Park View

At our previous inspection we had found breaches of regulation. At this inspection we found improvements had been made relating to safe care and treatment, medicines and need for consent. The service was no longer in breach of these regulations.
The provider was also previously in breach of the legal regulation relating to governance and the provider remains in breach of this regulation. Since the last inspection the provider had taken action to put systems in place to monitor the quality of the service, and we found no evidence that people had been placed at risk of harm. However, some of these systems were not fully embedded and were not consistently effective in monitoring the quality and safety of the service or in ensuring that records were properly and accurately maintained. As such, some shortfalls in governance systems remained resulting in a continued breach of regulation in good governance.

The provider had made some improvements to learning from incidents, but analysis of trends and timely learning was not always effective. Safeguarding systems were not robust or consistently effective, resulting in unclear actions and risks not always being promptly addressed.
Risk management had improved overall, but some risk mitigation required to be recorded, and behaviour support plans required further development to be fully effective and clear for staff.
Medicines and infection control were managed safely.
People’s needs had been assessed and reviewed, with care documentation reflecting individual preferences and involving relatives and representatives.
Consent processes followed the Mental Capacity Act, with people, their relatives or representatives involved in decision-making. The provider had begun monitoring outcomes more effectively, with improved reviews and involvement from people and professionals.
Care and support were planned and delivered in line with legislation and good practice, supporting activities and family contact.