Background to this inspection
Updated
24 August 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 carried out by one inspector.
Service and service type
The Park House 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. The Park House 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
This inspection was unannounced.
What we did before the inspection
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 reviewed information we had received about the service since the last inspection. This included CQC notifications. These describe events that happen in the service that the provider is legally required to tell us about.
We used all this information to plan our inspection.
During the inspection
We spoke with 2 people who lived at the service and 2 relatives. We spoke with 7 staff, including members of the management team and the nominated individual, as well as staff at all levels. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also received feedback from 3 professionals who had contact with the service.
The views of everyone we spoke with have been incorporated into this report.
We viewed a range of records and documents. This included 3 people’s care plans and a selection of medicines records. We looked at 3 staff files in relation to recruitment and checked records of training and staff supervision. We looked at a variety of records relating to the management of the service. This included policies and procedures, quality assurance and health and safety documents. We considered this information to help us to make a judgement about the service.
Updated
24 August 2023
About the service
The Park House is a care home providing accommodation, personal and nursing care to up to 12 people. At the time of our inspection 6 people were living at the service. The service provides rehabilitation for men with mental health needs to support and develop their wellbeing and independence within the community.
The Park House is in a large, converted property in a rural location with extensive grounds. Accommodation includes large communal spaces and facilities such as gym, kitchen, IT suite and music studio. Bedrooms are en-suite and located on the ground and first floors of the property.
People’s experience of using this service and what we found
We received positive feedback from people and their relatives about the service, staff and management team. Professionals were also complimentary about the service.
People we spoke with told us they felt safe living at the service. They were kept safe from avoidable harm because staff knew them well and understood how to protect people from abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.
Staff completed risk assessments and involved people in these where possible. Risk assessments were clear and up to date and provided guidance for staff to help people take managed risks and enjoy their lives safely. Staff knew people well, which meant they recognised changes and were able to act to manage or reduce risks.
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.
There were enough competent staff to support people and meet their needs, with regular bank and agency staff providing continuity of care when necessary. A multi-disciplinary team enhanced the support people received. All staff received training and induction to ensure they had they skills and knowledge necessary to support people safely and in line with best practice. Staff were safely recruited.
People received support from staff to take medicines safely. Medicines records were completed, and audits were carried out regularly to check practice and ensure standards were maintained.
Staff managed the safety of the living environment and equipment in it through regular checks. Effective infection prevention and control measures were in place and the building appeared clean and hygienic.
The provider worked hard to instil a culture of care in which staff valued and promoted people’s individuality, protected their rights and supported them to progress. The management team were visible and had the skills, knowledge and experience required to lead the service.
Governance processes were robust, and the quality and safety of the service was closely monitored. Systems helped identify shortfalls and areas for improvement. Audits were carried out regularly to ensure people received a safe and well run service. Information was reviewed by the management team and used to learn and make changes to develop and improve the service. The provider invested in the service to deliver improvements and achieve effective outcomes.
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 23 September 2021).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.