Beverley Parklands Care Home

Beverley Parklands Care Home is a purpose-built care home which is registered to provide accommodation and personal care to a maximum of 90 older people, some of whom may be living with dementia. The home has four floors and accommodation was provided over three of these during the inspection. Each bedroom has en suite facilities. There were 67 people living at the home when we inspected.

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

People said they enjoyed living at Beverley Parklands Care Home, they felt safe and well looked after. One person said, “I think it’s a brilliant place, the carers are very willing to help, they’ll do anything for you, I’m very happy here.”

Relatives said they were confident that staff provided care in a safe way, one said, “[Name of relative] is very positive about things. They are content and have a brilliant relationship with the carers. We know they are safe.”

Procedures were in place which safeguarded people from the potential risk of abuse. Staff understood the various types of abuse and knew who to report any concerns to.

Risks to people were assessed and control measures put in place to mitigate risks to people's safety. Some recording of people’s behaviours required strengthening. We made a recommendation about this.

Lessons were learnt from incidents and accidents.

People's medicines were administered safely, and records contained appropriate information.

Equipment and the environment were clean and there was sufficient cleaning taking place to keep people safe and prevent the spread of infections.

Staffing levels were safe. The provider's recruitment processes helped ensure only suitable staff were employed.

The registered manager had created a positive culture throughout the pandemic. The provider worked in partnership with other organisations to develop and continuously improve the service.

The staff team as a whole demonstrated a strong commitment to providing quality care and knew people well. This had resulted in positive outcomes for people and enhanced their health and wellbeing.

Quality assurance systems were in place and the registered manager looked at ways they could continuously improve the service people received. Recording in relation to low level incidents and when these required notifying to other agencies required strengthening. We made a recommendation about this.

For more details, please see the full report which is on the Care Quality Commission's (CQC) website at www.cqc.org.uk.

Rating at last inspection

The last rating for this service was outstanding (published 9 November 2018).

Why we inspected

This inspection was prompted in part due to our internal monitoring intelligence, which included a medication error. We undertook a focused inspection to review the key questions of safe and well-led only.

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 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 remains outstanding. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Beverley Parklands Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Beverley Parklands is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service is a purpose-built home and is registered to accommodate a maximum of 77 people who require personal care. The home has four floors and accommodation was provided over three of these during the inspection. The second floor provides care to people who live with dementia. Each bedroom has en-suite facilities. There were 59 people living at the home when we inspected.

At this inspection we rated the service as 'Outstanding' overall.

The home had a manager who was registered with the Care Quality Commission. 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.

There was a warm and open atmosphere upon entering Beverley Parklands. The service had a clear management structure, with an experienced registered manager and two unit leaders. They worked closely with staff, and observed the care being provided. People, their relatives and staff were confident in the leadership of the service which they described in terms such as, "A very well run place", "Having high standards" and "Very family orientated."

During our discussions with activities staff and review of records we saw detailed information which demonstrated an exceptional understanding of the importance of activity and stimulation for people. Activity staff went to great lengths to understand people's wishes. People were encouraged to do things they enjoyed and found meaningful, and this included social activities based on people's past hobbies and occupations. The range of activity available meant that people enjoyed a life with their social needs extremely well met. Assistive technologies were used creatively and innovative technologies enhanced people’s experiences.

The registered manager had strong values relating to the quality of the care being delivered. There was great emphasis on continually striving to improve the service. Improvements were identified through consultation with people, relatives and healthcare professionals involved with the service through informal chats, meetings, reviews, and surveys. This showed that the registered manager and provider placed a high value on meeting the needs of people and their relatives.

We saw evidence of a co-ordinated approach to peoples care delivery with other professional organisations. This meant the care people received was person-centred and specific to each individual living at Beverley Parklands.

The service strove for excellence through reflective practice at all levels. There was a variety of checks of different parts of the service to ensure people received a high quality, safe service, and to bring about any improvements that were needed. The home worked in partnership with other organisations to make sure they were following current best practice and providing a high quality service.

The staff we spoke with were familiar with the needs of people living at the home. The registered manager and dementia unit leader kept up to date with best practice in dementia care and ensured this was adopted by the staff. The second floor environment had been designed to promote the independence and wellbeing of people who lived with dementia. There was plenty of communal space, lounges, and a dining area available to people, as were quiet areas where people could sit in peace. There was access to outside space and fresh air on an enclosed balcony with seating areas and various plants.

It was clear that staff were passionate and committed to support people to live a fulfilling life. We saw people and staff laughing and smiling together. Staff responded to their colleagues with equal respect and kindness. People were given choices and offered opportunities to spend their time however they wished. Staff treated people with dignity and respect and were genuinely warm in their interactions with people. Relatives were greatly involved in the service and were encouraged to use the variety of facilities available.

There were enough staff to ensure people's needs were met safely and staff had time to spend time with people. Staff were aware of infection control measures and the service was clean and well maintained. Accidents and incidents were monitored by the provider and used as an opportunity for learning. Medicines were managed safely, and people received good access to other healthcare services when required.

The provider's recruitment process had evolved and improved since the home had opened. People who used the service were encouraged to participate in the interviewing process for potential employees.

We saw that people were cared for and supported by qualified and competent staff who were regularly supervised and appraised regarding their personal performance. Staff told us they felt well supported by the registered manager through training, and meetings where their views were listened to.

People enjoyed the meals provided and the choices available to them. People were encouraged to stay well hydrated and eat well.

People's ability to make decisions was assessed and where people lacked the mental capacity to consent to their care and welfare actions were taken in their best interests. The registered manager had taken appropriate action when people did not have the capacity to consent to their care or treatment. Applications had been made to authorise restrictions on people's liberty in their best interests.

Care plans were personalised and individual to the person. Staff developed life history documents with people and their families. This helped staff to understand what was important to people. Care records were reviewed regularly, or when people's needs changed.

The provider ensured the building was safe by completing a number of safety checks on a regular basis. Continuity plans were in place to ensure staff knew what actions to take in the event of an emergency.