16 November 2023
During an inspection looking at part of the service
Park View Care Centre is a residential care home providing personal and nursing care to up to 88 people. The service provides support to people aged 18 and over, some of whom live with dementia or require complex nursing care. At the time of our inspection there were 58 people using the service.
People’s experience of using this service and what we found
People and relatives told us the service had improved since the last inspection and they felt safe living at Park View Care Centre, however, further improvements were still required.
The provider had increased their oversight of the service and a new manager had been employed since the last inspection. The provider had identified shortfalls within the service and had worked to rectify these. However, this action had not always been successful. Potential risks to people’s health and welfare had not been consistently assessed and there was not always person centred guidance in place for staff to mitigate risks. Accidents and incidents had been recorded, analysed and changes had been made to reduce the risk of them happening again.
Medicines were not managed in a consistently safe way, medicine records were not accurate and there was not always guidance for staff about when to give when required medicines.
The provider had put systems in place to improve the quality and continued oversight of the service, some of these systems had not yet been embedded or had time to be fully effective.
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.
People and relatives told us the culture within the service had improved and they were now confident their concerns would be taken seriously and investigated. There was now a system in place to make sure the provider’s policy was followed.
People and relatives told us the food had improved. Staff had received training in the provision of textured diets, to help to keep people at risk of choking safe. Staff training had increased, staff told us they had the skills they required to complete their roles. Improvements had been made to staffing levels and there were enough staff to meet people’s needs. Some relatives and staff raised concerns about the staffing levels in the future when new people came to live at the service. The provider told us they would take this into consideration when new people were assessed before moving into the service.
Staff knew people well, people told us they received care in the way they preferred and had the opportunity to take part in activities.
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 inadequate (published 24 November 2023) 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 improvements had been made but the provider remained in breach of regulations.
This service has been in Special Measures since 23 November 2023. On 21 June 2023, we imposed urgent conditions on the provider's registration to ensure that risks relating to choking, malnutrition and dehydration were safely managed. We also requested the provider reviewed their quality assurance systems to ensure effective oversight of these risks, and that the relevant investigations were completed. We requested the service provided regular updates to CQC. We also restricted any new admissions to the service. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures and the conditions imposed have been removed.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
We have found evidence that the provider needs to make improvements. Please see the safe, effective 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 and Recommendations
We have identified breaches in relation to risk management, medicines and governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
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.