Breckside Park Residential Home

Updated 24 January 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector and one inspection manager.

Service and service type

Breckside Park Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with six people who used the service and one visitor about their experience of the care provided. We also reviewed satisfaction questionnaires to get additional insight into how people and relatives viewed the quality of care. We spoke with six members of staff including the provider, registered manager, deputy manager and care workers. We walked around the service and observed interactions between people and staff throughout the day, as well as people’s lunchtime experience.

We reviewed a range of records. This included five people’s care records and different medication records. We looked at records relating to recruitment and staff supervision. A variety of records relating to the management and quality assurance of the service, including checks and audits, as well as meeting minutes, were reviewed.

Updated 24 January 2020

About the service

Breckside Park Residential Home (“Breckside Park”) provided personal care to 29 people aged 65 and over at the time of the inspection. The service can support up to 33 people in one adapted, three-storey building within a residential area of Anfield in Liverpool.

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

Although we received some mixed feedback, overall people told us they were happy living at Breckside Park. People told us about individual circumstances that had led to their admission to the service and one told us, “I had to move in [after events at home] and I am happy I came here – I am happy here.” However, we found that at times the safety and quality of people’s care needed to be underpinned and ensured by more robust processes.

The cleanliness and infection control of the service, as well as the planning and deployment of staff to support a safe quality service, needed to be improved. We made recommendations regarding these areas. The robustness of governance, such as meeting regulatory requirements, ensuring effective quality assurance, development of safety related plans and best practice learning, at times needed to be improved.

However, we also observed a warm, homely atmosphere and interactions that showed people and staff knew and respected each other. This was supported by personalised care plans that were continuously being developed. The service worked effectively with other professionals to achieve positive outcomes for people and this had been complimented by health visitors.

The service involved people, relatives and staff in the design and delivery of people’s care. Questionnaires and meetings sought everyone’s opinions and implemented changes to make improvements when needed. The provider has extended the building, to provide updated accommodation for people. This had also added a brighter, more spacious dining room, as well as an accessible patio and garden for people to enjoy.

There were different activities for people to get involved in and we saw they enjoyed this. The service continuously developed trips out for people and supported people to retain or develop their independence. A Christmas dinner had been arranged for everyone to attend at a restaurant in the community, staff not on shift had come into work to support this. There was an ethos of a service led by people, which staff described as, “The staff do not run this house - the residents run this house. It is their 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 and had been improved since our last inspection.

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 19 July 2017).

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.