Background to this inspection
Updated
8 November 2019
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 an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Park House 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 two managers 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 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 also looked at all other information available to us including notifications. Notifications are information about specific incidents or events that the service are required to tell us about by law.
During the inspection
We spoke with 10 people who used the service and six relatives about their experience of the care provided. We spoke with six members of staff including the provider, registered manager and care staff.
We reviewed a range of records. This included three people’s care records. We reviewed audits, complaints and other records relating to the running of the service.
Updated
8 November 2019
About the service
Park House is a residential care home providing personal care to 27 people aged 65 and over at the time of the inspection. The service can support up to 30 people. The inspection took place on 26 September 2019.
The service was housed in an older building over three floors.
People’s experience of using this service and what we found
People told us they were happy with the care they received. It was evident that people were settled and had built good relationships with staff. Relatives told us they were happy with the care given at the home and staff communicated well with them. People were encouraged to maintain their independence as far as possible.
People felt safe and there were enough staff to meet people’s needs. Risks were assessed, and measures put in place to manage them safely. Procedures were in place to recruit staff safely. People were supported with their medicines safely.
We found that staff knew people well and understood the ways in which they liked to be supported. We did however make a recommendation to review care planning and ensure that it included person centred details. End of life care planning was basic and needed further development to ensure plans were fully person centred. The key question of ‘was the service responsive?’ was rated as required improvement.
Staff were positive about their training and support and felt able to discuss any concern or issues with the registered managers. People were supported nutritionally and were able to see the GP when needed. We made a recommendation in relation to the environment of the home to ensure all hazards were managed safely.
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.
The home was well led with two registered managers in place. There was a positive culture within the home and staff were positive about working there. The registered managers were aware of their responsibilities in line with their registration. There were systems in place to monitor the quality of the service provided.
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 (28 February 2017).
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Park House 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.