2 East Park Road Harrogate

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

One inspector and an Expert by Experience carried out the inspection. 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

2 East Park Road Harrogate is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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.

The service had a manager registered with the Care Quality Commission.

Notice of inspection

This inspection was unannounced.

What we did before 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 all 6 people who used the service and 5 relatives about their experience of the care provided.

We spoke with 4 members of staff including the registered manager and support workers.

We reviewed a range of records. This included 3 people’s care and medication records. We looked at 1 new starter staff file in relation to recruitment. A variety of records relating to the management of the service, including risk assessments and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

About the service

2 East Park Road Harrogate is a residential care home providing personal care to six people at the time of the inspection, this is the maximum amount of people the service can support. It is a large four storey semi-detached house with a paved garden to the rear, within walking distance of the local town.

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

Right Support

People were supported by staff to pursue their interests. People took part in activities in their local area and interacted with others who had shared interests. Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome. More work was needed around the administration of ‘When required’ medication to ensure best practice guidelines were followed by staff. Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life.The service made reasonable adjustments for people so they could be fully involved in discussions about how they received support, including support to travel wherever they needed to go. People in the service told us that they were very happy, and staff supported them well.

Right Care

The risks to people had not always been identified by the service which increased the likelihood of people coming to harm. Accidents and incidents had been reported however it was unclear if people had been offered support and monitored for deterioration in health after these incidents.

People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives. Family members told us that their relatives were very happy with the care and one family member told us, “[Relative] loves it. It is outstanding.”

Right Culture

People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. People’s care, treatment and support plans did not always reflect their range of needs and support required. However, staff turnover was very low, which supported people to receive consistent care from staff who knew them well. The service did not have clear guidance on what people’s goals and aspirations were so these were not monitored however staff worked with people to meet their needs. The service enabled people and those important to them to work with staff to develop the service. Staff valued and acted upon people’s views.

We received positive feedback from people and their family members about the service. One person told us, “The staff are good. We chat and they make me laugh” and another person said, “I am happy, I get on with everyone.”

Staff members were very positive about working at the service and felt supported by the manager and the provider. One staff member told us, “it’s a really good team, we all know each other and know everyone’s strengths and weaknesses. We have known the residents for years; it all works well, and we respect each other. We listen to everyone's opinions.”

Rating at the last inspection

The last rating for the service under the previous provider was good, published on 31 August 2018.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Why we inspected

We undertook this inspection to assess that the service is applying the principles of Right support right care right culture. We also inspected this service to provide the new provider with a rating.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led section of this full report.

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

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

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 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.