CQC report explained · a nursing home
What the CQC found at Green Park Care Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, May 2021
Rated Good; inspectors found safe care and improved leadership, but standards were not consistent across all units.
This was an unannounced follow-up inspection on 20 April 2021 after concerns had been received. Inspectors spoke with one person living at the home, relatives, staff and managers. They reviewed care records, medicines records, recruitment files and management information.
The home was rated Good for Safe and Well-led. Inspectors found that risks were assessed and reviewed, medicines were generally managed safely, infection control measures were in place and staff recruitment checks were completed. Relatives said they were happy with the care and believed their loved ones were safe.
The home had improved from Requires Improvement to Good for Well-led since the previous inspection. However, mattress checks and oral hygiene work were not always completed to the same standard in every unit, so the provider was asked to strengthen its audits.
This inspection did not reassess Effective, Caring or Responsive. Those ratings were carried forward from the previous comprehensive inspection and were used with the new findings to calculate the overall Good rating.
Individual risk support
Care plans and risk assessments were kept up to date and reflected people's individual needs. Staff had the information needed to provide tailored support.
“People received care and support that was centred around their individual care needs.” from the report
Medicines management
Inspectors found that medicines were given as prescribed and staff were trained and checked for competence. Regular audits helped identify improvements.
“People received their medicines in line with the administration instructions and staff were appropriately trained and regularly had their competency levels checked.” from the report
Infection control
The home was clean and well maintained. Staff, residents and visitors took part in COVID-19 testing and visitors followed infection control arrangements.
“Staff, people living at the home and visitors were all engaged in a COVID-19 testing programme, which helped minimise the risk of transmission.” from the report
Positive relationships
Inspectors saw person-centred care and received positive feedback from relatives, staff and people living at the home. Communication with relatives was described as excellent.
“People appeared happy and content living at Green Park.” from the report
Different standards between units
needs fixingMattress setting checks and oral hygiene interventions were not always completed to the same standard across the home. The provider was asked to strengthen its audit tools.
“We recommend the provider strengthens audit tools to ensure the quality monitoring and provision of care is consistent across the home.” from the report
Topical cream storage
needs fixingInspectors found one concern about how topical creams were stored. The home responded and managed it immediately.
“We identified one area of concern in relation to the storage of topical creams, but this was responded to and immediately managed.” from the report
No registered manager at the visit
minorThere was no manager registered with CQC when inspectors visited. An interim manager had been recruited and the registration paperwork was being completed.
“The service did not have a manager registered with CQC.” from the report
- 01What checks now make sure mattress settings and oral hygiene care are completed to the same standard in every unit?
- 02How are topical creams stored and checked since the issue found during the inspection?
- 03How many regular agency staff work here, and how do you make sure they know each resident's care needs?
- 04Has the interim manager's CQC registration paperwork now been completed?
- 05How do you collect and act on feedback from residents and relatives, given that no recent satisfaction survey had been circulated?
This was an unannounced focused follow-up inspection of Safe and Well-led, with infection control also checked; Effective, Caring and Responsive were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 14 May 2021 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.
What inspectors found, June 2019
Green Park Care Home was rated Good overall, but inspectors found leadership and quality checks required improvement.
Inspectors visited without warning on 29 and 30 January 2019. They spoke with people living in the home, relatives, staff and a healthcare professional. They observed care and checked care plans, medicines, recruitment records and the home’s systems.
The home was rated Good for Safe, Effective, Caring and Responsive. Inspectors found people were generally safe, treated with dignity and given personalised care. The home was clean, activities were available, and staff supported people with food, drink and healthcare needs.
Well-led was rated Requires Improvement. The home’s audits had missed problems with medicine stock, staff deployment and consent for cameras in communal areas. These were recommendations, not breaches at this inspection. The two breaches found at the 2017 inspection had been resolved.
People felt safe
Everyone inspectors spoke with said they felt safe with staff. Safeguarding arrangements and risk assessments were in place.
“Everyone we spoke with told us they felt safe with the staff at the home.” from the report
Dignity and independence
Staff used calm and respectful approaches. They adapted support so people could make choices and do things for themselves where possible.
“This maintained the person's independence and dignity by discreetly supporting them.” from the report
Personalised care
Staff knew people’s likes, dislikes and routines. Care plans and activities were tailored to people living with dementia.
“People were receiving person centred care.” from the report
Clean environment
Inspectors found the home clean and saw staff following infection control procedures. An external infection control audit had awarded 95 percent.
“We found the home was clean and infection control standards were being met.” from the report
Medicine stock checks
needs fixingInspectors found unusually high stocks of some prescribed supplements. The home’s medicine audits had not identified or explained this.
“We recommend a review of all systems of auditing stock amounts of stored prescribed medicines to include prescribed supplements within the home.” from the report
Staff deployment and call bells
needs fixingPeople gave mixed feedback about staffing, including concerns about nights, weekends and waiting for call bells. The provider could not monitor call bell response times through its system.
“We recommend the provider reviews their systems of staff deployment to ensure people's care needs are met at all times.” from the report
Consent for cameras
needs fixingThe home had not initially recorded people’s consent or agreement before cameras were used in communal areas. Evidence of consent was provided after the inspection.
“The provider had not recorded they had obtained consent or agreement from people prior to switching cameras on to film them in communal areas of the home.” from the report
Audits missed problems
needs fixingThe provider’s quality checks did not identify all the issues found by inspectors. This led to a Requires Improvement rating for well-led.
“The provider's own audits had not identified all issues we found on this inspection.” from the report
- 01How do you now check medicine stock, especially prescribed supplements, and investigate unexplained excess stock?
- 02How do you monitor call bell response times and staffing deployment during nights, weekends and other busy periods?
- 03How have you recorded consent, or made decision-specific best-interest decisions, for people filmed by cameras in communal areas?
- 04Which audits now check that these issues are identified promptly, and who reviews the results?
- 05How have expired Mental Capacity Act and safeguarding training records been brought up to date?
This was an unannounced inspection covering all five key questions and the overall rating, including follow-up of breaches found at the 2017 inspection. This explanation was written from the published report of 20 June 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.
Every inspection of Green Park Care Home
4 rated inspections over 4 years: the service has improved, from Inadequate to Good.
- May 2021Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2019Goodup from Requires improvementSafe: GoodWell-led: Requires improvement
- February 2018Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- July 2017InadequateSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: InadequateWell-led: Inadequate
- September 2016
Registered with the Care Quality Commission on 30 September 2016.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Warrington
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 90 can care for a couple. 10 years' experience on average.
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.