Parkview Residential Home

Updated 25 August 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 a pharmacist from our medicines optimisation team.

Service and service type

Parkview Residential Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Parkview Residential Home 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 there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

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.

We reviewed additional information we held about the service, this included previous inspection reports and statutory notifications. A statutory notification contains information about certain incidents and events the provider is required to notify us about by law.

During the inspection

We spoke with four members of staff which included the registered manager and care staff. We spoke with 5 people who lived at the service and observed interactions between people and staff.

We reviewed a range of records, including peoples’ care records, staff recruitment files, records relating to safety checks including fire safety and accident and incident records. We also reviewed medicines records and records relating to monitoring and quality assurance.

Following our site visit we contacted three healthcare professionals to seek their views on the service but did not receive any response. We also spoke with a further 2 relatives and 2 members of staff. We also received further clarification and documentation from the service to validate evidence found.

Updated 25 August 2023

About the service

Parkview Residential Home is a residential care home for 22 people. There are bedrooms on the ground and first floor. There is a communal lounge and dining area located on the ground floor. At the time of our inspection there were 21 people living at the service.

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

Following our last inspection, we imposed conditions on the provider's registration which required them to complete a selection of monthly audits and report their findings to CQC. This was because we identified breaches in relation to safe care and treatment, good governance, fit and proper persons employed, need for consent and failure to send statutory notifications to the CQC as required by law.

At this inspection, we identified improvements had been made and risks to people had been significantly reduced, however the systems and process to ensure staff were employed safely had not been consistently followed. We identified that improvements had been made in relation to the safe management of medicines but further improvements were still needed. We have made a recommendation about the use of some medicines and also around the disposal of medicines. Governance in the service had significantly improved but required further development to ensure recruitment was fully compliant with the regulations.

The provider had worked closely with the local authority and the registered manager had received support in relation to implementing a good governance framework. This had resulted in improvements around the management of people’s care and support records and the service environment. The new arrangements were currently being embedded into the service to ensure they were fully effective.

People felt safe at the service and spoke positively about the staff that supported them. Staff were trained in safeguarding and knew how to identify and report concerns. There were sufficient staff on duty to support people. The service was clean with appropriate infection control policies in place.

The provider had ensured a training package was in place for staff and the registered manager was implementing a structure around supervision and appraisal. People were supported to eat and drink enough and where required, the service worked with other healthcare professionals.

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. Improvements had been made around Deprivation of Liberty Safeguards (DoLS) applications and compliance with the requirements of the Mental Capacity Act 2005.

People’s care records were personalised and we received positive feedback from people in relation to the level of care they received. One person said, “I am very happy here, the staff are kind and caring.” Improvements had been made in relation to end of life care and this was still being further developed.

There were new governance systems in operation to ensure the health, safety and welfare of people using the service and others. Auditing of care records, environmental risks and Mental Capacity Act 2005 documentation had been implemented and was being embedded into the service. The provider had notified CQC about any significant events at the service in line with regulatory requirements.

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 Inadequate (published 13 January 2023). The provider sent us monthly reports in line with conditions imposed on their registration.

At our last inspection we recommended the service sought advice and guidance from an accredited source around the current systems in place for training and complying with the Accessible Information Standard. At this inspection we found improvements had been made in this area.

This service has been in Special Measures since 13 January 2023. During this inspection the provider demonstrated that improvements had 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.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

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.

The overall rating for the service has changed from Inadequate to Requires Improvement based on the findings of this inspection.

Enforcement and Recommendations

We have identified a continued breach in relation to fit and proper persons employed at this inspection. We have also made a recommendation about the management of medicines.

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.