This inspection of Park House Nursing Home took place on 14 August 2018 and was unannounced.

Park House Nursing Home provides, accommodation, nursing and personal care for up to 52 people; some of whom are living with dementia. It is also registered to provide the regulated activity; treatment, disease, disorder and injury. At the time of this inspection there were 47 people living in the service.

At the last inspection on 19 July 2017, the service was rated 'requires improvement' in the areas of safe and well led. At this inspection, we found the service had made improvements under the questions is the service safe and well-led? The service is now rated as good.

Park House Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

There was a registered manager in post at the time of this inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Care plans did not all provide detailed guidance to staff to ensure that people were receiving the appropriate care at all times. People felt safe and staff knew how to respond to possible harm and how to reduce risks to people. People were looked after by enough staff, who were trained and supervised to support them with their individual needs. Pre-employment checks were completed on staff before they were assessed to be suitable to look after people who used the service.

Lessons were learnt about accidents and incidents and these were shared with staff members to ensure changes were made to staff practices and to reduce further occurrences.

People’s medication was well managed by staff that had received training and have been assessed as competent.

People were looked after by enough staff, who were trained and supervised to support them with their individual needs. Pre-employment checks were completed on staff before they were assessed to be suitable to look after people who used the service.

People’s privacy and dignity was promoted and maintained by staff. People received a caring service as their needs were met in a considerate manner and staff knew the people they cared for well. People were involved in their care and staff encouraged people’s independence as far as practicable. Activities were offered to support people’s interests and well-being. Equipment and technology was used to assist people to receive care and support which included the use of call bells.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. People’s confidential records were held securely.

Systems were in place to promote and maintain good infection prevention and control.

People received a choice of meals, which they liked, and staff supported them to eat and drink. People were referred to health care professionals as needed and staff followed their advice. The registered manager and staff team worked with other health and social care organisations to make sure that people's care was coordinated and person centred.

Compliments were received about the service and complaints investigated, responded to and resolved where possible to the complainants’ satisfaction. Staff worked well with other external health professionals to make sure that peoples end-of-life care was well managed and this helped ensure people could have a dignified death.

Quality monitoring procedures were in place and action was taken where improvements were identified. There were clear management arrangements in place. Staff, people and their relatives w

Park House Nursing Home is registered to provide accommodation for up to 52 people who require nursing or personal care. The home provides a service for older people, some of whom are living with dementia. At the time of the inspection there were 47 people living in the home. The home is on the outskirts of the town of Peterborough. The home has two floors and the first floor is accessible by a passenger lift or stairs.

This comprehensive inspection took place on 19 July 2017 and was unannounced.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the home. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the home is run. The registered manager was present during this inspection.

Risks to people who lived at the home had been identified and staff were aware how to reduce risks to people. However, the systems in place to manage or minimise the risks to people had not always been used. Audits in relation to care plans, risk assessments and fluid charts had not always identified all areas of improvement required.

People had their medication administered as prescribed. The provider's policy on administration and recording of medication had been followed by staff. Internal and external audits in relation to medication administration had been completed and were robust.

People had their needs assessed and reviewed. Staff knew how to support people and meet their requirements even though information had not always been recorded in people’s care plans. People's care plans contained person centred information which detailed people’s likes and dislikes and how they wished to be supported.

There was a system in place to record complaints. These records included the outcomes of complaints, that people were satisfied with the outcomes and how the information was to be used by staff to reduce the risk of recurrence.

Staff understood the principles of the Mental Capacity Act 2005 (MCA) and could describe how people were supported to make decisions. Training had been provided by the provider and staff were aware of current information and regulations regarding people’s consent to care. This meant that there was a reduced risk that any decisions, made on people's behalf by staff, would not be in their best interest and as least restrictive as possible.

People were kept safe because there were sufficient numbers of staff to meet people’s needs. The provider had a recruitment process in place and staff were only employed within the home after all essential safety checks had been satisfactorily completed. Staff received an induction when they started work and further training was available for all staff which provided them with the skills they needed to meet people’s requirements.

People and/or their relatives were involved in how their care and support was provided. Staff treated people with care and respect and made sure that their privacy and dignity was respected all of the time. Staff monitored people’s health and welfare needs and acted on issues identified. People were enabled to access health care professionals when they needed them. People were provided with a choice of food and drink that they enjoyed. People, where required, were given the right amount of support from staff to enable them to eat and drink.

People, relatives and staff were able to provide feedback and information. There were systems in place to monitor and audit the quality of the home.

Staff meetings, supervision and individual staff appraisals were completed regularly. Staff were supported by the registered manager and deputy manager during the day. A management out of hours on call system was in place to support staff, when required.

You can see what action we told the provider to take at the back of the full vers