ParkHouse Grange

Updated 25 August 2021

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 Care Act 2014.

Inspection team

This inspection was undertaken by one inspector 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

Parkhouse Grange 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.

The service had a manager registered with the Care Quality Commission. This means they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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 who work with the service. The provider completed a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with two people who used the service about their experience of the care provided. We spoke with nine staff, including the registered manager, the deputy manager, care staff, housekeeping staff and a cook. We observed care and interactions between people and staff in communal areas. We also contacted nine relatives by telephone who were able to share their views about their family members' care.

We reviewed a range of documents and records including the care plans and records for four people, sampled medicine records, three staff recruitment files and staff training records. We also looked at records that related to the management and quality assurance of the service.

After the inspection

We continued to seek clarification from the provider to validate evidence found around policies and procedures.

Updated 25 August 2021

About the service

Parkhouse Grange is a residential care home providing personal care for up to 40 people. Accommodation is provided within a purpose built environment across two floors. At the time of our inspection there were 30 people using the service, many of whom were living with dementia.

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

Risks associated with people's care, needs and the environment had been assessed and were kept under continual review to ensure measures were effective. Sufficient numbers of staff were deployed to meet people's needs and provide safe care.

Systems were in place to ensure people were protected from the risk of abuse. Medicines were managed safely. We were assured staff followed safe infection prevention and control procedures. Current government guidance was being followed to support visitors into the home, and to enable people to participate in visits.

There were robust systems in place that were operated effectively by the registered manager to check the quality and safety of the services provided and to monitor the quality of care. People and relatives felt engaged and involved in how their care was provided and consulted about changes within the service provision. Staff felt they could share their views and were supported in their roles. The registered manager was committed to providing care that achieved the best possible outcomes for people.

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 30 July 2019)

Why we inspected

The inspection was prompted in part by concerns around infection prevention and control and staffing. We undertook a focused inspection to review the key questions of safe and well-led only. We found no evidence during our inspection to support the concerns or that people had been harmed.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. The overall rating for the service has remained good. This is based on the findings at 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 coronavirus and other infection outbreaks effectively.

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

Follow up

We will continue to monitor information we receive about the service until we return to visit. If we receive any concerning information we may inspect sooner.