Royal Park

Royal Park is a care home that provides both short and long-term placements for up to 22 people with needs related to neurological conditions, a brain or spinal injury as well as artificial ventilation and tracheostomies. At the time of the inspection 22 people were living at the home.

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

People did not always receive safe care as care plans in place were not always followed. Care plans in relation to emotional distress did not always have the detailed guidance needed for staff to follow. When people had individual risk, these were not always managed in a safe way to ensure people received the support they needed.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. The systems in place were not also effective in identifying all areas of improvements. Systems were often disorganised, and it was difficult to find information about people as this was not stored or recorded together. Concerns had been identified with the systems however insufficient action had been taken.

There were systems in place to manage medicines, these were followed, and people received medicines when needed. Infection control procedures were followed and implemented. People were protected from potential abuse and when needed action was taken. There were enough suitable training and recruited staff to support people when needed.

Staff felt supported and listened to and people had the opportunity to be involved with their care and raise any concerns. There was evidence lessons were learnt when things went wrong. People had assessments in place which identified their needs so that care could be provided. People enjoyed the food and were offered a choice; people’s dietary needs were considered. People had access to health professionals when needed.

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 good (published 25 May 2019)

Why we inspected

We received concerns in relation to tracheostomy and percutaneous endoscopic gastrostomy (PEG) care. We also received concerns that related to urine infections. As a result, we undertook a focused inspection to review the key questions of safe, effective well-led only.

The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.

You can see what action we have asked the provider to take at the end of this full report.

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

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection.

We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to hoe people’s safety was monitored, how people were supported with capacity and consent and the systems that governed the home.

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 from the provider 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 continue to monitor information we receive about the service, which will help inform when we next inspect.

Royal Park is a care home that provides both short and long-term placements for up to 18 people with needs related to neurological conditions, a brain or spinal injury as well as artificial ventilation and tracheostomies. At the time of the inspection 15 people were living at the home and two people were in hospital. On site therapists and care staff work together to help support people’s recovery and maximise their independence.

People’s experience of using this service:

People felt safe living at Royal Park. Although the registered manager was seen as approachable, very supportive and promoting effective oversight of quality and practice, staff provided mixed reviews about the registered manager’s management style when engaging with them around the home. We raised this with both the regional manager and registered manager during the inspection. They both understood the potential impact this could have on staff and the atmosphere at the home. They provided assurances that they were actively working to address this issue.

Staff understood how to keep people safe from harm or abuse and understood their responsibility to raise concerns if they were to witness poor or abusive practice.

People were supported by care staff, nurses and on-site therapists who worked well as a team and demonstrated a good understanding of how to meet people’s individual rehabilitation needs and preferences. People’s desired outcomes were known, and the staff team worked alongside people, relevant community health and social care professionals and, where appropriate, their relatives to encourage them to achieve these.

People and relatives expressed confidence in the skills and competence of staff at the home. Staff received mandatory and specialist training to help them meet people’s diverse and complex needs.

People, relatives and professionals described the staff as kind, caring and attentive to people’s needs. 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.

People’s and staff members views were sought and used to help improve the service that people received and the environment in which people lived and worked.

The home worked in partnership with other agencies to support people well during their time at the home and when transitioning to alternative accommodation and/or care.

Rating at last inspection:

There have not been any published ratings or inspections against this location as it was registered with the CQC in June 2018.

Why we inspected:

This inspection was a scheduled inspection based on the date the service first registered with us.

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.

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