Parkview House Residential Care Home

The registered manager and staff team worked with local health professionals to minimise the spread of COVID-19. Staff retention was good, but the pressures of a recent outbreak of COVID-19 meant regular agency staff and management team members were required to back fill gaps in rotas.

There were numerous PPE work stations throughout the building for staff to easily utilise PPE. Staff received training in infection control and were using PPE safely and effectively. We made some minor suggestions regarding infection control practices.

Visiting by family and friends was taking place in line with national guidelines, but staffing pressures had impacted on access for visiting on both days at the weekend. By the time of writing this report, this issue had been resolved, and the service was reviewing all visiting practices in line with the relaxation of government regulations.

We were assured that this service met good infection prevention and control guidelines.

older people with dementia. The home is on two floors and divided into 5 units or “clusters”.

At this inspection there were 43 people living in the 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.

At our last inspection on 15 and 17 July 2015 the service was found to be compliant with regulations and was rated ‘Good’.

The home had a registered manager. Like registered providers, registered managers are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements of the Health and Social Care Act and associated Regulations about how the service is run.

People told us they were safe living at the service and staff were kind. Health and social care professionals, relatives and people living at the service told us the staff were skilled and knowledgeable and able to provide suitable care.

We were concerned that staffing levels at night were insufficient to meet people’s needs, but the provider increased staffing levels at night the day after the inspection.

Risk assessments were in place to guide staff in safely caring for people, and care plans were up to date and covered a wide range of needs. Staff understood how to safeguard people from abuse and the service had appropriate procedures and processes in place.

Recruitment of staff was safely managed, and staff received regular supervision and training to support them in their role.

Medicines were safely stored and managed.

People told us they were happy with the food.

There were a range of activities at the service to meet people’s needs.

The service had appropriate documentation in place in relation to consent and compliance with the Mental Capacity Act 2005. 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.

A range of quality audits took place and the management of the service was praised by health and social care professionals, relatives and people living at the service.

We have made a recommendation in relation to staffing levels.

People were positive about the service and the staff who supported them. Throughout the inspection we observed staff involving people in decisions about their care and respecting their preferences. One person with dementia told us 'They listen to you, that's the main thing.'

The care and treatment plan for people with dementia was based on their initial assessment of needs and involved a number of healthcare professionals including doctors, nurses, occupational therapists and physiotherapists.

People with dementia and their relatives told us they were satisfied with the way the home met their health and social care needs. Records we saw indicated that people had good access to dentists, opticians and chiropodists on a regular basis. We saw that people were able to access social work support as well as attend day centres and access advocacy services.

Staff told us that there was very good communication between themselves and that they worked 'as a team.' Staff told us that the care of people with dementia was discussed at each shift handover to ensure the continuity of support for people.

The service had a number of quality assurance initiatives to ensure that the quality of care provision was monitored and included the views of people with dementia and their relatives.