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CQC report explained · a residential care home

What the CQC found at Park View Care Home

Goodpublished 2 November 2019, 6 years ago

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

The five questions inspectors ask
Safe?
Good
People told inspectors they felt safe. Risk assessments, emergency plans, medicines systems, infection control arrangements and staffing were found to be suitable.
Effective?
Good
People received support with their health, nutrition and healthcare appointments. Staff had relevant training, supervision and competency checks, and consent arrangements followed the Mental Capacity Act.
Caring?
Good
Staff treated people with kindness, dignity and respect. People were involved in care decisions and supported to remain as independent as possible.
Responsive?
Good
Care plans were individualised and updated when people's needs changed. People were offered activities, support with relationships and a complaints process.
Well-led?
Good
Inspectors found approachable managers, regular audits and action plans for improvements. The home worked with health and social care professionals and maintained its records.
The latest report, explained

What inspectors found, November 2019

Rated Good; inspectors found safe, kind and personalised care, with all five areas rated Good.

This was a planned inspection over 3 and 4 September 2019. The first day was unannounced and the second was announced. Inspectors spoke with people living in the home, relatives and staff, and checked care, medicines, staff files and management records.

People told inspectors they felt safe and were treated kindly. Staff understood how to protect people from abuse, there were enough staff, medicines were managed safely and care plans gave clear information about people's needs and risks.

Inspectors found that people received support with their health, food, activities and relationships. Staff respected privacy, dignity and choice. Complaints were recorded and responded to, and the home worked with healthcare professionals.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. The overall Good rating means inspectors found the service was performing well and meeting the relevant requirements at the time of the inspection. The previous inspection in February 2017 also rated the home Good.

What inspectors praised
  • Safe medicines

    Medicines were stored and given safely. Records contained information about what each medicine was for and when it should be given.

    “Medicines were managed and stored safely. People's records contained up to date information about their medical history and how, when and why they needed the medicines prescribed to them.” from the report
  • Kind and respectful staff

    Inspectors saw staff treating people with dignity and respect, including during personal care and conversations.

    “Staff gave people their full attention during conversations and spoke with people in a considerate and respectful way.” from the report
  • Personalised care

    Care plans described people's needs, risks, preferences and abilities. Staff knew people well and updated plans when needs changed.

    “Care plans were individualised, detailed and provided clear, consistent information about people's needs and risks.” from the report
  • Activities and relationships

    People were encouraged to join activities, follow their interests and keep in touch with family and friends. Individual support was offered where needed.

    “People were offered individual support according to their needs and choices.” from the report
  • Active management

    The management team used regular audits and action plans to identify and address improvements. Staff and healthcare professionals described the home as well managed.

    “The audits routinely identified areas they could improve upon and the registered manager produced action plans, which clearly detailed what needed to be done and when action had been taken.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you make sure there are enough staff to support my relative at the times when they need the most help?
  2. 02How often will my relative's care plans and risk assessments be reviewed if their mobility, health or behaviour changes?
  3. 03What activities and individual support would be available for my relative's interests, communication needs and level of dementia?
  4. 04How would you involve our family in decisions about healthcare, consent and end of life care?
  5. 05How should we raise a complaint, and how will we be told what action has been taken?

This was a planned inspection that looked at the home, the care provided and all five CQC questions, with all five ratings assessed as Good. This explanation was written from the published report of 2 November 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 kind, safe care, but staffing deployment and dementia-focused activities needed improvement.

Inspectors visited over two days, on 5 and 9 January 2017. The first visit was unannounced and the second was announced. They spoke with people, relatives, staff and a health professional, observed care, and checked care records, medicines, staffing and other documents.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were treated kindly, medicines were managed safely, staff were trained, and people had access to health care and activities.

There had been staffing problems and several changes of manager since the previous inspection. The provider had improved recruitment and staffing in the annex, but inspectors were not satisfied that staffing levels were always clearly linked to people's needs. They also found that care plans were not always focused enough on dementia and that there was no permanent activities coordinator.

The two breaches found at the previous inspection, about staffing and recruitment, had been addressed. The home was not placed in special measures and the report does not record any new breaches.

What inspectors praised
  • Kind and respectful care

    Inspectors saw staff who were friendly, compassionate and patient. People were treated as individuals and their privacy, dignity and choices were respected.

    “People had forged good relationships with staff so that they were comfortable and felt well treated.” from the report
  • Safe medicines

    Staff were trained and observed giving medicines safely. Medicines were stored securely and records and staff competence were checked.

    “People were protected from the risks associated with the management of medicines.” from the report
  • Trained staff

    Staff received induction, ongoing training, supervision and appraisals. Training included dementia, moving and handling, infection control and end of life care.

    “The training and induction provided to staff ensured that they were able to deliver care and support to people appropriately.” from the report
  • Learning from incidents

    Accidents and incidents were recorded and reviewed. The home used investigations to identify ways to reduce future risks.

    “We saw investigations occurred that enabled learning from events and promoted improvements in practice.” from the report
  • Management improvements

    The provider had recognised problems left by earlier management and was using audits and an improvement plan to address them.

    “This meant that the provider had identified, recognised and responded to deficiencies in the home, raised through their internal quality monitoring systems.” from the report
What inspectors were concerned about
  • Staffing deployment

    needs fixing

    Inspectors found periods when staff were not accessible to everyone on the first floor. Some people experienced long waits, and the home did not clearly show how staffing numbers were linked to dependency levels.

    “One relative said, "My mum requires two staff to hoist her or change her in bed. She always has to wait. When it is lunch time, she can be waiting for up to two hours.” from the report
  • Dementia care plans

    needs fixing

    Care plans were being reviewed, but they did not always give enough individual detail about people's dementia needs. Inspectors recommended that the provider use published guidance to improve care planning and activities.

    “However, we noted that the current care plans lacked individualised focus in relation to people's needs around dementia.” from the report
  • Activities leadership

    needs fixing

    Activities were available, including one-to-one support, but there was no permanent activities coordinator with suitable qualifications and experience for people living with dementia.

    “However, at the time of the inspection there was not a permanent and suitably qualified activities coordinator.” from the report
  • Food concerns

    needs fixing

    Relatives reported that food was sometimes cold and that only one lunch choice was offered on the first inspection day. Inspectors saw two choices on the second day, and staff said this was normally provided.

    “Relatives told us that food was often cold by the time it arrived for people in the dining room as it was served in the kitchen and then transported to the dining room on a trolley.” from the report
  • No registered manager

    needs fixing

    There had been no registered manager since February 2016. The provider was recruiting, while a senior director was in day-to-day charge.

    “There had not been a registered manager employed at the home since 17 February 2016.” from the report
  • Missing clothing

    minor

    Four relatives reported concerns about clothes going missing. The provider was investigating and had offered to reimburse families if items could not be found.

    “Four relatives told us about particular concerns they had about their loved ones clothing going missing.” from the report
Questions to ask them, based on this report
  1. 01How do you now match staffing numbers and staff locations to each person's dependency and care needs, especially at lunchtime and when personal care is being given?
  2. 02Is there now a registered manager in post, and how is the home being overseen until that appointment is complete?
  3. 03What has changed in people's dementia care plans since this inspection, and how are individual needs recorded?
  4. 04Who now leads activities, what dementia experience do they have, and how are activities planned for people who stay in their rooms?
  5. 05What action has been taken about food temperature, meal choices and clothes or belongings going missing?

This was a two-day inspection covering all five CQC questions and the overall rating, with the first visit unannounced and the second announced. This explanation was written from the published report of 22 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 Park View Care Home

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

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

    Read what inspectors found at Park View Care Home →

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

    Read what inspectors found at Park View Care Home →

  3. February 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. August 2013

    Registered with the Care Quality Commission on 22 August 2013.

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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