Archived: Parkfields Nursing Home

Updated 4 July 2017

The inspection took place on 27 April and 4 May 2017 and was unannounced. The inspection team consisted of two inspectors and an Expert by Experience. An Expert by Experience is someone who has personal experience of using or caring for someone who uses this type of service.

We looked at the information we held about the service provided. This included statutory notifications. Statutory notifications include important events and occurrences such as accidents and serious injury which the provider is required to send us by law. We used this information to help plan the inspection.

We spent time with people who lived at the home and observed the care provided by staff. We spoke with six people who lived at the home. We also spoke with four relatives who were visiting the home at the time of the inspection and one healthcare professional. In addition we also used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experiences of people who could not talk with us.

We spoke with the registered manager, the deputy manager, two nurses, eight members of staff including team leaders and an activities coordinator. We spoke with the registered provider who was at the home during our first visit.

We looked at the records relating to three people’s care records including their medicine records. We also looked at staff records including training and recruitment records and the records relating to the management of the service including accident and incident reports and quality audits.

Updated 4 July 2017

Parkfields Nursing Home is registered to provide accommodation and nursing care for up to 49 people. At the time of our inspection 33 people were living there. The inspection took place on 27 April and 4 May 2017 and was unannounced.

There was a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered provider, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We previously inspected Parkfields Nursing Home on 28 and 29 June 2016. At the time of our previous inspection we found improvement had been made and two breaches of legal requirement highlighted in the earlier report were met and we rated the service as requires improvement.

People and their relatives we spoke with were confident improvements had taken place within the home which had resulted in the delivery of better care and support.

Staff told us how they would recognise concerns to people’s safety and were aware of the action they would need to take if people were at risk of harm or abuse. People were supported to remain as independent as possible. Staff were mindful to support people in a way which maintained their dignity and upheld their right to privacy.

Staff had undertaken training relevant to their role and in order to meet the needs of people. Staff were confident they had the skills needed and felt supported by the management team. There were sufficient staff on duty to meet the needs of people who lived at the home.

Risks associated to the care and support of people were assessed and staff were aware of these risks. The registered manager had introduced new systems to ensure accurate records were maintained and was aware further improvement was needed with these

Improvements had been made in the recruitment of staff and the measures taken to ensure staff were suitable to work with people living at the home. We found improvement to the systems in place for the safe management of medicines. The registered manager introduced additional systems to ensure people always received their medicines as prescribed during the inspection process.

People were supported by staff in a kind and caring way. People were involved in planning their care and how they spent their day. Staff were aware of people’s interests and sought to engage people in these to stimulate them. The cultural needs of people were respected and met. Staff sought permission from people before care and support was provided. The registered manager and staff were aware of the importance of gaining consent and were aware of the need to involve other relevant people if looking at people’s best interests. People were confident they could raise concerns if they had any with the management team. Staff spoke highly of the management and of the changes they had brought about.