Parsons Grange

Updated 1 March 2023

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 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

This inspection was carried out by two inspectors 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

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

Registered Manager

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 to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We contacted the Local Authority safeguarding and compliance teams. We reviewed information we held about the service. We checked online reviews of the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 15 people who use the service and 4 relatives about their experience of the care provided. We spoke with 7 members of staff including the registered manager, clinical, care workers, nurses and activity coordinator.

We reviewed a range of records. This included six people’s care records and multiple medicines 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 policies and procedures were also reviewed.

Updated 1 March 2023

About the service

Parsons Grange is a residential care home providing personal and nursing care to up to 68 people. The service provides support to older people, younger adults who may also have a physical disability or people living with dementia. The care home includes 4 separate units split into residential and nursing care with two units designed to support people living with dementia. Each bedroom has its own en-suite bathroom, with wet room style shower. There are communal areas such as a reception café, dining rooms, cinema, activities room and gym. At the time of our inspection there were 54 people using the service.

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

We found some concerns regarding people not always receiving their medicines when required and staff training in relation to learning disability and autism and the Mental Capacity Act. We have made recommendations in relation to the providers’ reviews of medicines management and staff training.

People reported they felt safe living at the service. The registered manager ensured infection prevention and control guidance was followed to keep people and staff safe.

Care plans were person centred and included the input from relevant people. The environment in the home included decoration and signage around the service to support people living with dementia.

The registered manager and staff had an open and transparent way of working to ensure the safety of the people living at the service. The registered manager was able to demonstrate quality assurance systems were used effectively to monitor and improve quality and safety in the service There was a positive culture amongst staff at the service. Staff knew people they supported well and cared about their wellbeing. The provider demonstrated their compliance with legal obligations and any learning from incidents or accidents was undertaken effectively.

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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

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 (published 15 December 2021)

Why we inspected

We received concerns in relation to wound management, staffing and mental capacity assessments. As a result, we undertook a focused inspection to review the key questions of safe, effective 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 COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good.

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

Recommendations

We have made recommendations regarding time specific medicines and staff training in relation to the Mental Capacity Act and Deprivation of Liberty Safeguards and learning disability and Autism.

Follow up

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