We carried out a review of the data available to us about Parris Lawn 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 Parris Lawn, you can give feedback on this service.
Parris Lawn is a purpose-built nursing home that provides personal and nursing care to up to 62 people. There were 55 people living at the home when we inspected. People were living with a range of needs such as stroke, heart disease, diabetes and dementia. Some people were living with a range of needs associated with the frailties of old age.
People’s experience of using this service and what we found
CQC had been contacted about concerns relating to the medicine systems, staffing levels and end of life care at Parris Lawn. We contacted the provider so that they could take immediate action to make sure everybody living there was safe. The provider told us what they had done to address these concerns. They shared an action plan with us that identified further areas of concern, this included complaints not being responded to appropriately, people’s records not containing all the information staff may need and staffing numbers. The action plan showed, what action was being taken, who was responsible, and when this should be completed by.
At the inspection there was evidence of significant work having taken place to improve and develop the service. This took into account the views of people, visitors and staff. A new management team was in place, they were reviewing all aspects of the service and had already provided training for staff and had arranged meetings with people and relatives to share their plans. There was a clear commitment from the management team and staff to improve and develop the service. Further time is needed to fully embed the changes into everyday practice.
Medicines were well managed, and people were supported to receive their medicines safely, when they needed them. There were enough staff working to provide the support people needed. Recruitment procedures helped to ensure only suitable staff worked at the home.
People received care and support that they needed. This was because regular staff knew them well and agency staff were supported by the regular staff. There was an activity program and people were seen to be enjoying themselves throughout the day.
Risk assessments provided guidance for staff about individual and environmental risks. Staff understood the risks associated with the people they supported. People were protected from the risks of harm, abuse or discrimination because staff knew what actions to take if they identified concerns.
People were supported by staff who treated them with kindness and compassion. People were enabled to make their own decisions and choices about the care and support they received.
People were supported to enjoy a variety of food and drink of their choice. Nutritional assessments were completed to help ensure people received the appropriate diet. There was a training program, and this helped to support staff to have the knowledge and skills to look after people effectively. Nurses received clinical training to ensure they could meet people’s specific needs.
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 this practice. People were supported to maintain and improve their health through regular contact with external health professionals.
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 1 September 2018). Since this rating was awarded the provider has altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
The inspection was prompted due to concerns received about medicine safety, staffing numbers and the care people received, this included end of life care. A decision was made for us to inspect and examine those risks.
We have found evidence that the provider needs to make improvements. Please see the well-led section of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Parris Lawn 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.
There was a registered manager at the service. 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.
This is the first inspection for the service as it is recently registered with CQC. People were looked after by staff who knew them well and understood their individual needs. Staff were kind and treated people with respect. They promoted their individuality and independence and spoke to them in an appropriate way. Staff promoted people’s communication, they took a genuine interest in what they had to say and had time to spend time talking with them.
Assessments were completed before people moved into the home. This helped ensure their needs and choices could be met. Information from these assessments were then used to develop care plans and risk assessments. These were regularly reviewed. Staff had a good understanding of people’s needs and the risks associated with supporting people. Care was person centred and met people’s individual needs.
There were enough staff to meet people's needs, recruitment was ongoing to ensure that staffing levels increased as more people moved into the home. Safe recruitment practices were followed.
Staff received training and support to help them look after people. The registered manager was supportive to staff and had a high profile in the service.
People were protected from the risks of harm. Staff had a good understanding of safeguarding procedures and knew what actions to take if they believed people were at risk of abuse or discrimination. There were systems in place to ensure medicines were ordered, stored administered and disposed of safely.
Staff had a good understanding of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). People’s health and well-being needs were met. They were supported to access healthcare services when they needed them.
People were supported to eat and drink a choice of food that met their individual needs and preferences. They were provided with a wide choice of freshly cooked meals and drinks each day.
There was a range of activities taking place and people told us they had enough to do throughout the day. The activity staff were working with people to develop individual activity plans to reflect their choices and interests.
There was a complaints policy in place and people and visitors told us they would raise any concerns with staff. The home was purpose built and designed to a high standard. It was clean and tidy throughout and maintained to a high standard.
Quality assurance systems identified where improvements were needed across the service. Systems were in place to gather information from people and staff and this was used to improve the service.