Background to this inspection
Updated
7 October 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.
Inspection team
The inspection was carried out by 1 inspector 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
Park View is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection, the home did not have a registered manager.
Notice of inspection
This inspection was unannounced. Inspection activity was carried out between 10 and 23 August 2023.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with 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 4 people who used the service and 2 relatives about their experience of the care provided. We also spoke with 5 members of staff including the acting home manager, area manager, nominated individual and 2 support workers.
We reviewed a range of records. This included 3 care plans, 3 staff recruitment files, staff training records and records associated with the provider's quality monitoring systems.
Updated
7 October 2023
About the service
Park View is a care home in Salford which is registered with CQC to provide care for a maximum of 9 people. There were 8 people using the service at the time of the inspection.
People's experience of using this service and what we found
Not all risks were effectively managed at the home and some safeguarding concerns were not always reported to the local authority for further investigation. Accidents and incidents were monitored, although trends and certain repeated incidents were not always identified.
People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice. Staff supervisions did not always take place consistently.
Although audits were undertaken at the service, they had not identified the concerns found during this inspection. Staff and resident meetings did not take place consistently and recent satisfaction surveys had not been sent to gather people’s views.
People living at the home and relatives said they felt the service was safe. There were enough staff to care for people safely and correct staff recruitment procedures were followed.
People received enough to eat and drink and were supported to maintain good health and staff supported people to attend appointments where necessary.
We received positive feedback about the care provided. Staff were described as kind and caring and treated people well.
Systems were in place to manage complaints. The feedback we received was that the care was person centred and that people were able to participate in hobbies and activities of their choosing.
Rating at last inspection
The last rating for the service was good (Published October 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
The overall rating has changed from good to 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 Park View on our website at www.cqc.org.uk.
Enforcement and recommendations
We identified a breach regarding good governance and have made recommendations regarding risk management, MCA assessments and safeguarding referrals.
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 continue to monitor information we receive about the service, which will help inform when we next inspect.