Background to this inspection
Updated
17 February 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 completed by three inspectors, an assistant 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
Beverley Parklands 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.
The service had a manager registered with the CQC. 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
We gave a short period notice of the inspection because of the Coronavirus pandemic. We had to arrange safe working procedures for our inspection.
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 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 the registered provider, registered manager, deputy manager, one care staff, a member of the domestic, kitchen and activity teams, and an administrator during the site visit. We also held a video conference with the provider, registered manager and clinical lead, and telephoned eleven members of care staff, two people living at the home, and nine relatives to talk about their experience of the service.
We walked around the ground, second and third floors of the service and observed care and social interactions using infection, prevention and control and socially distanced practices.
We reviewed a range of records. This included six people’s care records and ten medication records. We looked at six staff files in relation to recruitment and staff supervision. We requested copies of a variety of records relating to the management of the service, which were sent to us and reviewed as part of the inspection process.
After the inspection
We continued to seek clarification from the provider and registered manager to validate evidence, either taken away from the service or sent to us.
Updated
17 February 2021
About the service
Beverley Parklands Care Home is a purpose-built care home which is registered to provide accommodation and personal care to a maximum of 90 older people, some of whom may be living with dementia. The home has four floors and accommodation was provided over three of these during the inspection. Each bedroom has en suite facilities. There were 67 people living at the home when we inspected.
People's experience of using this service and what we found
People said they enjoyed living at Beverley Parklands Care Home, they felt safe and well looked after. One person said, “I think it’s a brilliant place, the carers are very willing to help, they’ll do anything for you, I’m very happy here.”
Relatives said they were confident that staff provided care in a safe way, one said, “[Name of relative] is very positive about things. They are content and have a brilliant relationship with the carers. We know they are safe.”
Procedures were in place which safeguarded people from the potential risk of abuse. Staff understood the various types of abuse and knew who to report any concerns to.
Risks to people were assessed and control measures put in place to mitigate risks to people's safety. Some recording of people’s behaviours required strengthening. We made a recommendation about this.
Lessons were learnt from incidents and accidents.
People's medicines were administered safely, and records contained appropriate information.
Equipment and the environment were clean and there was sufficient cleaning taking place to keep people safe and prevent the spread of infections.
Staffing levels were safe. The provider's recruitment processes helped ensure only suitable staff were employed.
The registered manager had created a positive culture throughout the pandemic. The provider worked in partnership with other organisations to develop and continuously improve the service.
The staff team as a whole demonstrated a strong commitment to providing quality care and knew people well. This had resulted in positive outcomes for people and enhanced their health and wellbeing.
Quality assurance systems were in place and the registered manager looked at ways they could continuously improve the service people received. Recording in relation to low level incidents and when these required notifying to other agencies required strengthening. We made a recommendation about this.
For more details, please see the full report which is on the Care Quality Commission's (CQC) website at www.cqc.org.uk.
Rating at last inspection
The last rating for this service was outstanding (published 9 November 2018).
Why we inspected
This inspection was prompted in part due to our internal monitoring intelligence, which included a medication error. 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 coronavirus 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 remains outstanding. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Beverley Parklands Care Home 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.