Background to this inspection
Updated
29 December 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.
Inspection team
The inspection was carried out by 2 inspectors.
Service and service type
Parkview Gardens 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. Parkview Gardens 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. We carried out an unannounced visit to the home on 16 November 2023. We arranged to return to the home on 22 November 2023 to look at additional records.
What we did before the inspection
We reviewed information we had received about the service since it was registered. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 10 people who lived in the home and 7 visitors. We looked around the home and observed how staff interacted with people. We spoke with the registered manager, the provider’s service manager and with 7 members of the staff team. We contacted 4 staff to gather their views.
Some people were living with dementia and could not easily share their views with us. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included 4 people’s care records and multiple medication records. We looked at 3 staff files in relation to recruitment and training. We also reviewed records relating to the management of the service.
Updated
29 December 2023
About the service
Parkview Gardens is a care home providing accommodation and personal care to up to 60 people in one purpose-built building. The service provides support to older people, people living with dementia and people who have a sensory impairment or physical disability. The home is on 2 floors and is arranged as 5 ‘houses’, each of which have communal spaces, dining areas and cooking facilities. At the time of the inspection there were 39 people living in the home.
The provider for the service changed to Westmorland and Furness Council following the local government reorganisation and creation of Cumberland Council and Westmorland and Furness Council. The service was previously carried on by Cumbria County Council.
People’s experience of using this service and what we found
People were protected from abuse, and risks to their safety had been identified and managed. There were enough staff to support people. The provider carried out checks on new staff to ensure they were suitable to work in the home. People received the support they needed to take their medicines. Staff were trained in infection prevention and control and people were protected against the risk of infection. The registered manager learnt lessons from incidents to ensure the quality and safety of the service.
Staff were trained and skilled to provide people’s care. They provided the support people needed to eat and drink and to maintain a balanced diet. The registered manager and staff worked with appropriate services to ensure people received the healthcare support they needed.
The registered manager and staff understood their responsibilities under the Mental Capacity Act 2005 and people’s rights were protected. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Staff treated people in a kind and caring way. They gave people choices about their care and respected the decisions people made. Staff respected people’s privacy and dignity and promoted their independence.
Staff provided people with person-centred care that met their needs and took account of their wishes. People enjoyed a range of activities. Visitors were made welcome in the home and people were supported to maintain relationships which were important to them. The provider had a procedure for receiving and managing complaints about the service. The registered manager had links with local and specialist services to ensure people received appropriate care as they reached the end of life.
The registered manager had developed a person-centred culture. People were asked for their views and their feedback was used to develop the service. The provider and registered manager carried out checks on the service to identify where further improvements could be made. The registered manager was open to feedback to improve the service. The registered manager and staff worked with other services to ensure people consistently received care that met their needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection.
This service was registered with us on 1 April 2023 and this is the first inspection.
The service was previously carried on by a different provider. The last rating for the service under the previous provider was good, (published on 10 May 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.