The Park Beck

Updated 25 August 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

This inspection was undertaken by 2 inspectors.

Service and service type

The Park Beck 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. The Park Beck 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 were 2 registered managers in post. However, only 1 was working there at the time of the inspection.

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. 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

During the inspection we reviewed a range of records. These included 2 recruitment records, accidents and incidents and quality assurance audits. We looked at medicine administration records, 4 care plans and risk assessments along with other relevant documentation to support our findings.

We spoke with people who lived at the home. However, they were not all able to provide feedback about their experiences. Therefore, we observed people in areas throughout the home and could see the interaction between people and staff. We watched how people were being supported by staff in communal areas, this included the lunchtime meals. We also gathered feedback from the relatives and representatives of 6 people. We spoke with 9 staff members; this included 1 registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

Updated 25 August 2023

About the service

The Park Beck is a residential care home providing personal care to up to 37 people. The service provides support to people, some of whom were living with dementia. At the time of our inspection there were 14 people using the service.

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

We found improvements were needed to ensure risks to people, for example moving and handling, were managed safely. Care plans and records did not always contain all the information staff needed to support people. An audit system was in place, but this had not identified all the shortfalls we found. The registered manager and provider had oversight of the service and had implemented improvements which needed further time to be embedded into everyday practice. They were proactive in making the required improvements. One relative told us, “I appreciate changes are being made.”

There were enough staff who had been recruited safely to support people each day. Medicines were managed well, and recent improvements had taken place following a concern. Only staff who had received the appropriate training and been assessed as competent gave people their medicines. Systems were in place to ensure people were protected from the risk of abuse.

People had enough to eat and drink throughout the day. They were offered a choice of meals that suited their individual needs and choices. People were supported to maintain and improve their health through regular reviews with health and social care staff.

Staff received training which was regularly updated. When concerns were raised staff received extra training to remind and refresh their learning. Staff were supported and updated through regular staff meetings and supervisions.

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.

The home was clean and tidy throughout. There was an ongoing plan to improve the physical environment of the home through decoration and maintenance.

The registered manager had identified improvements were needed to the culture. Through observations and discussions, we identified a positive culture. Staff engaged well with people and each other.

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 3 November 2022).

Why we inspected

The inspection was prompted in part due to concerns received about the management of the service. As a result, we undertook a focused inspection to review the key questions of safe, effective, and well-led only.

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.

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

Enforcement and Recommendations

We have identified breaches in relation to safe care and treatment, and good governance.

Please see the action we have told the provider to take at the end of this report.

Follow up

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