Parkview Care Home

Updated 21 November 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.

This inspection took place on 11 November 2020 and was announced.

Updated 21 November 2020

This inspection took place on 30 April and 01 May 2018 and the first day was unannounced. We last inspected the home on 22 and 23 September 2016. The provider had breached the regulations relating to person-centred care; risk assessments had not been personalised to the needs of each person and some were out of date. Some care plans were not up to date and others lacked personalised information to ensure people received appropriate care.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions of Effective, Responsive and Well-Led to at least good. At this inspection we found the provider had taken remedial action and was now meeting the requirements of these regulations. The provider of this service was archived on 29 June 2017 when the name of the provider changed, however the provider of the service and location remained the same.

Parkview is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Parkview Care Home is registered to provide nursing care to older people; the home can accommodate up to 24 people and accommodation is provided over two floors with lift access. The home has 21 bedrooms for single occupation and three can also accommodate two people if required. Some bedrooms have en-suite facilities and some rooms are for communal use including the lounge, dining room, conservatory, bathrooms and shower rooms. At the time of our inspection 17 people were living at the home.

The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People living at Parkview told us they felt safe. Staff we spoke with understood the principles of safeguarding adults, including how to report any concerns they had and a safeguarding log was maintained. Staff were aware of the provider's whistleblowing policy and procedure.

There were policies and procedures to guide staff about how to safeguard people from the risk of abuse or harm. Staff had access to a wide range of policies and procedures regarding all aspects of the service.

Safe recruitment practices were followed to ensure appropriate staff were employed at the service.

People had a variety of risk assessments in place in order to keep them safe which identified specific areas of concern.

Medicines were managed safely and stored securely and were administered in a person-centred way. Competency assessments for staff who administered medicines were carried out.

Equipment used by the home was maintained and serviced at regular intervals. The home was clean throughout and there were no malodours. The environment was suitable for people's needs.

The provider used a tool to identify people's dependency levels to ensure enough staff were on duty. This tool determined the number of staff hours required to meet individually assessed needs.

Staff followed infection control procedures and wore appropriate protective clothing.

Staff received appropriate induction, training, supervision and appraisal and there was a staff training matrix in place.

The provider had a contingency plan in place for any emergency event, for example lift failure or loss of utility supplies and appropriate checks on the premises and equipment had been completed.

Accidents and incidents were recorded and audited monthly to identify any trends and prevent future re-occurrences. The home had been responsive in referring people to other services when there were concerns about their health.

People told us the food at the home was good. There was a seasonal menu in use and this was displayed. People’s nutritional needs were monitored and met.

When people had undertaken an activity this was recorded in their care file information and there was a range of activities available for people to choose from.

The service aimed to embed equality and human rights though good person-centred care planning and people were provided with a range of useful information about the home and other supporting organisations.

People told us staff treated them well and respected their privacy and dignity. We observed positive interactions between staff and people who used the service.

Care plans were now more person-centred and included information on what was important to the person. Staff sought consent from people before providing support. People’s health needs were managed effectively and there was evidence of professional’s involvement.

The service was supported by other relevant professionals when providing end of life care. Several relatives had commended the home for the quality of its end of life care provision.

There was a complaints policy and procedure in place. This clearly explained the process people could follow if they were unhappy with any aspects of their care. There was a service user guide and statement of purpose in place.

Formal feedback from people who used the service and their relatives was sought and there were regular meetings for people to attend.

The service worked in partnership with other professionals and agencies in order to meet people's care needs.

There was an up to date certificate of registration with CQC and insurance certificates on display as required. We saw the last CQC report was also displayed in the premises as per legal requirements.