Park View Care Home

Updated 29 December 2022

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

The inspection was carried out by two inspectors and an Expert by Experience who carried out telephone interviews. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Park View is a 'care home'. 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.

Registered manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was two registered managers in post. One left their post shortly after the inspection.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We looked at the information we held about the service. This information included statutory notifications the provider had sent to CQC. A notification is information about important events which the service is required to send us by law. 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 two people who used the service and eleven relatives about their experience of the care provided. We spoke with seven members of staff including both registered managers, care workers and catering staff.

We looked at a range of records. These included seven people's records related to their care and support and a variety of people's medicine administration records. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 29 December 2022

About the service

Park View is a care home providing nursing and personal care for up to 56 people, some of whom are living with dementia. There were 25 people living in the home at the time of the inspection.

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

Care records did not always reflect people's needs and choices. Staff did not have the information they needed about how to safely care for people because risks were not always assessed and identified.

Medicines were not always managed safely. There was no records or clear process for the administration of thickening agents.

There was a lack of understanding around the Mental Capacity Act 2005 and, it’s application. The provider and registered manager lacked clear understanding about the circumstances of when a Deprivation of Liberty Safeguard (DoLS) application was needed for people.

Systems were not effective in assessing, monitoring and improving the quality and safety of the service. Quality assurance systems had not identified areas for improvement.

We have made a recommendation about delivering person centred care in line with standards, guidance and the law.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

People and relatives told us staff were kind and caring and they treated them with dignity and respect.

Both registered managers were receptive to our inspection findings, they told us they were keen to improve and share the actions that had taken or would take to address the issues found at this inspection.

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

This service was registered with us on 25 August 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

We have found evidence that the provider needs to make improvements. Please see the Safe, Effective, Caring, Responsive and Well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement and Recommendations

We have identified breaches in relation to safe care and treatment, medicine management, consent and good governance. We have also made a recommendation around delivering person centred care for the people living at the service.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Park View Care Home on our website at www.cqc.org.uk.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.