Park View Care Home with Nursing

Ratings

• Overall

  Requires improvement

• Safe

  Requires improvement

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Requires improvement

Our view of the service

Park View Care Home with Nursing provides accommodation, nursing and personal care for up to 44 people, including people living with dementia and people who require support with their mental health. The assessment was unannounced on day one. The assessment was prompted to follow up warning notices we previously issued. We completed a full inspection looking at all key questions. We undertook on-site visits on 5, 10 and 13 September 2024. This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission. Registered managers and providers are legally responsible for how the service is run. At the time of our inspection there was no registered manager, though a manager was in post who was applying to become registered. During this assessment we found the provider failed to achieve the necessary standards and the rating has remained requires improvement. We identified breaches of regulations in relation to safe care and treatment, consent, governance, and staffing. Consent records were not always in place or not always being consistently completed. We found concerns relating to safety of the environment and peoples risk management. People’s care records were not always detailed or completed consistently. Quality assurance and governance systems were not as effective as they should be. Staff training needed to be improved and staff supervisions and appraisals were not regularly taking place. Policies and procedures had not always been followed. However, permanent staff showed an understanding of people and their needs. We received good feedback from staff in relation to the manager. We have asked the provider for an action plan in response to concerns relating to safe care and treatment, consent and staffing. For the more significant concerns relating to governance, we have told the provider when they need to be compliant by.

People's experience of this service

People and their relatives were mostly positive about the staff though some concerns were shared about agency staff. People and relatives were mostly complimentary about their overall experiences. We received positive examples of staff supporting people in-line with their needs and preferences, improving health and well-being. A relative told us, “I know mum is moved from her bed with equipment and I have not had any complaints from mum.” People felt their privacy was respected. One person told us, “My life is fairly private and the staff respect my wishes.” People took part in activities, though with a new activities coordinator in place there were hopes improved activities could be offered. While most people and their relatives we spoke to expressed that they were generally happy with their care, our assessment found elements of care did not meet the expected standards.