About the service: Parkside is a residential care home providing accommodation and personal care to 32 older people. At the time of the inspection, 28 people were living in the home.
People’s experience of using this service:
•People's medicines were not being managed safely in the home. We found medicine records were inaccurate and incomplete.
•This put people at risk of harm because people may not have received their medicines as prescribed.
•Staff were not fully supported with adequate assessments and training to ensure they were competent to manage medicines.
•Quality assurance systems within the home were not always effective and had not identified the shortfalls we found with medicines management.
•Risks associated with people’s needs were assessed.
•People had evacuation plans in place in the event of a fire but it was not always clear which person the plan related to. The registered manager said they would address this.
•People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
•People received care from staff who were kind and compassionate.
•Staff treated people with dignity and respected their privacy. They developed positive relationships with the people they supported. They understood people’s needs, preferences, and what was important to them.
•However, some people and relatives raised concerns about night staff because they did not always feel supported during night times. The registered manager told us these concerns about the home at night would be addressed.
•People were supported with their nutritional needs and had meal choices, although some people were not always happy with the quality of the food.
•People had access to health care professionals such as GPs, when required.
•People’s independence was promoted. Care plans were person centred and detailed people’s support needs.
•There was a complaints process for people and complaints were investigated by the registered manager.
•Staff were recruited safely and were provided with supervisions and appraisals to discuss their performance and any issues.
•Staff told us there was a positive culture and could approach the management team with any concerns.
•The registered manager was committed to making improvements to the home and there was a clear management structure in place.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
At the last inspection on 21 September 2017 (report published 7 November 2017), the service was rated ‘Good’. At this inspection, the rating for the service has deteriorated to ‘Requires Improvement’.
Why we inspected:
This was a planned inspection based on the rating of the previous inspection.
Enforcement:
We identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to safe care and treatment and good governance. We issued a Warning Notice to the provider in relation to the breach of Regulation 12, Safe care and treatment.
Follow up:
We will continue to monitor information and intelligence we receive about the service until we return to visit as per our re-inspection guidelines. We may inspect sooner if any concerning information is received.