Parkview Residential Home

At this inspection, we identified improvements had been made and risks to people had been significantly reduced, however the systems and process to ensure staff were employed safely had not been consistently followed. We identified that improvements had been made in relation to the safe management of medicines but further improvements were still needed. We have made a recommendation about the use of some medicines and also around the disposal of medicines. Governance in the service had significantly improved but required further development to ensure recruitment was fully compliant with the regulations.

The provider had worked closely with the local authority and the registered manager had received support in relation to implementing a good governance framework. This had resulted in improvements around the management of people's care and support records and the service environment. The new arrangements were currently being embedded into the service to ensure they were fully effective.

People felt safe at the service and spoke positively about the staff that supported them. Staff were trained in safeguarding and knew how to identify and report concerns. There were sufficient staff on duty to support people. The service was clean with appropriate infection control policies in place.

The provider had ensured a training package was in place for staff and the registered manager was implementing a structure around supervision and appraisal. People were supported to eat and drink enough and where required, the service worked with other healthcare professionals.

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. Improvements had been made around Deprivation of Liberty Safeguards (DoLS) applications and compliance with the requirements of the Mental Capacity Act 2005.

People's care records were personalised and we received positive feedback from people in relation to the level of care they received. One person said, "I am very happy here, the staff are kind and caring." Improvements had been made in relation to end of life care and this was still being further developed.

There were new governance systems in operation to ensure the health, safety and welfare of people using the service and others. Auditing of care records, environmental risks and Mental Capacity Act 2005 documentation had been implemented and was being embedded into the service. The provider had notified CQC about any significant events at the service in line with regulatory requirements.