Park View Care Home with Nursing

Updated 7 November 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 2 inspectors on each day of the inspection. The team was joined by an Expert by Experience on the second day, along with a member of the medicines team. 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 with Nursing is a ‘care home’ with nursing care. 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.

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. Since our inspection, the registered manager has de-registered. An interim manager is in post and taking responsibility for the running of the service.

Notice of inspection

This inspection was unannounced on the first, third and fourth days.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We reviewed feedback from the local authority and professionals who work with the service who had contacted us with concerns. 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 spoke with 15 people who used the service individually and 2 people in a group over lunch. We also spoke with 3 people’s relatives on site and gained feedback from 2 relatives via email. We spoke with 21 staff, including the registered manager, deputy manager, nurses, care staff, maintenance, and kitchen staff. We also spoke with two consultants who the provider had brought in to improve the service. We gained feedback from 2 external professionals about their experience of working with service. We also spoke with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We looked around each area of the home to make sure It was safe, homely and suitable. We spent time observing the care and support people received. This helped us to understand the experience of people who could not or chose not to speak with us.

We reviewed 9 people’s care documentation and 7 people’s medicines administration records, along with associated medicines documentation. We observed medicines administration and checked how medicines were stored.

We reviewed a range of records related to the management of the service, including safety certificates, recruitment records, staff training data and quality assurance syst

Updated 7 November 2023

About the service

Park View Care Home with Nursing provides residential and nursing care for up to 44 people. Bedrooms are situated over 3 floors, with lift access to all floors. Lounges, a dining room, and a café / bar area are on the ground floor. The home is located in a residential area of South Shor, Blackpool, with easy access to shops and local amenities. There are small gardens to the front and rear of the home, and a car park at the front. At the time of our inspection, 30 people were living at the home.

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

We found the systems in place to manage medicines were unsafe which placed people at risk of harm. Risks to individuals were not managed consistently, which put people at risk of harm. The provider had not ensured staff training was maintained at an appropriate level. Management and oversight of the service was ineffective. There was confusion among staff about roles and responsibilities. The provider’s systems to assess, monitor and improve the quality of the service had not been operated effectively. The provider’s systems for learning from adverse events had not been operated effectively. Records related to people’s care were often inaccurate and incomplete.

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. We have made a recommendation about recording assessments of people’s capacity to make decisions.

The service had systems to protect people from the risk of abuse and improper treatment. Staff were recruited safely, and the premises were clean, tidy and safe. The service made sure people were supported to communicate and planned a variety of activities to enhance people’s wellbeing.

The service met people’s nutritional needs and worked with them to make sure food provision also reflected their preferences. Staff supported people with their healthcare needs and worked well with external healthcare professionals. The premises were maintained and people were able to personalise their bedrooms.

People were treated well, with kindness and compassion by staff who respected their privacy and dignity. The service promoted and staff encouraged people to maintain their independence. There was some inconsistency in the level of person-centred information in people’s plans of care.

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 14 July 2022). The service remains rated requires improvement. This service has been rated requires improvement for the last 2 consecutive inspections.

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 the provider remained in breach of regulations.

Why we inspected

The inspection was prompted in part due to concerns received about pressure care, medicines management and staffing. 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.

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

Enforcement and Recommendations

We have identified breaches in relation to medicines management, the management of risk, staff training, governance and quality systems at this inspection.

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

We served warning notices to the provider and registered manager in relation to the breaches of regulation 12 (Safe care and treatment) and Regulation 17 (Good governance).

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good and request an action plan from them. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.