Deer Park View Care Centre

Updated 14 December 2022

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

The inspection team consisted of two inspectors, a specialist nurse advisor, and two Experts by Experience. 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

Deer Park View Care Centre 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. Deer Park View Care Centre is a care home with 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.

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 and professionals who work with the service.

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

We spoke with 18 people who used the service and 9 relatives about their experience of the care provided. We spoke with 16 members of staff including a regional manager, registered manager, care workers, nurses, clinical lead, wellbeing coordinator and a quality support manager.

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 18 people’s care records and risk assessments.

We also reviewed a variety of records relating to quality assurance, audits and management of the service including some policies. We looked at eight staff files in relation to recruitment, training and supervision.

Updated 14 December 2022

About the service

Deer Park View Care Centre Home is a residential care home providing regulated activities of personal and nursing care to up to 60 people. The service provides support to people living with dementia, mental and physical health needs. At the time of our inspection there were 51 people using the service.

The purpose-built care home comprises three separate floors, each of which has separate facilities. One of the floors specialises in providing care to people living with dementia.

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

The majority of comments about staffing levels were positive. Comments from people and their relatives included, “When I use the call-bell they [staff] do come quite quickly” and “They [staff] do their best but I don’t think there are enough carers at times.” However, not enough staff were consistently allocated to provide people with activities of their choosing, particularly those who stayed long periods in their rooms. Comments received included, “I haven’t got anyone to talk”; “Not much activities, I need to go out more” and “[Staff members] are really nice but they don’t have time for me, only time to do the medication.”

Staff received training in safeguarding and knew how to identify abuse. However, there was an incident at the service that showed staff did not fully understand safeguarding processes and how to escalate concerns.

Quality assurances systems were in place but not always effectively used to monitor some aspects of care provided. Staff were trained and received supervisions to enable them to undertake their roles. However, supervisions were not effectively used to encourage staff development. Uptake of training sometimes fell below the provider’s recommended levels. Staff did not always undertake refresher courses or training when due.

People were supported to manage and receive their medicines in line with best practice and any concerns identified were resolved. However, an incident involving an unsafe medicine practice is under investigation by various agencies.

The majority of the people felt safe at the service and that their needs were met. Comments included, “On the whole yes I feel safe” and “I am safe here and I’m very happy.” People were supported by staff who underwent safe recruitment practices and received induction before they started providing care. Staff were trained in infection control and prevention including following COVID-19 guidance.

People received care appropriate to their needs. They commented, “I’m very happy with the support I have been getting, the best thing here is the medical attention I get” and “The staff here do help and support me and my needs are being met.”

People received care in a manner that respected their privacy and dignity. One person told us, “The staff are kind and pleasant.”

People using the service and their relatives when appropriate were involved in planning for their care. Care and support plans were reviewed and updated to enable staff to support people meet their needs and choices. The provider worked with other agencies and social and health professionals to ensure people received appropriate support.

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 04 October 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

The overall rating for the service has changed from good to requires improvement based on the findings of this inspection. We have found evidence that the provider needs to make improvements. You can see what action we have asked the provider to take at the end of this full report.

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

Enforcement

We have identified a breach in relation to good governance at this inspection. Please see the action we have told the provider to take at the end of this 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.