The Park is a residential care home which is registered to support up to 35 people with mental health needs, people living with dementia, older people and younger adults. The service is in the seaside town of Hornsea. The service was registered with the current provider, Hatzfeld Care, in August 2015 and this was its first rated inspection. At the time of our inspection 31 people were using the service.The inspection took place on 31 July 2017.
The registered provider is required to have a registered manager and there was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. In this report we have referred to the registered manager as the manager.
People and staff told us the manager was supportive and the service was well led. We found the manager promoted a positive, person-centred culture within the home. They were aware of their responsibilities and keen to drive improvement and best practice at the service. However, we found that notifications had not been submitted to the Care Quality Commission in relation to four events that had taken place at the home during the previous year, which were required by law. This breach of legal requirements had not been identified through the provider’s quality assurance processes. This aspect of the service required improvement.
There were systems in place to minimise the risk of avoidable harm. People’s needs were assessed and risk assessments were in place to guide staff on how to manage identified individual risk to people. Risk assessments were reviewed regularly. There were systems in place to ensure people received their medication safely.
The property was appropriately maintained and equipment was serviced.
Robust recruitment procedures were followed to make sure new staff were suitable to work in a care setting. There were sufficient staff to meet people’s needs safely.
People were complimentary about the quality and choice of meals available at the home and staff provided support to ensure people’s nutritional needs were met. People had access to a range of appropriate healthcare professionals in order to maintain their physical and mental health, and information was available to people to help them understand and manage their own health.
Staff received an induction, training and supervision to help them support people effectively.
People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. The service was meeting the requirements of the Deprivation of Liberty Safeguards.
People told us that staff were caring and supportive, and we observed staff demonstrating respect for people in their interactions with them. People were supported to develop their skills and independence and this had enabled some people to go on to gain formal qualifications and work experience.
Regularly reviewed care plans were in place to guide staff on how to meet people’s needs. People took part in activities at the home and trips out, and some people accessed the community independently.
People’s views were sought in satisfaction surveys, regular meetings and individual care reviews, in order to drive improvement at the service and respond to people’s wishes and needs. There was a complaints procedure in place.