Park View

Updated 4 January 2024

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.

Inspection team

The inspection team consisted of 3 inspectors and an Expert 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

Park View 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. Park View 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 was a registered manager in post.

Notice of inspection

The 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 sought feedback from Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

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 9 people and 5 relatives about their experience of the care provided. We carried out observations in communal areas to help us understand the experience of people who could not talk with us. We spoke with 17 members of staff including the registered manager, the regional operations director, 3 care team leaders, 8 care staff, the chef, a member of the housekeeping team, the well-being lead and an administrator. We also spoke with, or had email contact with, 3 external healthcare professionals.

We reviewed a range of records. This included 7 people's care records. We looked at multiple medicine records and 2 staff files in relation to recruitment. A variety of records relating to the management of the service were also reviewed.

Updated 4 January 2024

About the service

Park View provides accommodation with personal care for up to 64 people. The home has three floors which each have communal lounges and dining areas and there are pleasant enclosed gardens which are accessible from the ground floor. At the time of this inspection, 57 people lived at the home, some of whom had dementia.

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

Governance systems and checks provided monitoring and oversight of the quality and safety of care people received. However, some improvements were needed to ensure a consistently open culture within the home. Issues around adherence to policies and procedures and confidentiality had impacted on the confidence of some staff in the effective management of concerns. The provider acknowledged these issues and had plans to assure staff they were being listened to and action taken.

Despite this, people, relatives and staff spoke positively about the standards of care within the home. The registered manager was described as visible and supportive and clear in their expectations of the staff team. The registered manager had a service improvement plan which was monitored by the provider to ensure people experienced the best outcomes.

There were enough suitable staff on duty who had been recruited safely. Staff were trained in safeguarding and understood their responsibilities to identify and report any concerns. Risks to people’s health and wellbeing had been identified, assessed and were managed well. People received their medicines as prescribed, and staff followed good infection control practices.

Staff had the skills, knowledge and experience to deliver effective care and support. Throughout our inspection they explained and demonstrated how they implemented their training to support people who experienced episodes of distress or anxiety. 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.

Risks around people’s diet and nutrition had been identified and staff understood the value of providing a good mealtime experience to encourage people to eat and drink well and enjoy the companionship of others. Staff supported people to maintain their health through regular appointments or timely referrals with other healthcare professionals.

The registered manager was aware of their responsibility to be open and honest when things went wrong, and any learning identified was shared with the staff team.

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 30 November 2018).

Why we inspected

The inspection was prompted in part due to concerns received about safeguarding and understanding of the Mental Capacity Act 2005. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and effective section of this full report.

The overall rating for the service remains good based on the findings of this inspection.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

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

Follow up

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