Parkhill Nursing Home

Ratings

• Overall

  Inadequate

• Safe

  Inadequate

• Effective

  Inadequate

• Caring

  Inadequate

• Responsive

  Inadequate

• Well-led

  Inadequate

Our view of the service

Date of Assessment:10 to 16 July 2024 The assessment was undertaken due to numerous concerns which had been raised about the service including safeguarding concerns, and concerns around staffing and management arrangements. At our last assessment of the service we found the service required improvement in all key questions and as a result a decision was made to review all quality statements. At this assessment we found the improvements needed had not been made, people were not receiving the care and support they needed and there were 10 breaches of regulation. We found breaches of regulation in how people were supported with personalised care, and well-treated with dignity and respect; failings in how consent was appropriately obtained; shortfalls in how people were provided with care which was safe and met their needs, including in relation to support with medicines. Further breaches were identified in how people were safeguarded; the safety of premises and use of equipment and how people were supported to eat and drink appropriately were also identified. There continued to be ongoing breaches in the appropriate staffing of the service; the safe recruitment of staff and failings in the overall management and governance of the service continued to be identified. In instances where CQC have decided to take civil and criminal enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded. The service is being placed into special measure. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.

People's experience of this service

People were not always being supported safely. Staff did not always know people, their needs and how to support these needs. We observed instances where people were not supported safely with their moving and handling and nutritional needs and staff were not always responsive to people’s requests for assistance. There was a disparity in people’s experience, particularly those reliant on staff to anticipate their needs as staff were busy, task focused and the high use of agency staff meant that there was a lack of consistency in care. One person commented, “The staff are not really interested. They should go round the patients and they don’t/ there is a lot of agency staff and they just stand about.” These comments were reflected in observations during our site visit. However, some people did speak positively about staff, with one family member told us, “Staff do the best they can. The are all lovely.” People did not consistently receive good quality personal care and their dignity was not always considered and respected. There was a lack of choice and limited access to stimulation and meaningful activities.