12 October 2022
During an inspection looking at part of 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.