Archived: The Park Residential and Nursing Home

Updated 25 April 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one inspector, a Specialist Advisor (the Specialist Advisor had experience working and caring for people who require general nursing care) 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:

The Park Residential and Nursing Home is a care home.

The service had a manager registered with the Care Quality Commission. 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:

Inspection site visit activity took place on 25 March 2019 and was unannounced. We returned on 26 March 2019 and the visit was announced.

What we did:

We used the information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

Our planning took into account information we held about the service. This included information about incidents the provider must notify us about, such as abuse; and we looked at issues raised regarding complaints and how the service responded to them. We also obtained information from local authority commissioners.

We spoke with 14 people and four family members who were visiting their relative.

We spoke with the registered manager, the regional manager, the clinical lead, a nurse, an activity co-ordinator, the chef and three members of care staff.

We looked at the care plans and records related to the care of five people. We looked at three staff records, which included their recruitment, induction and on-going supervision. We looked at the staff training matrix, the minutes of staff meetings and records related to the quality monitoring of the service, which included complaint investigations carried out by the provider.

Updated 25 April 2019

About the service:

The Park Residential & Nursing Home 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 Park Residential & Nursing Home accommodates up to 41 people in a purpose built building. At the time of the inspection there were 36 people in residence.

People’s experience of using this service:

¿ We found improvements had been made following the previous inspection of the service by the Care Quality Commission.

¿ We found The Park Residential and Nursing Home met the characteristics of a ‘Good’ service.

¿ People and family members were consistent in their praise for the service provided. A family member told us, “I would recommend it here, I have done. I feel positive about the place and have peace of mind, I have faith in their judgement and the care they give. If I have any concerns I can raise them, and I go to the appropriate people and I know they will listen.”

¿ People’s safety was promoted. We found there were sufficient staff to meet people’s needs who had undergone a robust recruitment process. Staff had a clear understanding as to how people’s safety was to be promoted as they had received and continued to receive training and guidance.

¿Staff followed the information within people’s records to reduce potential risk, promoting people’s health and wellbeing. People’s medicines were managed safely, and prescribed medicines were regularly reviewed by a health care professional.

¿ People lived within a clean and well-maintained environment which met their needs. The service was homely and welcoming and provided opportunities for people to socialise, both within the service and the garden. Equipment to promote people’s independence and meet their personal care needs was provided.

¿ People’s needs were regularly reviewed with their involvement or that of a family member and changes were acted upon, which included referrals being made to the relevant health care professional. The service had strong links with a local surgery who provided scheduled and regular visits by a health care professional, to support people’s health and welfare.

¿ People spoke positively about the meals provided, all meals and foods were homemade and met people’s dietary requirements. Food and drinks were in plentiful supply, with snacks and drinks being served throughout the day. Mealtimes were an important social event. Family members were encouraged to join their relatives for meals.

¿ People’s rights and choices were promoted on an ongoing basis. Where people were not able to make informed decisions, then decisions were made in their best interest. Family members were consulted about their relative’s health as part of best interest decisions.

¿ People and family members were consistent in their praise of all staff for their care, attitude and approach. People’s equality, diversity and individuality was understood and respected. Staff had developed caring and positive relationships with people and their family.

¿ People’s needs were regularly reviewed and updated with their involvement and that of a family member. People and family members understood how information was stored and maintained and the legislation that governed the sharing of personal information.

¿ Effective systems were in place for staff to share information about people, so they could respond to people in a timely and coordinated manner.

¿ People had opportunities to take part in activities within the service and the wider community, which were provided by staff and by external companies.

¿ People’s views and that of their family members were regularly sought and the registered manager implemented changes based on the feedback they received, which had had a positive impact on the quality of the service as commented upon by people and their family members.

¿ Staff, people and family members were consistent in their praise of the registered manager. They spoke of the registered managers approachability and their commitment to continually improve the quality of the service through consultation.

¿ The provider had a robust system in place, which continually monitored the quality of the service, which included regular auditing in key areas. Action plans to bring about improvement were in place when audits identified areas for improvement. The action plan was monitored by the registered manager and the wider hierarchical management team of the provider to ensure identified improvements were actioned.

Rating at last inspection:

Requires improvement. The last report for The Park Residential and Nursing Home was published on 23 August 2017.

Why we inspected:

This was a planned comprehensive inspection based on the rating from the previous inspection.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received we may inspect sooner.

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