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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 9 August 2019

About the service

Mersey Parks Care Home is a residential care and nursing home providing personal and nursing care to 109 people aged 65 and over at the time of the inspection. The service can support up to 120 people. The care home is set out across four single-floor units and one office block. Three units provided residential care for people, including those living with dementia. One unit provided general nursing care.

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

People’s experience of using the service varied. Staffing had been planned but not always deployed effectively to ensure people’s safety, dignity and person-centred care. Aspects of the service’s record-keeping, person-centred planning and governance were not always robust. Many staff had worked at the service for a long time, felt they were overall well supported by line managers and worked together effectively as a team. However there had been a period of unsettlement with regards to the management of the service and changes. This, together with staffing level concerns, had contributed to an at times very low staff morale. An interim manager had recently started at the service to help provide stability, support staff engagement and drive outstanding improvements.

People using the service felt safe living at Mersey Park and together with their relatives overall spoke well of the staff team. Staff were knowledgeable about people’s needs and spoke with dedication about their work. We identified however that person-centred knowledge at times needed to be shared better, to ensure people were safely, effectively and well cared for. We observed overall kind, respectful interactions between people. Activities were on offer and continued to be developed, to help involve, engage and stimulate people 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 and in their best interests; however, we found at times the policies and systems in the service needed to be used more consistently to support this practice.

The provider had invested into a complete refurbishment of the service, to make it brighter and more inviting. Staff support through regular training and supervision had been addressed by the provider, with some improvements made. The service worked with a variety of other professionals to help promote people’s health, wellbeing and positive outcomes.

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

Rating at last inspection

The last rating for this service was requires improvement (published 9 October 2018). The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.

Why we inspected

This was a planned inspection based on the previous rating. We brought the inspection forward in part due to concerns we had received about people's safety, this included through notifcations sent by the service. These concerns continued to be under investigation at the time of our visit and we have not reviewed or reflected details within this report.

Enforcement

We have identified breaches in relation to ensuring sufficient staff planning and deployment, as well as the effectiveness of governance systems and record-keeping at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider and meet with them to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 9 August 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 9 August 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 9 August 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 9 August 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 9 August 2019

The service was not always well-led.

Details are in our well-led findings below.