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Mersey Parks Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 15 April 2021

About the service

Mersey Parks Care Home is a residential care and nursing home providing personal and nursing care to 99 people aged 65 and over at the time of the inspection. The service can support up to 120 people. The care home is set across four separate single floor units and an office block. One unit provides nursing care, two units provide residential care for people living with dementia and the fourth unit provides residential care. Each unit comprises of various communal areas, including living and dining areas and adapted bathrooms, and single bedrooms with ensuite facilities.

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

Since our last inspection the provider had made limited progress in addressing the concerns found. Although they had appointed a new manager, measures had not been implemented in an effective and robust manner or evaluated to ensure they were effective in driving improvement. We found continued and new breaches of regulation during this inspection. People and relatives generally spoke positively about the staff and care provided but had mixed feedback about communication from the service.

We found that there were not always enough staff to meet people’s needs in a timely way. People’s prescribed creams were not always securely stored in line with best practice. Individual and environmental risk assessments were in place, but these were not always detailed or accessible to help staff reduce risk as much as possible. Health and safety checks were completed but did not identify shortfalls such as damaged furniture, which we found during the inspection. People were supported when they had been involved in accidents or incidents. However, it was not always clear that lessons had be learnt and sufficient steps had been taken to reduce future risk.

People’s needs were assessed, and referrals made to health care services when needed. Care plans were not always updated to clearly reflect people’s changing needs. People had care plans in relation to eating and drinking but we observed that staff were not always able to provide the support and encouragement that people needed to eat and drink enough. Not all staff had up to date training or regular supervision, but the new manager was working to address this. Records did not always demonstrate how people were supported to have maximum choice and control of their lives. We observed staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice but were not always robustly applied.

Rating at last inspection

The last rating for this service was requires improvement (published 9 August 2019) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection not enough improvement had been made or sustained and the provider was still in breach of regulations. The service remains rated requires improvement. This service has been rated requires improvement for the last three consecutive inspections under this provider.

Why we inspected

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.

We received concerns in relation to staffing, training, and management oversight. As a result, we undertook a focused inspection to review the key questions of Safe, Effective and Well-Led only. 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 in calculating the overall rating at this inspection.

The overall rating for the service has

Inspection areas

Safe

Requires improvement

Updated 15 April 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 15 April 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 15 April 2021

Responsive

Requires improvement

Updated 15 April 2021

Well-led

Inadequate

Updated 15 April 2021

The service was not well-led.

Details are in our well-Led findings below.