18 February 2019
During a routine inspection
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