Parkhill Nursing Home

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

The was a lack of robust oversight from the provider and checks of the quality of the service were not being consistently completed. It was not clear that the required action was taken when shortfalls were identified or that any changes or improvements implemented were effective and embedded with the service. There was no home manager in post and there had been a lack of consistency at home manager level. Staff spoke positively about the deputy manager who was new in the post. The provider was working with stakeholders to identify and address areas for improvement. The need for improvement was acknowledged by the senior management team.

This service scored 36 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service did not have a consistent staff team and leadership despite ongoing efforts to recruit and several home managers having been in post. Some staff were worried about the future of the service and felt they were not kept informed of changes.

There was a lack of robust processes to ensure a shared direction and culture. It was not always clear that people using the service and staff working at the home were fully involved and that required action was taken to ensure improvements were made.

Staff felt there had been a lack of consistency and oversight at provider levels. Some staff spoke positively about some managers, particularly the deputy manager. However, the impact of an inconsistent management team and lack of oversight meant the home management and staff team were not receiving the training and support needed to ensure people received appropriate care.

There was no home manager in post and people and families were unclear about the management arrangements at the home. The provider had not taken appropriate action to ensure oversight in the absence of an established manager or deputy.

Staff generally told us they felt able to raise concerns but did not always feel that their concerns were actioned, for examples in relation to staffing. The senior management team were working to be more visible within the service and enable staff to have access to the knowledge and information they needed to provide safe and care and support to people.

The was a suitable policy in place to allow people, families and staff to raise concerns. However, there was limited evidence to demonstrate where whistleblowing had been raised to the service, that robust action was taken to ensure any lessons could be learnt.

A diverse staffing group was working at the service at the time of our visit, inclduing a high number of agency staff and overseas workers. Some staff had concerns about how this impacted upon communication and noted this could be a barrier for both teamwork and when speaking to people and their families.

The service employed people from diverse backgrounds and used a variety of agency staff. There was no clear evidence that staff were supported with equity, diversity and inclusion or how barriers, such as communication were overcome.

The senior management team told us they completed a variety of checks and audits. Staff were not aware of what changes had taken place in response to checks and audits completed.

Audits were not being effectively used to ensure improvements and appropriate action to resolve shortfalls was taken. There was a lack of provider oversight of the service and limited evidence of improvements since we last inspected the service to ensure our concerns were resolved.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The senior management team were working with partner agencies to make the improvements needed within the service. However, this was not yet fully implemented or embedded at the time of the assessment. Staff and leaders recognised that further work was required.

An action plan was in place, although this had not been effectively maintained due to limited oversight and use of audits and checks. It was not clear the provider was able to sustain improvements without additional support or a consistent home manager.