Park View Residential Home was inspected on the 02 October 2018 and the inspection was unannounced.

Park View Residential 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.

Park View Residential Home provides accommodation for up to 11 older adults requiring help with personal care. It is in a residential area of Morecambe within easy reach of the promenade and local amenities, such as a public house, church, park and shops. Morecambe town centre is easily accessible and local bus and taxi services are nearby. On road parking to the side of the home is permitted. There are communal and dining areas on the ground floor. Bedrooms are located on the ground floor and the first floor, which is accessible by a stair lift for the less mobile. Bathrooms and toilets are available on both floors

At our last inspection in October 2017 the service was rated as ‘Requires improvement’. We identified a breach of Regulation 12 of the Health and Social Act Care Act 2008 (Regulated Activities) 2014. We found people could not be assured that medicines were managed safely and people were not always protected against the risk and spread of infection. In addition, we found the audit processes in place had not identified the concerns we noted on inspection and some policies required updating. This was a breach of Regulation 17 of the Health and Social Act Care Act 2008 (Regulated Activities) 2014. We took regulatory action and served requirement notices for these breach in regulation. We asked the registered provider to take action to make improvements to the areas we identified. The registered provider sent us an action plan which indicated improvements would be completed by January 2018.

At this inspection in October 2018, we found improvements had been made. Medicines were managed safely and people were protected from the risk and spread of infection. We found policies had been reviewed and audit systems at the home had identified if improvements were required.

At the time of the inspection visit there was a manager in place who was registered with the Care Quality Commission. 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.

The registered manager sought verbal feedback from people who lived at the home and their relatives and surveys were periodically provided.

Recruitment checks were carried out to ensure suitable people were employed to work at the home and staff told us they were able to attend training and supervision to maintain and increase their skills and knowledge.

Care records contained information regarding risks and guidance for staff on how risks were to be managed. We found information in two care records required updating as further information was required regarding the needs of the people they related to. Prior to the inspection concluding we were informed this had been completed.

We found information was recorded regarding people’s end of life wishes and people we spoke with told us they had been asked to share their wishes regarding this.

People told us they had access to healthcare professionals and their healthcare needs were met. Documentation we viewed showed people were supported to access further healthcare advice if this was appropriate. People and relatives told us they were happy with the care at support provided at Park View Residential Home.

People told us they could raise their views with staff and these were listened to. The registered manager told us they did not hold meetings with people who lived at the home as they

This comprehensive inspection was carried out on the 01 and 03 August 2017. The first day of the inspection was unannounced.

Park View provides accommodation for up to 11 adults requiring help with personal care. It is located in a residential area of Morecambe within easy reach of the promenade and local amenities, such as a public house, church, park and shops. Morecambe town centre is easily accessible and local bus and taxi services are nearby.

There are communal and dining areas on the ground floor. Bedrooms are located on the ground floor and the first floor, which is accessible by a stair lift for the less mobile. One bedroom has en-suite facilities. However, bathrooms and toilets are available on both floors. There are a range of aids and adaptations to meet the needs of people living at the home. On road parking to the front and side of the home is permitted.

The home has a manager who is registered with the Care Quality Commission. 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.

We last inspected Park View Residential Home in April 2015. We identified no breaches in the regulations we looked at.

During this inspection visit carried out in August 2017 we asked people if they felt safe. People we spoke with told us they did. However, we identified improvements were required to ensure people were protected from the risk of infection. In addition, we found medicines were not always managed in a safe way. These were breaches of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

We looked at the auditing systems used by the service to drive improvement. We found checks on medicines, care records and the environment were carried out. We saw evidence that accidents and incidents were monitored and the registered manager could explain actions taken to minimise reoccurrence. However, we found that required checks were not always carried out and had not identified the shortfalls we found during the inspection. This was a breach of Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

We reviewed staff files and found there were processes that ensured staff were suitably recruited. We found one staff did not have a DBS check in place. This is a check that helps ensure suitable staff are employed. We have made a recommendation regarding this.

We discussed staffing with people who lived at the home. People told us, “When I press my buzzer, they come as soon as they can if they are not seeing to anybody else.” And, “They come to me ok.” During the inspection we saw staff were patient and kind with people who lived at the home and people were supported at a pace appropriate to their individual needs. Staff appeared busy and told us they volunteered their own time to support people to go out. They told us they did not have time to take people who lived at the home out unless they did so. We have made a recommendation regarding the staffing at the home.

We looked at a range of health and safety documentation. We saw not all taps within the home were regularly checked to minimise the risk of scalding from hot water. We have made a recommendation regarding this.

We found documentation we viewed was not always complete. We found risks to people were identified, however the action required to maintain people’s safety was not always recorded. During the inspection visit we raised this with the registered manager. Prior to the inspection concluding we were informed documentation had been updated.

We checked to see if people without mental capacity were lawfully deprived of their liberty if this was necessary. We found appropriate applications to deprive people

During our visit to this location we were able to speak with six people who lived at the home and two relatives. Everyone we spoke with provided us with positive comments. They were extremely complimentary about the facilities available and the services provided. People told us their needs were being appropriately met by a kind and caring staff team. They said standards of cleanliness were always good and the environment was suitable for their needs. They felt staff were competent to do their jobs and told us the home was well managed.

Comments received included:

"This is my home now and I am very comfortable here. I have nothing at all to complain about."

"I have just to ring my bell and the girls come straight away."

"The staff are all fantastic. Every single one of them. It is marvellous here. I am a carer myself and I am so impressed with the care here - it is second to none!"

"Oh, my love. I wouldn't want to be anywhere else. I am very happy living here."

Whilst at Park View we established how care was provided and how people were supported. Standards in relation to staff recruitment and the suitability of the premises were also assessed. We looked at cleanliness and infection control practices and how the service was being managed on a day to day basis. We did not find any concerns in any areas assessed on this occasion.

People were seen to be cared for in ways that suited them, and they told us that they were involved in their own care. We saw that people were given opportunities to inform the staff of their personal support requirements. There were systems in place to monitor how those needs were met. People living at the home told us that they felt safe.

During our inspection we looked at care records and the homes duty rota. We did this to confirm people were being well supported and staffing levels were sufficient to meet people’s needs.

The people we spoke with said they were receiving safe and appropriate care which was meeting their needs. They told us the staff were polite, caring and professional when undertaking their work. Comments received included:

“I get all I need here, I wouldn’t choose anywhere else”.

“Mum gets all the care she needs here. All the staff are very supportive”.

“There are things going on most days, it’s nice to be able to choose what I want to take part in”.

“We have just had the most wonderful Christmas, very busy and lots going on”.

Park View is a family run home. It is managed on a day to day basis by the provider and a small dedicated staff team. Our visit on 23rd February was unannounced.

During the course of the inspection we spoke to a whole range of people including, visiting professionals, residents, relatives and staff. The provider was at the home throughout the inspection process and was available to discuss issues and receive feedback on the completion of the site visit.

People living at the home told us staff were respectful and treated them with dignity, one person said, "Staff are very patient and courteous,” another said, "I come here most days and it’s always a lovely atmosphere.” All the people we spoke to said good things about the way they were treated by all members of staff.

A visitor told us that they had looked at a number of homes, but were very glad they had chosen Park View as a home to care for their mother.” I think we made the best decision, mum is well cared for.”

Responses from staff and residents were all very positive. They reflected how the home is run in the best interest of the people who live there. Other comments from people included, "This is a good home, I have always been made to feel welcome.” A staff member said, "It is just homely and we work hard to make it like that.”

Two visiting professionals told us they often come into this home and find the manager and staff to be very supportive.

This inspection was carried out on the 13 and 17 of April and was unannounced.

We last inspected Park View Residential Home in January 2014 and identified no breaches in the regulations we looked at.

Park View Residential Home is a care home providing personal care and accommodation for up to 11 older people. It is located in a residential area of Morecambe within easy reach of the promenade and local amenities, such as a public house, church, park and shops. Morecambe town centre is easily accessible and local bus and taxi services are nearby.

There are communal and dining areas on the ground floor. Bedrooms are located on the ground floor and the first floor, which is accessible by a stair lift for the less mobile. One bedroom has en-suite facilities and bathrooms and toilets are available on both floors. There are a range of aids and adaptations in place to meet the needs of people living at the home. On road parking to the front and side of the home is permitted. At the time of the inspection there were 11 people living at the home.

The home has a manager who is registered with the Care Quality Commission. 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.

We found processes to ensure that people’s freedom was not inappropriately restricted were in place and the registered manager was seeking further advice regarding this. The registered manager was in the process of arranging training for staff in the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards to strengthen staff knowledge in these areas.

During the inspection we saw people were supported to be as independent as possible. We observed staff responding to people with compassion and empathy and people were seen to be engaging with staff openly. We saw evidence that when appropriate, people were referred to other health professionals for further advice and support. Staff were knowledgeable of peoples’ assessed needs and delivered care in accordance with these. There were sufficient numbers of staff on duty to meet people’s needs.

People told us they liked the food provided at Park View Residential Home and we saw people were supported to eat and drink sufficiently to meet their needs.

The staff we spoke with were knowledgeable of the reporting processes in place if they suspected people were at risk of harm or abuse.

There were arrangements in place to ensure people received their medicines safely and staff were knowledgeable of these. We saw medicines were provided in a safe way.

We observed people engaging in activities and staff were respectful of people’s wishes.

This inspection was carried out on the 13 and 17 of April and was unannounced.

We last inspected Park View Residential Home in January 2014 and identified no breaches in the regulations we looked at.

Park View Residential Home is a care home providing personal care and accommodation for up to 11 older people. It is located in a residential area of Morecambe within easy reach of the promenade and local amenities, such as a public house, church, park and shops. Morecambe town centre is easily accessible and local bus and taxi services are nearby.

There are communal and dining areas on the ground floor. Bedrooms are located on the ground floor and the first floor, which is accessible by a stair lift for the less mobile. One bedroom has en-suite facilities and bathrooms and toilets are available on both floors. There are a range of aids and adaptations in place to meet the needs of people living at the home. On road parking to the front and side of the home is permitted. At the time of the inspection there were 11 people living at the home.

The home has a manager who is registered with the Care Quality Commission. 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.

We found processes to ensure that people’s freedom was not inappropriately restricted were in place and the registered manager was seeking further advice regarding this. The registered manager was in the process of arranging training for staff in the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards to strengthen staff knowledge in these areas.

During the inspection we saw people were supported to be as independent as possible. We observed staff responding to people with compassion and empathy and people were seen to be engaging with staff openly. We saw evidence that when appropriate, people were referred to other health professionals for further advice and support. Staff were knowledgeable of peoples’ assessed needs and delivered care in accordance with these. There were sufficient numbers of staff on duty to meet people’s needs.

People told us they liked the food provided at Park View Residential Home and we saw people were supported to eat and drink sufficiently to meet their needs.

The staff we spoke with were knowledgeable of the reporting processes in place if they suspected people were at risk of harm or abuse.

There were arrangements in place to ensure people received their medicines safely and staff were knowledgeable of these. We saw medicines were provided in a safe way.

We observed people engaging in activities and staff were respectful of people’s wishes.