CQC report explained · a nursing home
What the CQC found at Park View Care Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
- Safe?
- Requires improvement
- Risks were not always assessed, reviewed or managed effectively. Inspectors found problems with building work, care records, risk monitoring and staffing levels.
- Effective?
- Good
- This key question was not inspected during this visit. Its previous rating was carried forward when calculating the overall rating.
- Caring?
- Good
- This key question was not inspected during this visit. Inspectors did report that people experienced kind and friendly care.
- Responsive?
- Good
- This key question was not inspected during this visit. Inspectors found that people had choices, activities and opportunities to access outside areas and the local community.
- Well-led?
- Requires improvement
- Quality checks and management oversight had not identified important risks and recording problems. The home did have systems for feedback, staff meetings and working with other professionals.
What inspectors found, June 2023
Park View Care Home rated Requires Improvement; inspectors found risks and oversight were not always managed effectively, despite kind care and safe medicines.
This was an unannounced inspection on 9 May and 23 May 2023. Inspectors spoke with people, relatives and staff, reviewed care and medicines records, observed care, and checked the building, equipment and management records.
The home was not always safe. Risks from building work had not been properly managed, and records did not always show that care plans, repositioning, food and fluid monitoring, and risk plans were followed. Staffing levels were also not always enough to meet people's needs promptly.
The home was caring in many ways. People described kind and friendly staff who knew them well. Medicines, infection control and equipment checks were managed well, and people had choices and activities.
The overall rating changed from Good to Requires Improvement. Safe and Well-led were both rated Requires Improvement. The other key questions were not inspected during this visit, so their previous ratings were used when calculating the overall rating.
Kind and familiar staff
People said staff were kind and friendly. Staff were described as consistent and familiar with the people they supported.
“People were supported by consistent staff who knew them well and the registered manager told us that they were not using agency staff.” from the report
Medicines management
The home used electronic medicine records, carried out audits and checked staff competence. Medicines prescribed for specific times were given as required.
“Electronic systems were in place for the recording of medicine administration. Regular audits were undertaken to check that people received their medicines as prescribed.” from the report
Choice and activities
People were supported to make choices and take part in activities. The home helped people access outside areas and the local community.
“People were observed participating in a wide range of activities and being supported to access outside areas and the local community.” from the report
Infection control
Inspectors were assured that infection prevention measures, personal protective equipment and outbreak arrangements were in place.
“We were assured that the provider was responding effectively to risks and signs of infection.” from the report
Risks during building work
seriousBuilding and refurbishment work created risks for people, including people living with dementia and some at risk of falls. These risks had not been fully identified or controlled.
“The service was undergoing building and refurbishment works and the risks to people living with dementia had not been fully considered or managed.” from the report
Incomplete care records
seriousRecords did not always show that care and risk plans were being followed. Inspectors found problems with repositioning, food and fluid records and monitoring of skin risks.
“Records did not always demonstrate that people's care plan and risk management plans were being followed.” from the report
Staffing availability
needs fixingStaffing levels did not always meet people's needs. On one inspection day, two care staff and a nurse supported 17 people on one floor, while also delivering meals and giving medicines.
“Staff told us that there were sometimes shortfalls in staff which meant that they were not able to support people in a timely way or spend quality time with them.” from the report
Weak quality checks
seriousThe home's audits and oversight did not identify several problems found by inspectors, including poor records, gaps in end-of-life plans and missing monitoring records.
“Audits and oversight were not always effective in identifying areas for improvement.” from the report
- 01What has been done to make the building and refurbishment work safe for people, particularly people living with dementia or at risk of falls?
- 02How do you now check that repositioning, food and fluid records, and other risk plans are completed accurately?
- 03How many staff are planned for each floor at different times, and what happens when there is short-notice sickness?
- 04What action has been taken in response to the breaches of Regulations 12 and 17?
- 05How are you checking that people's deteriorating health is recognised and referred to specialist health services promptly?
This was a focused inspection of Safe and Well-led only; the other key question ratings were carried over from the previous inspection when calculating the overall rating. This explanation was written from the published report of 29 June 2023 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, January 2022
Inspected but not rated; inspectors found good infection control, visiting arrangements and staffing cover.
This was a targeted inspection about infection prevention and control, visiting arrangements and staffing pressures during the COVID-19 pandemic. The visit was announced and inspectors gave 24 hours' notice.
Inspectors found the home was clean and hygienic. Staff used personal protective equipment correctly, testing was in place, and visits were being supported in line with government guidance. Vaccination records for staff, residents and regular visitors were monitored.
People and staff said there were enough staff to meet people's needs. The manager said the home was not under workforce pressure and could use trained bank staff to cover sickness, holidays and extra staffing needs.
The service was inspected but not rated. This was not a full inspection of all five areas of care, so the report does not provide an overall quality rating.
Clean environment
Inspectors found the home clean and hygienic, with extra cleaning and open windows to support ventilation.
“The service was clean and hygienic throughout with increased cleaning taking place across all aspects of the service.” from the report
Infection control
Staff used PPE appropriately and the home was carrying out lateral flow and PCR testing in line with government guidance.
“We observed staff following good infection prevention and control practices including appropriate use of personal protective equipment (PPE) in line with government guidance to reduce the risk of infection.” from the report
Staffing cover
People and staff said there were enough staff. The home said it could use trained bank staff to cover sickness, holidays and additional needs.
“Feedback from people who used the service and staff was that there were enough staff to meet people's needs.” from the report
Family visits
People were supported to receive visits from family, friends and representatives in line with the guidance in force at the time.
“People were being supported to receive visits from their family, friends and/ or representatives and these were being completed in line with current government guidance.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you currently checking staff and visiting professionals' vaccination status, including exemptions?
- 02How often are residents and staff tested now, and what happens if someone tests positive?
- 03How do you maintain staffing levels when staff are off sick or on holiday, and who provides bank cover?
- 04How are family visits arranged now, and what restrictions would apply during an infection outbreak?
This was a targeted inspection of infection prevention and control, visiting arrangements and staffing pressures; it was not a full inspection and the report records the service as inspected but not rated. This explanation was written from the published report of 28 January 2022 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 View Care Home
2 rated inspections over 4 years: the service has slipped, from Good to Requires improvement.
- June 2023Requires improvementcurrent ratingSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2022Inspected but not ratedSafe: Inspected but not rated
- August 2019GoodSafe: GoodWell-led: Good
- June 2018
Registered with the Care Quality Commission on 12 June 2018.
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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