Archived: Parade Rest Home

Updated 14 March 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:

One adult social care inspector carried out this inspection.

Service and service type:

Parade Rest Home is a care home. People in care homes receive accommodation and nursing or personal care. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

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

The inspection was unannounced. We did not tell people who lived at Parade Rest Home, relatives, the registered provider, registered manager or staff when we would be visiting.

What we did:

Before our inspection, we checked the information we held about Parade Rest Home. This included notifications the registered provider sent us about incidents that affect the health, safety and welfare of people who received support.

We also contacted the commissioning and contracts departments at Blackpool Borough Council, Lancashire County Council and Healthwatch Blackpool. Healthwatch is the local consumer champion for health and social care services. They give consumers a voice by collecting their views, concerns and compliments through their engagement work. This helped us to gain a balanced overview of what people experienced when they received support at Parade Rest Home.

We looked at 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. All the information gathered before our inspection went into completing our planning document that guides the inspection. The planning document allows key lines of enquiry to be investigated focusing on any current concerns, areas of risk and good or outstanding practice.

We activated the call bell three times during our visit to assess staff availability and response times. We spent time watching day to day activities, communication, relationships and care practices taking place. We did this to assess the quality of interactions that took place between people living in the home and the staff who supported them.

We spoke with two people who lived at Parade Rest Home and five relatives, the registered manager, business administration manager and two care staff. We looked at the care records of three people; training and recruitment records of three staff members, records related to the storage and administration of medicines and the management of the service.

As part of the inspection process we walked around the building to carry out a visual check. We did this to ensure the home was clean, hygienic and a safe place for people to live.

We looked at what quality audit tools and data management systems the provider had. We used all the information gathered to inform our judgements about the fundamental standards of quality and safety of the service delivered by Parade Rest Home.

Updated 14 March 2019

About the service:

Parade Rest Home is a residential care home that was providing personal care to 11 older people, some of whom were living with dementia.

People’s experience of using this service:

We observed medicines being administered and looked at how they were managed. While staff were kind and patient during the dispensing of medicines, staff did not always follow good practice guidance around the management of medicines. We have made a recommendation about this.

People told us they felt safe at Parade Rest Home. Relatives stated they believed their family members were made safe by the care they received. Staff told us they had appropriate training, knowledge and support to keep people safe. Staff could tell us how they managed risk and behaviours that challenge in a way that respected the person and supported their dignity.

People and their relatives we spoke with felt confident in the management. They told us there was a caring culture within the home and staffing levels were appropriate. One person told us, “When I ring the bell staff always come.”

It was clear staff morale was good and everyone was committed to ensuring people received care and support based on their preferences and life choices. The registered manager told us the low staff turnover allowed positive relationships to be built with people receiving support and strong teamwork to develop. People who lived at Parade Rest Home expressed positive views on how they were treated by staff.

Observations during our inspection showed people were respected and care and support was delivered in a dignified manner with consent being sought before any actions were taken. We saw the use of eye contact, appropriate touch and humour to engage and foster positive relationships.

Care plans had been developed with people and their relatives being involved throughout the process. These were regularly reviewed to reflect people’s current needs. The management of risk was included within the care plan to minimise the likelihood of preventable harm occurring.

Staff files we looked at evidenced the registered manager used the same safe recruitment procedures we found at our last inspection. Staff told us training was ongoing and they were supported to gain vocational qualifications in health and social care.

Staff supported people with their meals sensitively and respected their wishes. Plate guards were used to promote people’s independence and staff were available to provide support should it be required. We observed one person start to eat their meal independently but accepted support to finish when they became tired. Everyone we spoke with told us the food was good and the registered manager ensured people always had access to food, drink, snacks and cake.

There was a complaints procedure which was made available to people and their family. People we spoke with told us they were happy with the support they received.

The registered manager used a variety of methods to assess and monitor the quality of the service. These included satisfaction surveys to seek their views about the service provided. We noted activities were provided as part of the care people received. People told us they enjoyed the visiting singer and photographs showed us regular activities took place.

The service engaged with outside agencies to ensure people received timely healthcare support. The management team engaged with other agencies to gain updates on legislation, best practice and learn from other providers’ experiences.

More information is in the full report.

Rating at last inspection:

Good (Report published 23 August 2016)

Why we inspected:

This was a planned inspection based on the rating at the last inspection.

Follow up: ongoing monitoring; possibly more about how we will follow up

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme or if any issues or concerns are identified.

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