Parker House Nursing Home

People and relatives described staff as kind and caring. Inspectors also saw staff responding kindly to people and their relatives.

“The staff are kind and caring, the nursing staff are consistent, there are not many changes.” from the report

Staff had safeguarding training and knew how to raise concerns. People were also supported within the principles of the Mental Capacity Act.

“Staff we spoke with knew what to report and who to report safeguarding concerns to.” from the report

People who needed time-specific medicines for Parkinson's or epilepsy received them on time according to their prescriptions.

“People who required time specific medicine for the management of Parkinson's and epilepsy received these on time according to the prescription.” from the report

Relatives said they were told quickly when something went wrong. Staff also worked with other professionals.

“The home is very good with communicating, they always let me know if anything happens, it's very quickly resolved.” from the report

Repositioning was not always recorded as required, and some falls and bed rail assessments were unclear or conflicting. Environmental hazards included unsafe window restrictors, loose equipment and unfixed furniture.

“Risks were not consistently managed or monitored. This placed people at an increased risk of avoidable harm.” from the report

Some prescribed thickeners were stored without labels or opening dates, and records for medicines given when needed were missing. Staff had not completed specialist training for syringe-driver medicines.

“Medicines were not always managed safely.” from the report

Some areas, mattresses and moving equipment were dirty. Infection-control audits had not identified these problems.

“People were not always protected from the risk of infection as staff were not consistently following safe infection prevention and control practices.” from the report

There were not enough staff overnight to ensure everyone could be supported promptly. Some recruitment files lacked references or full employment histories, so suitability was not always assured.

“We found not enough staff were on duty overnight to ensure all people would be supported in a timely manner.” from the report

Audits did not identify problems with medicines, the environment or care records. This meant management did not reliably use checks to improve safety and care.

“The provider did not effectively monitor the quality and safety of care to ensure improvements were made.” from the report