Western Park View Nursing Home

Updated 30 March 2021

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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by two inspectors.

The service did not have a manager registered with the Care Quality Commission (CQC). This meant that the provider is legally responsible for how the service is run and for the quality and safety of the care provided.

Service and service type

Western Park View Nursing Home is a ‘care 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.

Notice of inspection

We gave the service a short notice period of the inspection. We telephoned and spoke with the manager and informed them of our inspection five minutes prior to entering the service. This was to help the service and us manage the risks associated with COVID-19.

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 who commission the service for some people who use the service. We used all this information to plan our inspection.

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with a person using the service. We spoke with the manager and deputy manager, four members of staff which included a nurse, laundry and domestic assistant.

We reviewed a range of records. This included thee people’s care records and multiple medication records. We looked at two staff riles in relation to recruitment. A variety of records relating to the management of the service.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data, quality assurance records, records detailing the outcome of investigations in response to whistleblowing concerns and records and analysis of consultation with people and staff.

Updated 30 March 2021

About the service

Western Park View Nursing Home provides personal and nursing care for up to 60 older people. At the time of the inspection there were 50 people in residence. The service was purpose built and has communal rooms and bedrooms on both the ground and first floor.

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

People were at potential risk of the spread of infections. Improvements were needed to the maintenance and systems of practice in the laundry area and auditing of the environment needed to improve to ensure they were robust and effective.

People’s records assessing potential risk were not always completed accurately. The management team had not worked consistently to ensure all staff working within different areas of the service completed records well. We have recommended that the provider implements assessments tools reflective of good practice guidance, which are completed and reviewed by staff who have had training in their use.

The service had a ‘visiting pod’ which would provide independent access for family members to visit their relatives. All visitors to the service would be required to wear personal protective equipment (PPE). Staff were seen to be wearing PPE appropriately. Both people and staff were routinely tested for COVID, consistent with government guidance.

Staff were aware of their responsibilities in reporting concerns to safeguard people. Medication was managed safely. There were enough staff to meet people’s needs and checks were carried out as part of staff recruitment. Staff undertook training in topics related to the promotion of people’s safety, health and welfare. Staff were knowledgeable about their role in reporting concerns, both internally and externally.

People and staff views were sought and were considered as part of managerial meetings to develop the service. The manager had comprehensively responded to whistleblowing concerns and had liaised effectively with staff and with the Care Quality Commission.

Plans for improvement had been identified, these were kept under review by the area manager who regular visited and met with the manager and staff.

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 16 September 2019)

Why we inspected

We received concerns in relation to the quality of care people received due to staff shortages. As a result, we undertook a focused inspection to review the key questions of Safe 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.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from Good to Requires improvement. This is based on the findings at this inspection.

We have found evidence that the provider needs to make improvement.

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 Western Park View Nursing Home 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 infection control measures to reduce the spread of infection at this inspection.

Please see the action we have told the provider to take at the end of this report.

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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.