Park View Care Home

Updated 29 June 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 carried out by 1 inspector, and a specialist advisor who was a registered nurse. An Expert by Experience made telephone calls to people. 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 View Care Home 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. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

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.

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

The inspection was undertaken over a number of days and consisted of site visits on the 9 May and 23 May 2023. An Expert by Experience made telephone calls to relatives on 10 May 2023. A feedback meeting was held with the registered manager on 23 May 2023.

We spoke with 7 people who used the service and 13 relatives. We spoke with 11 members of staff including the registered manager, care and nursing staff. We reviewed the care records for 5 people who used the service and reviewed medicine administration records. We observed the care and support provided and the environment was also assessed for safety, cleanliness, and suitability. Governance records were reviewed including 3 staff recruitment files, quality assurance audits, maintenance records and risk assessments.

Updated 29 June 2023

Park View Care Home is a residential care home providing personal and nursing care. The service can support up to 61 people in an adapted building over three floors. At the time of the inspection there were 50 older people using the service.

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

There were systems in place to assess and manage risks however these did not always work effectively and include regular review where required. Risks in the environment from the refurbishment and building works had not been identified and dealt with.

Records did not always demonstrate that peoples care plan and risk management plans were being followed. We found anomalies in repositioning records, food and fluid charts. Strategies to guide staff on reducing risks were not always clear.

The provider had a quality system in place to review the quality and safety of care, but this was not fully effective and had not identified the shortfalls we found.

People told us that they were supported by a kind and friendly staff team who knew them well. Feedback on the availability of staff was however mixed and we have made a recommendation about staffing levels.

Staff received induction training when they started to work at the service to develop their skills and knowledge and told us that they were well supported.

There were clear processes in place to manage people’s medicines. The service was clean and infection control and prevention was well managed. Maintenance checks on equipment were undertaken to ensure that it was safe for staff to use.

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.

There was an ethos of helping people to lead a full life. People had choice and opportunities were provided to pursue interests and engage in social activities.

People and their relatives told us they were asked for their feedback about the quality of the service.

The registered manager was clear about their responsibilities to work with other agencies and be open and transparent.

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 28 January 2022).

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

Why we inspected

This inspection was prompted by a review of the information we held about this service. A decision was made for us to inspect and examine those risks.

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 see what action we have asked the provider to take at the end of this full report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.