We carried out a review of the data available to us about Flower Park Care Home on 6 July 2023. 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 Flower Park Care Home, you can give feedback on this service.
Flower Park is a residential care home providing personal and nursing care for up to 41 people. At the time of our inspection there were 40 people residing at the service, some of whom were living with dementia.
People’s experience of using this service and what we found
People received their medicines as prescribed. Although some areas needed further development and we recommend that new systems and processes continue to be embedded in to practice.
People were protected from the risk of abuse. Staff received training in this area and knew what actions to take if they suspected abuse. Accidents and incidents were analysed for any trends and patterns. The provider used this analysis to mitigate future incidents.
Risks associated with people's care were identified and risk assessments were in place to ensure they were managed safely. The home was clean and well maintained. Staff wore appropriate personal protective equipment (PPE). PPE was available at several points throughout the home.
The provider had systems in place to monitor the quality of the service. Action plans were drawn up to ensure things were dealt with in a timely way. The provider sought feedback from people and used this to develop the service. The registered manager worked well with other professionals and took appropriate actions when required.
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 good (published 26 June 2019).
Why we inspected
The inspection was prompted in part due to concerns received about medicine management. A decision was made for us to inspect and examine those risks.
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 COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Flower Park on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
We found the following examples of good practice.
The provider had taken steps to support people to maintaining contact with family and friends. Some relatives were essential care givers, whilst others preferred to use the visiting pod and utilise window visiting. People had also been supported to maintain contact with family and friends via telephone, video calls and social media.
On arrival to the home, visitors were asked to complete and sign a screening form regarding COVID-19 symptoms and were asked to wash and sanitiser their hands, put on personal protective equipment (PPE), show a negative lateral flow test and have their temperature checked prior to moving from the reception area.
Professional visitors were required to show a negative lateral flow test and evidence of COVID-19 vaccination.
Social distancing was observed as far as it was practicable to do so. PPE, hand washing facilities and hand sanitiser was available throughout the home. Staff had completed training in infection control, COVID-19 and putting on and taking off PPE.
Staff and people using the service took part in the home’s testing programme. This enabled the provider to take swift action if they tested positive with COVID-19.
The home was clean and well presented. Staff had access to cleaning products and cleaning schedules included high touch areas such as door handles and handrails, which were cleaned regularly.
We found the following examples of good practice.
The home had a system in place to support relatives to visit their family members by using a pod. Staff had also taken steps to support people in maintaining contact with family and friends. This included the use of phone and video calls. The home had also introduced a newsletter ‘Flower Park Herald,’ to maintain contact with family and friends.
On arrival to the home, essential visitors were asked to complete and sign a screening form regarding COVID-19 symptoms and were asked to wash and sanitiser their hands, put on a facemask and have their temperature checked prior to moving from the reception area. This assisted in identifying visitors who may be at a higher risk of transmitting an infection to people living in the home.
Social distancing was observed as far as it was practicable to do so. Staff always wore appropriate PPE, regularly washed their hands and applied hand sanitiser. Staff had completed training in infection control, COVID-19 and donning and doffing PPE.
Tests for COVID-19 were carried out three times a week for staff and monthly for people living at the service. If a test result was positive, the person was required to isolate in line with government guidance.
The home was clean and there were no malodours. Staff had access to cleaning products and the cleaning of high touch areas such as door handles and hand rails, were cleaned regularly.
We were assured that this service met good infection prevention and control guidelines.
Flower Park is registered to provide personal and nursing care for up to 40 people. Some people may have a diagnosis of dementia. At the time of the inspection there were 30 people living in the home. The home was over two floors. Supporting people with residential, dementia and nursing needs.
People's experience of using this service:
People told us they felt safe. Staff had received training to enable them to recognise signs and symptoms of abuse and they felt confident in how to report these types of concerns. People had risk assessments in place to enable them to be as independent as they could be in a safe manner. There were sufficient staff with the correct skill mix on duty to support people with their required needs and keep them safe. Effective and safe recruitment processes were consistently followed by the provider.
People told us they enjoyed the food. People were given a choice of meals which included specialist dietary options, including vegetarian meals. People ate at their own pace and were supported by staff in a patient and relaxed manner.
Staff told us they felt well supported by the management team and received regular supervision and appraisals. Staff received appropriate training and were supported to undertake additional training in areas of interest to them.
People were supported to be as independent as possible and staff encouraged them to make their own decisions wherever they could. Staff had a good understanding of people's individual needs and supported them to access healthcare services without delay.
We found Flower Park had relaxed atmosphere and observed kind and compassionate interactions between staff and people.
People told us the service was well-led. They could talk to the manager if they had any concerns and were confident they would be listened to. Relatives told us the registered manager was approachable and accessible.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Rating at last inspection: At the last inspection the service was rated Requires Improvement (published 6 June 2018).
Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions Effective, Responsive and Well-Led to at least good.
At this inspection we found improvements had been made in all the areas identified at the previous inspection.
Why we inspected: This was a planned inspection. It was scheduled based on the previous rating.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
Flower Park is a ‘care home.’ People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Flower Park Care Home is a 40 bed home providing care and support to older people. The home is built over two floors with the upper floor predominantly accommodating people living with dementia. Flower Park is situated in the Doncaster suburb of Denaby.
At the time of our inspection the service had a registered manager. 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.
The service was rated ‘Requires Improvement.’
People’s needs and preferences were not always detailed in care records. However, there was evidence that people received personalised care and staff were aware of people’s needs and preferences.
There was a need to improve the documentation to show that decisions were made in people’s best interests. But overall, evidence showed that people were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. This was because the management team were aware of who had an authorised Deprivation of Liberty Safeguards (DoLS) in place, or if any conditions were attached. Consent to care and treatment was sought in line with current legislation.
We found the environment did not always meet the needs of people living with dementia. The environment was mainly well maintained and clean, some areas could be improved.
Documentation regarding what people had to eat could be improved. But overall, evidence showed that people received a nutritious diet.
Activities were provided. However, it was not clear if these met the needs of all the people who used the service.. Some areas for improvement had not been identified by the audits that were in place and there was no formal process to evidence provider oversight. However, audits had identified some areas of development and these were actioned. There was evidence that people had a voice and were given opportunities to be involved in the home. However, this could also be improved. People were safeguarded from the risks of abuse. Staff were knowledgeable regarding safeguarding were aware of how to identify possible abuse and correct procedures to record and report. Risks associated with people’s care had been identified and were managed.
Medication systems were robust overall. However, there was need to improve protocols and documentation for medication prescribed on an ‘as and when’ required basis for topical medication.
Accidents and incidents were monitored on a monthly basis showing a clear audit trail and the registered provider ensured lessons were learnt. We observed staff interacting with people and found there were enough staff available to meet people’s needs in a timely way.
People had access to healthcare professionals and staff followed their advice.
Staff received training on a regular basis and were knowledgeable about their role.
We observed staff interacting in a positive way with people. Staff were observed to be kind and considerate all the interaction we saw were very respectful. People’s privacy and dignity was also respected.
People told us they felt able to raise concerns and complaints and were listened to. The registered provider learned lessons from complaints received and took appropriate actions.