We carried out a review of the data available to us about Park Avenue 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 Park Avenue Care Home, you can give feedback on this service.
We found the following examples of good practice.
Visitors were screened for symptoms of respiratory infection on arrival at the home. There was prominent signage around the home and clear instructions on requirements when visiting.
Arrangements were in place for staff to stagger breaks and socially distance as required.
Rooms were designated for specific purposes, such as visiting, and were deep cleaned regularly.
Park Avenue Care Home is a residential care home providing personal and nursing care to people aged 65 and over. At the time of the inspection the service was supporting 32 people, they can support up to 43 older people.
People’s experience of using this service and what we found
People and their relatives said they felt safe and that there were enough staff sufficiently skilled to meet their needs. There were appropriate safeguarding systems in place.
People received their medicines as prescribed and people had good access to health and social care professionals. We found isolated incidents of recording errors in topical medicines administration records.
We have made a recommendation around this area of care.
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; the policies and systems in the service supported them in this practice.
People were supported to eat and drink enough to maintain their health. There were a range of activities available which met people’s interests.
People were supported by staff who were kind and caring and demonstrated they knew people and their needs well. Staff respected people’s independence and privacy.
Care plans contained person-centred details for staff to help them meet people’s needs in a way the person wanted.
Systems and processes for monitoring the quality of the service and making improvements were adequate.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update:
The last rating for this service was requires improvement (published 13 February 2019) and there were two breaches of regulation. Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
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.
Park Avenue Care Home 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.
Park Avenue Care Home is in the Oakwood area of Leeds. It provides care for up to 43 older people and people living with dementia. It is close to local amenities and is accessible by public transport.
There was a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the CQC 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.
Risks to people were not identified and managed safely and some areas of medicines were not well managed. Staff were not always given the opportunity to attend regular supervision and had not receive an annual appraisal in 2018.
People’s care plans did not contain consistent or sufficient information and were not always person-centred. Quality assurance systems needed to be improved to ensure people received a consistent quality service. Records showed trend analysis was completed on accidents and incidents, but there was no check to established if the category of accident or incident had been correctly recorded.
People told us they felt safe in the home and staff had a good understanding of safeguarding vulnerable adults and knew what to do to keep people safe. Staffing levels were sufficient and there were appropriate numbers of staff deployed in the home. Recruitment of staff was mostly well managed and relevant checks had been carried out to make sure suitable staff worked with people who used the service. Staff received an induction and ongoing training required to meet people’s needs.
Building maintenance and fire safety was appropriately managed as the necessary checks had been completed. The home was clean and tidy and there were effective systems in place to reduce the risk and spread of infection.
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 did support this practice. We found the service was working within the principles of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).
We observed a positive mealtime experience and saw people were well supported. People were happy with the food they received. People could access a range of healthcare professionals.
Comments from people and relatives confirmed staff provided good care. Staff had a good rapport with people and we observed people were well cared for. People’s privacy and dignity was respected and people could individualise their bedrooms. People were supported to remain as independent as possible and advocacy services were available if required. Staff had a good understanding of what care and support people might need as they were approaching the end of their life.
We observed some activities taking place on both days of our inspection. The registered manager told us a new activity coordinator was due to start shortly and this would further improve the range of activities.
Relatives told us they knew how to complain and were confident the registered manager would address their concerns. Complaints were appropriately dealt with and responded to in a timely way by the provider. People who used the service, relatives and staff were asked to comment on the quality of care and support through surveys and meetings.
We identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, which related to staff supervision and appraisal and records and governance procedures. You can see what action we told the provider to take at the back of the full version of the report.