15 November 2022
During a routine inspection
Parkside Nursing Home is a residential care home providing personal and nursing care to up to 34 people. The service provides support to older people and those who live with dementia. At the time of our inspection there were 26 people using the service.
People’s experience of using this service and what we found
There was a lack of robust management oversight of the service. Quality assurance processes were not effective in identifying and delivering required improvements to the service which meant people were at risk of not receiving a consistent or safe service in line with their needs.
Risk assessments for those with specific healthcare conditions did not always provide consistent information around the additional care needs associated with those conditions. We found that there was an inconsistent approach to good hygiene practices. Damage to the fabric of safety equipment meant they posed an infection risk to people. Some equipment was not tailored to one person’s needs and posed an injury risk to them. The environment did not meet the needs of people who lived with dementia. In addition, certain areas of the service were in need of refurbishment.
Some people told us the quality and provision of activities was inconsistent. At times, we observed minimal staff engagement with those who were more difficult to engage as well as with those who were cared for in their rooms. We made a recommendation that the provider explores ways in which to improve communication.
People and their relatives told us they felt safe. There was robust oversight of medicines management. There were appropriate systems for recruiting, training and supporting staff. The staff felt supported and valued. We observed that they appeared to know the people they were caring for and treated them with respect.
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.
Family members told us engagement with the home had improved and the manager was approachable and readily available to them. They also told us that staff were consistently respectful, kind and caring. We observed how staff engaged with people in a warm and friendly way. Staff told us they felt supported and valued.
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 28 April 2022) and there were breaches of regulation. 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. This service has been rated requires improvement for the last three consecutive inspections.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 01 March 2022. Breaches of legal requirements were found. We served Warning Notices in relation to Regulation 11 (Consent to care) and Regulation 17 (Good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
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.
Enforcement and Recommendations
We have identified continued breaches in relation to safe care and treatment, person centred care premises and equipment and good governance.
We have made a recommendation about improving communication with people.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
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. 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.