Parkview Care Home

Updated 13 July 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 completed by an inspector and an assistant inspector.

Service and service type

Parkview Care 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 Care 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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.

During the inspection

We observed the care people received in communal areas of the home. We spoke with 2 people using the service and contacted 2 relatives/friends via telephone. We spoke with 4 staff including the registered manager, assistant manager and care staff. We reviewed a range of records. This included 2 people's care records and multiple medication records. We looked at 3 staff files in relation to recruitment and training. We also reviewed a variety of records relating to the management of the service, including policies and procedures.

Updated 13 July 2023

About the service

Parkview Care Home is a residential care home providing personal to up to 10 people. Most people living at the service live with complex or enduring mental health difficulties. At the time of our inspection there were 5 people using the service however only 1 person was receiving personal care support.

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

Over the past two inspections, we had rated this service inadequate and took enforcement action against the provider. At this inspection, we found progress and improvements had been made. Some areas still required further work, such as documenting risks to people and how these were managed, and decoration of the building. However, the service had enhanced its quality assurance and governance processes to drive improvements. The embedding of these new ways of working is now required to ensure consistency moving forward.

People spoke positively about Parkview Care Home and told us they felt safe living there. We observed warm interactions between people and staff, who clearly knew each other well. Improvements had been made to people’s care plans making them more person centred and focused on people’s needs and wishes.

Staff demonstrated a good knowledge of safeguarding and spoke of being confident to report matters when needed and that these would be dealt with robustly by the registered manager. Medicines were administered safely, the systems around this had been reviewed and improvements implemented. Accident and incidents were being more robustly monitored to ensure learning and development of staff.

Training for staff had improved with mandatory courses taking priority. Staffing levels were sufficient to meet people’s current needs and this was under regular review by the registered and assistant managers.

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. They were supported to partake in activities and interests important to them.

The registered manager was passionate about their role and making continued improvements of the service. They were open and proactive to any queries we raised during the inspection.

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

Rating at last inspection and update

The last rating for this service was inadequate (published 12 October 2022) and there were breaches of 6 regulations. This service has been in Special Measures since 4 February 2022. During this inspection the provider demonstrated that improvements have 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

We carried out an unannounced inspection of this service on 23 and 26 May 2022 and continued breaches of legal requirements were found. CQC took enforcement action and imposed a condition onto the provider’s registration. The provider completed an action plan after the last inspection to show what they would do and by when to improve person centred care; safe care and treatment; premises and equipment; good governance and fit and proper persons employed.

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 at this inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.