CQC report explained · a residential care home
What the CQC found at Park Lodge Care Solutions
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found enough staff, safe recruitment, appropriate risk assessments, safe medicines support and suitable infection control measures.
- Effective?
- Good
- This question was not inspected during this visit. Its previous rating was used in calculating the overall rating.
- Caring?
- Good
- This question was not inspected during this visit. Its previous rating was used in calculating the overall rating.
- Responsive?
- Good
- This question was not inspected during this visit. Its previous rating was used in calculating the overall rating.
- Well-led?
- Good
- The registered manager and staff understood their roles, people and relatives were involved in decisions, and audits and action plans were used to monitor and improve the service.
What inspectors found, August 2021
Park Lodge Care Solutions is rated Good; inspectors found safe, person-centred care, with two records still being updated.
This was a planned inspection on 1 July 2021. One inspector spoke with people, staff, relatives and professionals. They observed care and checked care records, medicine records, staff files, audits and safety checks.
The home was rated Good overall. Safe and Well-led were both rated Good. People were supported by staff who knew them well, and inspectors found that people had choices, were encouraged to be independent and could stay connected with their communities.
The inspection found safe medicines support, enough staff, safeguarding systems and appropriate risk assessments. The home also worked with health and social care professionals when people needed extra support.
This was a focused inspection of Safe and Well-led only. The other three questions were not inspected, so their previous ratings were used in the overall rating. The previous overall rating, published in April 2018, was Good.
Person-centred support
Staff knew people well and supported their choices, independence and preferred ways of communicating. People were involved in everyday activities and personalising their bedrooms.
“People received person-centred support from staff who knew them well.” from the report
Safe staffing and medicines
Inspectors found enough staff to meet people's assessed needs. Medicines were administered by trained and competent staff, with audits and professional reviews in place.
“People received their medicines safely by trained and competent staff.” from the report
Positive risk support
The home assessed risks while helping people continue activities that mattered to them. It also sought specialist advice after incidents or when people needed extra support.
“People were supported to take risks which were assessed to optimise choice and safety.” from the report
Management oversight
The registered manager used audits and action plans to identify and track improvements. Staff, relatives and professionals gave positive feedback about communication and leadership.
“The registered manager understood their responsibilities and had good oversight of the service.” from the report
Legionella arrangements being updated
needs fixingInspectors found that the provider had identified improvements needed in managing legionnaires. The risk assessment and procedure were still being updated at the time of inspection.
“The provider had identified areas for improvement in relation to the management of legionnaires, we saw evidence they were in the process of updating the risk assessment and procedure.” from the report
As-required medicine protocols
needs fixingA recent audit identified that protocols for some as-required medicines needed GP sign-off. The home was working with the local GP surgery to complete this.
“A recent audit highlighted for the PRN protocols to be signed off by the GP.” from the report
- 01Have all the updates to the legionnaires risk assessment and procedure now been completed?
- 02Have the GP sign-offs for all as-required medicine protocols been completed?
- 03How are people and relatives involved in decisions about risks, activities and daily routines?
- 04How is the new registered manager being supported by the regional manager and head office?
- 05What were the previous ratings for Effective, Caring and Responsive, and when will these areas next be reviewed?
This was a planned inspection of Safe and Well-led only; Effective, Caring and Responsive were not inspected and their previous ratings were used in calculating the overall rating. This explanation was written from the published report of 3 August 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, April 2018
Park Lodge Care Solutions was rated Good overall; inspectors found safe, kind and personalised care, with end-of-life wishes still being documented.
The inspection took place on 6 and 7 February 2018. One inspector visited the home, spoke with people, staff, relatives and a healthcare professional, and observed care. Records, medicines, recruitment files, the building and quality checks were also reviewed.
The home supported eight people with learning disabilities, including people with autism and complex communication needs. Inspectors found that medicines were managed safely, staffing met people's needs, staff were trained, and care plans were detailed and personal.
People were treated with kindness and respect. They had access to activities, healthcare, suitable food and communication support. The home was clean and well managed. The overall rating and all five question ratings were Good.
The home had improved since July 2016, when it was rated Requires Improvement overall and in Safe, Effective and Well-led. The earlier concerns about medicines, staff training and management checks had been addressed by this inspection.
Safer medicines
Inspectors found that the previous medicines problems had been addressed. Staff were trained and records showed medicines were administered according to instructions.
“At this inspection we found people received their medicines and they were managed safely.” from the report
Kind and respectful care
Staff were observed listening to people, offering reassurance and responding to their individual communication. People were treated with dignity and compassion.
“We observed all staff treating people with patience and kindness.” from the report
Personalised support
Care plans included people's history, preferences, communication methods and support needs. Staff knew people well and adapted their approach.
“People's individual care records were person-centred and detailed how they wanted their needs to be met in line with their wishes and preferences.” from the report
Improved leadership
The home had a new registered manager and inspectors found that earlier improvements had been embedded. Audits and other checks were being used to monitor care and safety.
“At this inspection we found those improvements had been embedded into the service.” from the report
Activities and independence
People took part in activities linked to their interests and were supported to make choices and take part in everyday tasks at their own pace.
“People were supported to live full and active lives and were able to access a wide range of activities that reflected their personal interests and hobbies.” from the report
End-of-life plans not complete
needs fixingPeople's end-of-life wishes had not yet been recorded. The manager was discussing this with families and intended to introduce end-of-life plans.
“People's end of life wishes were not currently documented, however the registered manager was in discussions with family to complete this.” from the report
Night-time staffing question
needs fixingTwo relatives were concerned that only one staff member was on duty at night. The manager said night staffing was continually reviewed and that an on-call system was available for emergencies.
“However two relatives raised concerns about the service only having one staff member on duty at night.” from the report
- 01How many staff are now on duty overnight, and how do you decide whether this is enough for each person's needs?
- 02Have every person's end-of-life wishes now been discussed, recorded and made available to staff?
- 03How are people's communication methods, including pictures, symbols, sign language or electronic devices, kept up to date?
- 04How do you check that medicines continue to be stored, administered and recorded safely?
- 05How are families and advocates involved when a person cannot fully take part in reviewing their care plan?
This was an inspection of the overall service covering all five CQC questions; the previous overall and question ratings from July 2016 were reviewed and improved at this inspection. This explanation was written from the published report of 5 April 2018 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 Park Lodge Care Solutions
4 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- August 2021Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2018Goodup from Requires improvementSafe: GoodWell-led: Good
- September 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- March 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- January 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 14 December 2010.
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.
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