Background to this inspection
Updated
20 December 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. 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 Care Act 2014.
Inspection team
The inspection was carried out by two inspectors and a specialist advisor whose area of expertise was nursing.
Service and service type
Park Lodge operates a care home and a domiciliary care agency.
People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The domiciliary care agency provides personal care to people living in their own homes and flats
The service had a manager registered with the Care Quality Commission. 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
This inspection was unannounced on both days.
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 contacted Healthwatch which is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with 10 people who used the service and three relatives about their experience of the care provided. We spoke with 10 members of staff including care and support workers, team leaders, nurses, the chef, the registered manager and service managers. We observed people being supported in the communal rooms to help us understand their experiences.
We reviewed a range of records. This included seven people’s care records and multiple medication records. We looked at three files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
20 December 2019
About the service
Park Lodge operates a care home and a domiciliary care service.
The care home provides personal and nursing care mainly to people aged 65 and over. The care home can accommodate up to 40 people, at the time of our inspection there were 37 people using the service.
The domiciliary care agency provides personal care to people living in their own houses and flats in the community. At the time of our inspection the domiciliary care service was supporting 10 people with personal care.
People’s experience of using this service and what we found
People told us the service was safe and there were enough staff to meet their needs. People were confident the staff team had the right skills and knowledge to meet their needs. Staff received regular training and told us they felt supported in their roles.
People told us, and we observed staff were kind and caring. People’s privacy and dignity were respected, and people were supported to be as independent as possible.
People were supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were supported to share their views of the service. People were given feedback on the actions taken in response to their comments.
Risks to people’s safety and welfare were identified and managed. Staff were safely recruited. People's medicines were managed safely. The home was clean and there were systems in place to prevent and control infection. Equipment and installations were maintained.
Feedback about the food was good. People’s dietary needs and preferences were catered for and people’s oral health care was considered.
People’s needs were assessed, and their care records had improved to ensure staff had clear information about people’s current needs.
Improvements had been made to the systems and processes in place to monitor the safety and quality of the service. There was a positive, open and supportive culture at the service.
The service worked with external professionals for the benefit of people who used the service.
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 requires improvement (published 14 November 2018) and there was one breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.