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CQC report explained · a residential care home

What the CQC found at East Park Court Residential Care Home

Goodpublished 2 October 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People had risk assessments, enough staff and safe medicines support. Two pressure cushions were damaged, and environmental checks had not identified this, but they were replaced immediately.
Effective?
Good
People's needs were assessed, care plans considered their personal characteristics, and staff received training and supervision. People were supported with food, drink and access to healthcare professionals.
Caring?
Good
People were treated with compassion and their privacy and dignity were respected. People and relatives were involved in decisions about care where needed.
Responsive?
Good
People had personalised care plans and choices about daily routines. They could take part in activities, give feedback and make complaints.
Well-led?
Good
The management team carried out audits, acted on some issues and sought feedback from people, relatives and staff. Inspectors found that the environmental checks needed to be more effective.
The latest report, explained

What inspectors found, October 2019

Rated Good; inspectors found kind, personalised care, with damaged pressure cushions needing immediate replacement.

This was an unannounced inspection on 21 August 2019. Inspectors spoke with people living in the home, relatives, staff and visiting professionals. They also observed care and checked care, medicines and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people received kind and respectful care, had personalised care plans, received medicines safely and were supported to make choices.

Inspectors found two damaged pressure cushions. The manager replaced them immediately. The provider said it would introduce regular checks, as existing environmental checks had not found the problem.

What inspectors praised
  • Kind and compassionate care

    People were treated with kindness, compassion and respect. Staff knew people's backgrounds and gave reassurance when people were anxious or distressed.

    “I'm quite contented to think I've been here 12 months. My life wasn't worth living but I came here and now it's different.” from the report
  • Personalised support

    Care plans and risk assessments described people's needs, preferences and how they wanted to be supported. These were updated when needs changed.

    “People had personalised care plans and risk assessments in place which helped staff understand their needs and learn about their preferences.” from the report
  • Safe medicines support

    People received medicines as prescribed from trained staff. Records, storage and guidance for medicines taken when needed were checked.

    “People were supported to receive their medicines safely.” from the report
  • Activities and social contact

    People had access to varied activities and were encouraged to take part. The home also supported people to maintain important relationships.

    “People had access to varied range of activities such as musicians, days out and exercise classes.” from the report
  • Quality monitoring

    The management team used audits, feedback and learning forums to improve care. They acted quickly when the damaged pressure cushions were identified.

    “The management team completed quality monitoring audits to continuously improve the standard of care.” from the report
What inspectors were concerned about
  • Damaged pressure cushions

    serious

    Inspectors found two damaged pressure cushions. Environmental checks had not identified the problem, although the cushions were replaced immediately and the provider said regular checks would be introduced.

    “During the inspection we found some pressure cushions were damaged and checks on the environment had not identified this.” from the report
Questions to ask them, based on this report
  1. 01What regular checks are now carried out to make sure pressure cushions and other equipment remain safe?
  2. 02How do you check that environmental problems are found promptly?
  3. 03How are people's personalised care plans reviewed when their needs or preferences change?
  4. 04What activities are currently available, and how do you support people who do not want to join group activities?
  5. 05How are relatives involved in best-interest decisions when a person cannot make a particular decision?

This was an unannounced planned inspection covering all five CQC questions; the report says all five ratings remained Good from the previous inspection. This explanation was written from the published report of 2 October 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, February 2017

Rated Good; inspectors found safe, kind and well-managed care, with activities identified as an area for improvement.

This was an unannounced inspection on 30 January 2017. Inspectors spoke with 11 people living at the home, two relatives, six staff members and the management team. They reviewed care records, staff records, complaints and quality checks.

The inspectors found that people felt safe and received their medicines as prescribed. There were enough staff, risks were assessed, and staff had the training and checks needed for their roles. People were supported with food, drink, healthcare and personal choices.

Staff were described as caring and respectful. People were involved in decisions, supported to remain independent, and treated with dignity and privacy. The home had systems for handling complaints and checking the quality of care.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. At the previous inspection in November 2014, the provider was meeting legal requirements.

What inspectors praised
  • Managing risks

    Staff understood people's individual risks and records gave them guidance on how to manage those risks. Inspectors saw staff supporting people safely with walking and other needs.

    “Records we looked at reflected people's risks and contained guidance for staff to refer to on how to manage known risks to people.” from the report
  • Food and healthcare

    People had choices of meals and drinks. Staff understood dietary needs and followed advice from healthcare professionals.

    “This showed people's nutritional needs were being met.” from the report
  • Kind and respectful care

    Inspectors saw staff listening, offering reassurance and respecting people's choices, privacy and dignity.

    “Throughout the day we observed staff maintaining people's dignity in the way they supported them.” from the report
  • Personalised support

    Staff knew people's preferences, life histories and support needs. Care reviews were updated when people's needs changed, with people's or relatives' involvement.

    “Care reviews were completed regularly and information on people's changing care and support needs was updated as required with the involvement of people or their relatives.” from the report
  • Quality checks

    The home used audits, observations, meetings and feedback to monitor care and identify improvements.

    “Regular quality audit checks were completed by both the registered manager and provider which included all aspects of people's care and of the environment.” from the report
What inspectors were concerned about
  • Activities could be more personal

    minor

    Some people said activities did not always match their interests. Examples included wanting visits to places in the community and materials for knitting.

    “However, some people felt activities could be improved to reflect their individual interests.” from the report
Questions to ask them, based on this report
  1. 01How would you provide activities that match my relative's interests, including hobbies or visits outside the home?
  2. 02How are staffing levels and night checks planned when people are more active or may enter other people's bedrooms?
  3. 03How will my relative and our family be involved in care reviews if their needs change?
  4. 04What training and support will staff caring for my relative have before and after they start work?
  5. 05How can we raise a concern, and how will we be told what action has been taken?

This was an unannounced inspection of the overall service, covering Safe, Effective, Caring, Responsive and Well-led. This explanation was written from the published report of 28 February 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of East Park Court Residential Care Home

3 rated inspections over 4 years: the service has held its Good rating throughout.

  1. October 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at East Park Court Residential Care Home →

  2. February 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at East Park Court Residential Care Home →

  3. May 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. October 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. August 2012

    Registered with the Care Quality Commission on 2 August 2012.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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