Parkdale Care Home

Parkdale Care Home is a residential care home providing accommodation and personal care to up to 30 people in one adapted building across three floors. The service provides support to older people and younger adults. At the time of our inspection there were 27 people using the service.

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

People were supported safely by staff who understood how to recognise potential abuse and take appropriate action. People had risks to their safety assessed and planned for, when things changed these were updated.

There was enough staff to support people safely and they had been safely recruited to work at the service. Staff were administering medicines safely and following procedures to keep people safe from the risk of infection. Where incidents had occurred, these were reviewed, and learning was drawn from them to share with staff and prevent things from reoccurring.

People’s needs were assessed and planned for in line with good practice. People were involved in their care planning and their needs and preferences were considered. People were involved in making improvements to their environment and we saw the provider was working to continuously improve areas of the home. People were supported by staff who understood their needs and preferences.

Staff had the skills to carry out their roles and were able to demonstrate a knowledge of how people should be supported effectively. Staff understood people’s health conditions and staff worked with other agencies to provide support. Staff supported people to eat and drink and manage any risks, people had a choice of meals and were happy with the quality of the food and drinks they were offered.

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.

The provider had systems in place to check on the quality of the care people received and to monitor this and look for areas of improvement. We found the provider was ensuring a learning culture was in place and working with other professionals.

Rating at last inspection and update

The last rating for this service was requires improvement (published 23 August 2022)

The provider completed an action plan after the last inspection 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.

Why we inspected

We carried out an unannounced inspection of this service on 27 July 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, safeguarding people from abuse, consent and governance of the home.

We undertook this focused inspection to check they had followed their action plan and to confirm they now meet legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.

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 requires improvement. 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 Parkdale Care 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.

Parkdale Care Home is a care home providing personal care for up to 30 older people in one adapted building. At the time of our inspection 27 people were living in the home. People have access to their own bedroom along with communal spaces including lounges and gardens.

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

People were not always protected from potential harm as when incidents and accidents occurred these were not always investigated or reported. There were not always reviews of people’s care records after these incidents to ensure action was taken to mitigate further risks. Some people did not always have guidance in place for staff to follow to keep them safe.

People were not supported by staff to have the maximum possible choice, control and independence, as people’s capacity had not always been considered or best interests decisions made. There was a lack of understanding around this and staff provided us with inconsistent views of how people would be supported.

The systems in place were not always robust to ensure areas of improvements were identified. As incidents were not always investigated or reported we could not be assured duty of candour was fully understood. There was some evidence of lessons being learnt when things went wrong however further improvements were needed so this covered all areas. The provider had not always notified us of significant events that had happened within the home.

Medicines were managed in a safe way and people received these as prescribed. There were enough staff available to support people. People were happy with the staff that supported them and the care they received. The home was clean, and equipment was safe to use. People were supported to eat and drink and had access to health professionals when needed. Staff received an induction and training and people and relatives felt staff had the skills to support them.

Staff felt supported and involved with the service. They had the opportunity to raise concerns. Families and people felt the home was a nice place to live.

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 requires improvement (Published 7 December 2021) and there were breaches of regulations.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider remained in breach of regulations.

You can see what action we have asked the provider to take at the end of this full report.

Why we inspected

The inspection was prompted in part due to concerns received about the environment, staffing and the care people received. A decision was made for us to inspect and examine those risks.

The overall rating for the service has remained requires improvement based on the findings of this inspection.

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

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection.

We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to Regulation 11 (Need for consent), Regulation 12 (Safe care and treatment), Regulation 13 (Safeguarding service users from abuse and improper treatment) and Regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Parkdale Care Home is a residential care home providing personal care to 17 people. The service can support up to 30 people.

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

Governance systems were still being embedded and the provider was working to ensure they had up to date and accurate information about what work was required. This included monitoring care practice and reviewing people’s care plans to ensure they had been updated.

People could not be assured that their safety in the home and risks within the property were fully assessed and managed. People received their medicine on time; however, improvements were needed in the records kept by the home. People were supported by enough staff who had been safely recruited. People were protected from the risk of abuse., and we were assured by the infection, prevention and control measures in place.

People were not always supported to have maximum choice and control of their lives, however, the provider was aware of this and had an action plan to address this.

People had access to food and drink throughout the day and staff were trained to support people’s needs. People were supported to access health appointments and there was communication with other agencies when needed.

The environment was homely. However, improvements had been highlighted by the provider and plans were in place for the replacement of some furniture and the redecoration of some areas of the home including replacing some of the flooring.

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

Rating at last inspection

This service was registered with us on 01/07/2021 and this is the first inspection

Why we inspected

The inspection was prompted in part due to concerns received about the impact of changes to the management of the home. A decision was made for us to inspect and examine those risks.

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.

We have found evidence that the provider needs to make improvements. Please see the safe, effective, caring, responsive and well led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so. We have identified breaches in relation to premises and equipment and good governance. Full information about CQC's regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.