Park House Nursing Care Centre

People's medicines were not always managed safely. We identified concerns relating to storage, stock levels and medicines records.

We found no evidence people had been harmed. However, risk management of 'high risk' medicines required further development.

The provider did not have effective safeguarding systems in place to help protect people from the risk of abuse.

The registered manager had not ensured safe recruitment practices were being followed.

Staff training records showed gaps in essential training. And there was no evidence to show that staff had completed training to meet people's specialist care needs. For example, Motor Neurone Disease.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

Care plan quality was inconsistent and required further development.

There were enough staff to meet people's care and support needs. Staffing levels were increased if people required additional care.

People were protected from the risks of infection. We saw staff wearing personal protective equipment (PPE) to reduce the risk of spreading infections.

People's needs had been assessed before they started using the service; and people told us they were involved in making decisions about their care.

Staff treated people with respect and upheld their privacy and dignity. Staff knew people well and encouraged them to be as independent as possible.

The service worked with a wide range of key organisations who were also involved in people's care.

People and staff were positive about the registered manager and nominated individual. Staff said they were both approachable.