Park House Residential Home

Updated 18 January 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 Care Act 2014.

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. 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 House Residential Home 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 that 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 and professionals who work with the service, including 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. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with one person who used the service and eight relatives about their experience of the care provided. We spoke with nine members of staff including the registered manager, deputy manager, senior care staff, care staff and the cook.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. 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 from the provider to validate evidence found. We looked at training data.

Updated 18 January 2022

About the service

Park House Residential Home is a residential care home providing personal care to up to 20 people in one adapted building over two floors. There were 13 people living at the home at the time of our inspection.

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

There was a positive and open culture in the home. People received person-centred care which was inclusive of their needs and preferences. Staff were clearly engaged in delivering this. The registered manager had developed a governance framework and checks and audits took place regularly. However, there was little evidence recorded of how the provider ensured they had oversight of the home.

We have made a recommendation for the provider to consider embedding clear and effective governance arrangements at all levels of the service.

The registered manager understood their regulatory requirements and responsibilities. People were involved in how the home was run. The home kept in regular contact with relatives and regular staff meetings took place. The service had an action plan which was used to continuously learn and improve. The home worked in partnership with health professionals, training agencies, and had worked closely with the Local Authority to drive improvements.

Systems were in place to protect people from abuse. Risks were monitored and managed. Appropriate checks of the environment and equipment took place. Staff were recruited safely and staffing rotas reflected people’s needs. Medicines were administered safely. Infection prevention and control best practices were followed. The registered manager had a process for analysing incidents and learning lessons from these.

People's needs and choices were recorded in detailed, person-centred care plans. Staff received appropriate training and supervisions and appraisals were planned and took place. Where people were at risk of malnutrition this was monitored and their food intake recorded. Staff were knowledgeable about people’s dietary requirements and preferences. Staff worked and supported each other as a team. Handovers took place and detailed information and observations about people's health needs were recorded. People received timely access to health professionals. The home was decorated to support people's choices and people were involved in this. Consent to care was recorded in line with legislation. Best interest decisions had taken place, where appropriate. People were supported to have maximum choice and control of their lives and staff them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

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 8 July 2021) and there were three breaches of regulation. 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.

This service has been in Special Measures since 31 January 2020. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 13 May 2021. Three breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, staffing and good governance.

We undertook this focused inspection to check they 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, Effective and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Park House Residential Home on our website at www.cqc.org.uk.

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.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.