Park View Care Home

Updated 31 May 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

The inspection was completed by an inspector, a specialist advisor in tissue viability, and an Expert by Experience. 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 Care Home 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. Park View Care Home is a care home without 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 reviewed information we had received about the service since the last inspection. We sought feedback from the local authority safeguarding and commissioning teams, the local fire authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

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 10 people and 6 relatives about their experiences of the care and support provided.

We contacted 49 members of staff via email to gain their feedback. In total we communicated with 24 members of staff including the registered manager, nominated individual, operations manager, deputy manager, care staff, kitchen, domestic, maintenance and administration staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We spoke with a visiting GP, community matron and a member of the district nurse team. We also contacted infection control colleagues for the area, the medicines optimisation team, care managers and social workers. We received feedback from a local ambulance service and an integrated care partnership ageing well lead.

We reviewed a range of records. This included 11 people's care records and multiple medicine records and monitoring charts. We looked at 4 staff files in relation to recruitment and training. A variety of records relating to the management of the service, including policies and procedures, were reviewed.

After the inspection we continued to seek clarification to validate evidence found. We looked at training data and quality assurance records and other information the provider had provided.

Updated 31 May 2023

Park View Care Home is a residential care home providing personal care to up to 65 people in a purpose-built building. The service provides support to older people including those who may be living with a dementia and/or a physical disability. At the time of our inspection there were 49 people using the service.

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

People felt safe and systems were in place to support staff to maintain safety across the home. People and their relatives commented on the kind, caring and compassionate nature of staff. The atmosphere and culture at the home had improved.

Medicines were generally managed well. We have made a recommendation regarding medicines record keeping.

Domestic staff maintained a clean and tidy service. Staff followed infection control procedures.

Enough staff were in place and less agency staff were used. Robust recruitment procedures were followed and there was a continuous recruitment drive in place.

Activities had improved and this was being kept under review by the provider and registered manager.

Care plans were in the process of being updated and fully reviewed. Monitoring charts in relations to people’s care were not always completed fully. We have made a recommendation about this.

Quality monitoring checks had improved. These were to be further reviewed after feedback given.

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 23 November 2022) and there were breaches of regulations. 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.

At our last inspection we recommended the provider review activities to ensure they met the needs of every person. At this inspection we found the recommendations had been acted upon and improvements had been made.

Why we inspected

We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions, Safe and Well-led which contain those requirements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

For the key question of Caring, Effective and Responsive which was not inspected, we used the rating awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed to good. This is based on the findings at this inspection.

At our previous inspection published 23 November 2022, we were aware of a notification of an incident, following which, a person using the service sustained a serious injury. This incident is still subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. We did, however, check the overall management of risk as part of this inspection .

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.

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.

Recommendations

We have made two recommendations. The provider should further review medicines record keeping and review record keeping in relation to monitoring of people’s care to ensure they are fully completed in line with best practice.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.