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Archived: Park View Care Home Good

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Reports


Inspection carried out on 16 August 2017

During a routine inspection

Park View Care Home is a residential care home with nursing registered for up to 61 people, some of whom are living with dementia. At the time of our inspection 50 people were using the service. The accommodation in Park View Care Home is a purpose built care home over three floors..

During our last inspection on 28 January 2015 the service was rated Good overall, with all the key questions rated as good, apart from responsive, which was rated as requires improvement. This was because we found that the care records provided inconsistent information about individual choices, aspirations and wishes and that people’s daily logs were not always personalised and were focused on the tasks undertaken. We also found that people nursed in bed or who chose to remain in their bedrooms were at risk of social isolation through the lack of meaningful stimulation and engagement.

During this inspection we found that the service had taken appropriate action to enable the responsive key question to be rated as good. We also found that all the other key questions, that had been rated good, remained good. Meaning that we found the service remained Good.

There was a registered manager at the service, they had been registered at this service since February 2016 and had previous experience as a registered manager.

The people who lived in the service told us that they felt safe and well cared for. There were systems in place which provided guidance for care workers on how to safeguard the people who used the service from the potential risk of abuse. Staff understood their roles and responsibilities in keeping people safe.

There were processes in place to ensure the safety of the people who used the service. These included risk assessments which identified how the risks to people were minimised. There were sufficient numbers of trained and well supported staff to keep people safe and to meet their needs. They were recruited using a robust recruitment process for employing staff appropriately to care for vulnerable people.

Processes and procedures were in place to receive, record, store and administer medicines safely. Where people required assistance to take their medicines there were arrangements in place to provide this support safely.

Both the registered manager and the staff understood their obligations under the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). The registered manager knew how to make a referral if required. 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 support this practice.

People were supported to eat and drink enough to maintain a balanced diet. They were also supported to maintain good health and access healthcare services.

We saw many examples of positive and caring interactions between the staff and people living in the service. People were able to express their views and staff listened to what they said and took action to ensure their decisions were acted on. Staff protected people’s privacy and dignity.

People received care that was personalised and responsive to their needs. The service listened to people’s experiences, concerns and complaints. Staff took steps to investigate complaints and to make any changes needed.

The registered manager was supported by the organisation and the staff they managed told us that the registered manager was open, supportive and had good management skills. There were systems in place to monitor the quality of the service offered people.

Further information is in the detailed findings below

Inspection carried out on 28 January 2015

During a routine inspection

We inspected this service on the 28 January 2015 and this inspection was unannounced. Park View Care Home is a purpose built care home with nursing. It provides care for up to 61 older people who may be elderly and or have a physical disability. Some people are living with dementia. There were 53 people living in the service when we inspected.

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 were positive about the care they received. The atmosphere in the service was warm and welcoming.

People told us staff listened to them and acted on what they said. People were supported and encouraged to attend appointments with other healthcare professionals to maintain their health and well-being.

Staff knew how to recognise and respond to abuse correctly. People were protected from the risk of abuse because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening. Any risks associated with people’s care needs were assessed and plans were in place to minimise the risk as far as possible to keep people safe. Appropriate arrangements were in place to provide people with their medication safely.

People were supported by sufficient numbers of staff with the knowledge and skills to meet their needs. Staff respected people’s privacy and dignity and interacted with people in a caring and respectful manner.

Staff were knowledgeable about people’s choices, views and preferences and acted on what they said. However this information was not always reflected in people’s care records to ensure best practice was followed.

People voiced their opinions and had their care needs provided for in the way they wanted. Where they lacked capacity, appropriate actions had been taken to ensure decisions were made in the person’s best interests.

The majority of people were encouraged and supported with their hobbies and interests and participated in a variety of personalised meaningful activities. However people who were nursed in bed had limited interactions and meaningful engagement and were at risk of isolation.

People were supported to be able to eat and drink sufficient amounts to meet their needs. They told us they enjoyed the food and were provided with a variety of meals. People were encouraged to be as independent as possible, but where additional support was needed this was provided in a caring and respectful manner.

People knew how to make a complaint and said that any concerns were acted on promptly and appropriately.

The management team planned, assessed and monitored the quality of care consistently. Systems were in place that encouraged feedback from people who used the service, relatives, and visiting professionals and this was used to make continual improvements to the service.

Inspection carried out on 23 April 2013

During a routine inspection

During our inspection we spoke with 11 people who lived in the service to gain their views on the level of care and support they received. We also spent time talking with three people�s relatives and attended a resident�s meeting.

People told us that the staff were kind and helpful. One person remarked, �If there is something on my mind, they (staff) know and they listen.� Another person told us, �There is nothing bad about living here, if I need help they (staff) will be there�You tell them what you want for breakfast.� A third person remarked that they were, �Doing really well here so I know my care is good.�

We spent time with people living with dementia observing the afternoon routines. We saw that staff were attentive and supported people to join in meaningful one to one and group activities which enhanced their wellbeing.

People told us they were offered a varied choice of nutritious meals and plenty of drinks. People were positive about the standard of the environment, which staff kept clean and well maintained.

We asked people if they would recommend the service to others. One person who lived in Park View Care Home replied, �Definitely, It is one of the best ones I have been in.� Another person on respite care said, �Food alright, not bad,� but nothing could beat their own home. A third person told us that the, �Place is nice and the food is good.�

Inspection carried out on 22, 28 October 2012

During a routine inspection

During this inspection we spoke with 11 people who lived at the service, four relatives, one social care professional and seven staff.

People praised the standard of the environment which included a cinema and beauty therapist room. One person told us, �It doesn�t make you feel like you�re in a nursing home.� One person told us, �I like living here.� One relative commented that it was, �More like a hotel.� We observed that the hotel type environment did not offer people areas in the corridors to break up their walks by having items which they could touch and stimulate their senses.

People told us that the staff were friendly and kind and consulted them over their care needs. One person told us that they, �Get all the care I need.� They told us that staff were respectful and listened to what they said.

We observed good interaction. Staff were attentive and asked people for their permission to assist them. We saw when one member of staff approached a person; the person looked up at them and smiled. They told us, �I like living here.� We saw people taking part in one to one activities and group quizzes and bingo.

People told us that they liked the food. Two people told us an extra person to serve breakfast would be useful as some times people can be, �Waiting quite a while.�

Relatives told us about the monthly meetings held, where they could express their views and be involved in supporting social events.