CQC report explained · a residential care home
What the CQC found at Park Street
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People said they felt safe. Inspectors found safe medicines management, suitable safeguarding arrangements, risk assessments, enough staff and a clean, well-maintained environment.
- Effective?
- Good
- Staff had relevant training, supervision and support. People were supported with food, drink, healthcare, decision-making and their legal rights.
- Caring?
- Good
- People were treated with kindness, respect and compassion. Inspectors saw positive relationships and staff who knew people's needs, goals and preferences.
- Responsive?
- Good
- Care plans were personalised and included people's communication needs, routines, choices and goals. People had varied activities and knew how to complain, although advanced end-of-life plans were not yet in place.
- Well-led?
- Good
- The home had a registered manager, regular audits and staff meetings. Inspectors found that the provider's values were reflected in day-to-day support and that the home had strong community links.
What inspectors found, October 2018
Rated Good; inspectors found safe, kind and personalised care, with end-of-life plans not yet in place.
This was an unannounced comprehensive inspection on 24 September 2018. One inspector spoke with a resident, staff and the registered manager. They also reviewed care plans, staff records, medicines, complaints, incidents and management checks.
The home supported four adults with learning disabilities and could support up to five. Inspectors found enough staff, safe medicines management, suitable risk assessments and trained staff. People said they felt safe and were treated with kindness, dignity and respect.
Care plans reflected people's choices, communication needs, routines and goals. People were supported to make decisions, use health services, eat and drink well, and take part in community activities. Complaints were investigated and resolved, and quality checks were described as robust.
The overall rating was Good, with Good ratings for Safe, Effective, Caring, Responsive and Well-led. This was unchanged from the previous inspection. The report says there was no evidence of serious risks or concerns.
Improved medicines safety
The home had addressed the medicines problems found at the previous inspection. Storage, stock checks and audits were in place, and one person was being supported to manage their own medicines safely.
“At this inspection, we found that satisfactory improvements had been made and medicines were managed safely.” from the report
Support for independence
Risk assessments aimed to keep people safe while helping them do more for themselves, both at home and in the community.
“Care plans contained risk assessments for keeping people safe whilst also maximising their independence when at the premises and when accessing the local community.” from the report
Kind and respectful care
Inspectors saw calm, friendly interactions. Staff understood people well and supported their dignity, privacy and personal goals.
“People were treated with kindness, respect and compassion.” from the report
Personalised support
Care plans included individual routines, communication methods, preferences, anxiety triggers and goals. People were involved in reviewing their plans each month.
“Care and support plans were person centred throughout.” from the report
Strong community involvement
People were supported to take part in activities such as shopping, going to cafés and pubs, local groups, elections and community events.
“The service had excellent links with the local community.” from the report
End-of-life plans not complete
needs fixingAdvanced plans describing people's preferences for end-of-life care were not yet in place. Work had started for one person, with family involvement planned.
“Advanced plans were not yet in place.” from the report
- 01When will advanced plans be completed, and how will families and the people living here be involved?
- 02How would you support my relative to become more independent while managing risks in the home and community?
- 03How would you support my relative's particular communication needs and recognise when they are anxious or unwell?
- 04How are medicines stored, checked and reviewed, especially if my relative wants to manage some medicines themselves?
- 05How do you use feedback from people, relatives and staff to make changes?
This was an unannounced comprehensive inspection covering all five CQC questions, and the overall Good rating was unchanged from the previous inspection. This explanation was written from the published report of 26 October 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 Street
2 rated inspections over 3 years: the service has held its Good rating throughout.
- October 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- January 2012
Registered with the Care Quality Commission on 30 January 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.
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At least 100 live-in carers within about two hours of Wiltshire
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 £1,020 to £1,340 a week. 82 can care for a couple. 12 years' experience on average.
“Linet became her carer and all changed, my daughter started eating, taking her medications and more important her happiness came back.”
“I cannot recommend Prisca highly enough, she is one in a million.”
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.