirements.

We found staff had access to supervision at least five times a year and this included being directly observed by the registered manager to ensure they were practising in line with expectation. Staff were supported to undertake training and we found the training materials to be informative and detailed, promoting staff to reflect on their own performance and to consider how they could meet the needs of people in an even more person-focused manner. The training materials extended far beyond the knowledge required for the level of people’s needs in the care home and this showed the registered manager was encouraging staff development and excellent practice. Staff’s contributions were regularly acknowledged which helped promote high morale and the incentive to ensure quality care at all times.

People had access to nutritious meals, evidenced by some people no longer being at nutritional risk as they had been when entering the home. External health and social care support was also accessed promptly when needed.

Staff presented as caring and empathetic in their approach with people, clearly knowing individuals well and encouraging them to be as independent as possible. Staff respected people’s privacy and promoted their dignity by offering discreet support when needed.

Although group activities were limited on the day of the inspection we did see evidence of various events having taken place and people spoke with us about how much they enjoyed doing different things. The summer fair was a particularly popular occasion.

Complaints were handled sensitively and with thought to promote a positive outcome for people.

The registered manager and registered provider were both highly spoken of, and resident and staff surveys indicated a high level of satisfaction with the home. We were told on two separate occasions that the home ran as well when the registered manager was away as when they were there which suggested an embedded culture of quality provision with sound care practice.

Inspection carried out on 12 September 2013

During a routine inspection

We spoke to four people who used the service and three visitors. People told us that they thought the care provided in the home was very good. One person said �I can have my room as I want it and can do things that I want to do� �I do my own pills which are kept locked in my room�. Another person said �It�s really nice here and the staff are very nice, they can�t do enough for you, I like to sit in the garden when the weather is nice�.

Staff had a very good understanding of the needs of people living in the home. They were able to describe different people and what care they required. Staff said they had the time to sit and talk to people and really got to know people well.

We spoke to four people who said that they were very happy with the care they received. One person said �I have only just arrived here but it is lovely� Another said� I do like living here I have no problems here�. People praised the staff highly and said that they always had time for them.

Care records had comprehensive information on assessments being carried out across areas such as nutrition, moving and handling, tissue viability, communication, personal hygiene and maintaining a safe environment. Risk assessments were reviewed on a monthly basis and were all up to date. The daily information records were all up to date and had information on people�s daily activities, safety and welfare. All of the records had information of involvement from healthcare professionals.

The manager told us at the time of the visit there were no safeguarding referrals being investigated. We saw from training records that the majority of the staff had received training in safeguarding and all the staff we spoke to had a clear understanding of what constituted abuse. Staff said they would report any abuse to their manager.

Training records showed that appropriate training was being delivered. Staff we spoke to said they were able to access the training they needed and that there was enough staff to ensure that they could.

During our visit we saw evidence that the provider identified, monitored and managed risks appropriately. Regular audits were carried out which covered areas such as the environment, care needs, training and staff development.

Inspection carried out on 1 May 2012

During a routine inspection

People who we spoke with told us that they were comfortable living at Park Riding and all of the staff involved them in their care, treatment and support plans. The food was good and they had plenty to eat and drink of their choice.