Park House Nursing Home

Updated 11 November 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.

Inspection team

The inspection team consisted of 2 inspectors, a specialist nurse advisor, and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Park House Nursing 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. Park House Nursing Home is a care home with 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

The 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 spoke with 4 people who used the service and 9 relatives. We also spoke with 10 staff members including, the management team, nurses, care workers and ancillary staff. We looked at 6 people’s care records, including risk assessments and medicines records. We also looked at quality audits, policies, training records and 3 staff recruitment files. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 11 November 2023

About the service

Park House Nursing Home is a residential care home providing accommodation for people who require nursing and personal care to up to 52 people. The service provides support to older people with physical health needs and people living with dementia. At the time of our inspection there were 47 people using the service.

People’s experience of the service and what we found:

People were protected from the risk of harm, they felt safe, and staff were aware of how to raise any safeguarding concerns. Care and risk support plans set out people's known risks and provided guidance to ensure staff could provide safe care. Medicines were managed safely. New staff were safely recruited and there were enough staff to meet people's needs.

Incidents and accidents were acted upon appropriately and lessons were learned when things went wrong. Mental capacity assessments were in place for people who lacked or had fluctuating capacity to make specific decisions. Staff supported people in the least restrictive way possible and in their best interests.

There was a positive culture in the service. People said the registered manager was approachable and responsive. Staff received regular supervision and one to one meetings, supporting learning and development. There was an ongoing improvement plan for the service. The provider ensured any lessons learned from incidents was shared across the service and the wider organisation.

People were treated with respect and their dignity was upheld. We observed staff interacting with people in a friendly and supportive way. There was a positive approach to the delivery of people's care. Staff understood the people they were supporting and knew them well.

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 Good (published 02 October 2018)

Why we inspected

The inspection was prompted in part due to concerns received about safeguarding people. A decision was made for us to inspect and examine those risks.

We undertook a focused inspection to review the key questions of safe, responsive and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Park House Nursing Home on our website at www.cqc.org.uk.

Recommendations

We have made a recommendation around engagement opportunities. Please see the responsive section of this report.

Follow Up

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