Parkside Nursing Home

Updated 6 April 2022

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This included checking the provider was meeting COVID-19 vaccination requirements. 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 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

Parkside Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Parkside Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service did not have a manager registered with the Care Quality Commission. This means that when a registered manager is appointed, they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. The provider was actively trying to recruit a registered manager with the skills and experience to support the home.

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 clinical commissioning group who had worked closely with the service. 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. We used all this information to plan our inspection.

During the inspection

We spoke with ten staff members including the acting manager, nurse support, registered nurse, care workers, agency care worker, kitchen staff and housekeeping staff. We spoke with two people who used the service and 12 people's relatives. Not everyone living at the service was able or wanted to speak with us, therefore we spent time observing interactions between staff and people. We reviewed a range of records. This included four peoples care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including concerns and complaints were reviewed.

After the inspection

We spoke with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We sought further information from the provider, that we were unable to review on site, to inform our inspection judgements. This included staff training information, staff rotas and policies.

Updated 6 April 2022

About the service

Parkside Nursing Home is a care home that provides nursing and personal care for up to 50 people in one purpose-built building. At the time of the inspection 17 people lived at the home, including people living with dementia.

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

There had been a number of changes in the management team and these changes had not yet been embedded to provide sustained changes at the home. Relatives told us they were not consistently involved in planning and reviewing peoples care. The providers senior leadership team had supported the service in making numerous changes in order to improve the quality and safety of care. Governance systems and processes had improved and as a result incidents had reduced. The home worked well and acted on feedback from health and social care professionals.

People were protected from the risk of harm or abuse. Safeguarding incidents were investigated and reported in a timely manner to safeguarding authorities. Medicines were managed safely. Staff were recruited safely, and people were supported by staff who knew them well. Infection control measures were in place to protect people from the risk of infection. Lessons had been learnt and people’s outcomes had improved as result of the changes since our last inspection.

People were involved in planning their care. The provider had been open and honest when issues occurred and responded and acted upon complaints in a timely manner. People were supported to spend their time undertaking activities they enjoyed.

People were offered choice in what they wanted to eat and drink, risks associated with eating and drinking were managed and specialist advice had been sought when needed. Staff were trained and competent and care was delivered in line with best practice guidance and the law. 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.

People were provided with consistently kind and caring support; they were given choices and they were consulted about all aspects of their care. Staff supported people in a dignified way, and people were supported in a timely manner. Staff communicated with people respectfully.

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

Rating at last inspection and update

The last rating for this service was inadequate (published 18 November 2021) and there were multiple breaches of regulation. Following our last inspection, we held a provider meeting and the provider completed an action plan to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

This service has been in Special Measures since 13 September 2021. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

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. This included checking the provider was meeting COVID-19 vaccination requirements.

The overall rating for the service has changed from inadequate to good based on the findings of this inspection.

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

Follow up

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