Parsons Grange

Parsons Grange is a residential care home providing personal and nursing care to up to 68 people. The service provides support to older people, younger adults who may also have a physical disability or people living with dementia. The care home includes 4 separate units split into residential and nursing care with two units designed to support people living with dementia. Each bedroom has its own en-suite bathroom, with wet room style shower. There are communal areas such as a reception café, dining rooms, cinema, activities room and gym. At the time of our inspection there were 54 people using the service.

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

We found some concerns regarding people not always receiving their medicines when required and staff training in relation to learning disability and autism and the Mental Capacity Act. We have made recommendations in relation to the providers’ reviews of medicines management and staff training.

People reported they felt safe living at the service. The registered manager ensured infection prevention and control guidance was followed to keep people and staff safe.

Care plans were person centred and included the input from relevant people. The environment in the home included decoration and signage around the service to support people living with dementia.

The registered manager and staff had an open and transparent way of working to ensure the safety of the people living at the service. The registered manager was able to demonstrate quality assurance systems were used effectively to monitor and improve quality and safety in the service There was a positive culture amongst staff at the service. Staff knew people they supported well and cared about their wellbeing. The provider demonstrated their compliance with legal obligations and any learning from incidents or accidents was undertaken effectively.

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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

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 15 December 2021)

Why we inspected

We received concerns in relation to wound management, staffing and mental capacity assessments. As a result, we undertook a focused inspection to review the key questions of safe, effective 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 COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good.

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

Recommendations

We have made recommendations regarding time specific medicines and staff training in relation to the Mental Capacity Act and Deprivation of Liberty Safeguards and learning disability and Autism.

Follow up

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

The care home is a modern build. There are four units, spread across two floors. There are communal areas such as a reception café, dining rooms, cinema, activities room and gym.

We found the following examples of good practice.

The provider followed current Government guidance to protect visitors and people living at the home from catching and spreading infection. For example, visitors were provided with personal protective equipment (PPE) to wear whilst visiting the home.

All health care professionals were asked to evidence their COVID-19 vaccination status before entering the home. All staff who worked at the home were vaccinated against COVID-19 and the provider had sought evidence of this.

People were admitted into the service safely. The provider ensured people had been tested for COVID-19 before admitting them into the home. The manager ensured staff and people who presented with COVID- 19 symptoms were tested immediately.

The provider had an infection prevention policy in place and contacted their local health protection team in a timely way in the event of a COVID- 19 outbreak.

The provider had adapted the premises to allow for cohorting and zoning people if testing positive for COVID-19.

Parsons Grange is a care home providing personal and nursing care to 21 people aged 65 and over at the time of the inspection. The service can support up to 68 people. Some people who reside at the service are living with dementia.

The care home is a modern build. There are four units, spread across two floors. Each bedroom has its own ensuite bathroom, with wet room style shower. There are communal areas such as a reception café, dining rooms, cinema, activities room and gym. There is a communal garden.

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

There was evidence of engagement between the service, provider, people and relatives. However, surveys, feedback and meeting minutes indicated this required improvement. There was a satisfactory workplace culture; permanent staff stated they liked working at the service and demonstrated good working relationships. The provider and the management team had satisfactory quality assurance systems in place. Recruitment of permanent staff was an ongoing issue. Some actions were in place to address this.

People were protected against abuse and neglect. People's risks were satisfactorily assessed. The premises' risks were also routinely assessed. The building was clean and tidy with appropriate cleaning to prevent infections. Accidents and incidents were logged but more evidence of steps taken to prevent recurrence required documenting. We made a recommendation about this. Medicines errors were recorded; evidence of analysis and learning from the errors was not always kept up to date. Personnel files contained all the required documents set out by the schedule.

People's preferences were assessed and documented. Staff were appropriately supported by their training, supervisions and performance appraisals. We made a recommendation about staff refresher training. People received enough food and drinks. We made a recommendation about accurate recording of drinks. Any clinical issues needing escalated support were referred to external healthcare professionals. There was very good thought and consideration with regards to environment and decoration to meet the needs of people who use the service.

Staff were kind and caring. There was good interaction between staff and people who live at the service. There was evidence of people's and relatives' involvement in the care planning. Reviews were undertaken regularly. People's dignity and privacy was respected.

There were detailed care plans, and these were person-centred. People's preferences were detailed and documented. Complaints were satisfactorily documented and managed. People had access to a good social life, both within and external to the care home.

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.

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

Rating at last inspection

This is the first rating for this service.

Why we inspected

This was a planned inspection based on date of registration.

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 COVID-19 and other infection outbreaks effectively.

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.