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CQC report explained · a nursing home

What the CQC found at Park View Care Home

Requires improvementpublished 16 September 2025, 12 months ago

Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.

The latest report, explained

What inspectors found, December 2022

Park View Care Home: Rated Requires Improvement; inspectors found kind staff but serious gaps in risk management, medicines, consent and oversight.

This was the first inspection of the newly registered home. It was unannounced and took place on 12 October 2022 and 17 October 2022. Inspectors spoke with people living there, relatives and staff, and checked care records, medicines records and management documents.

All five areas were rated Requires Improvement: Safe, Effective, Caring, Responsive and Well-led. Care records did not always describe people's needs and choices. Risks were not always assessed or monitored properly, medicines were not always managed safely, and the home did not always follow the law about consent and liberty safeguards.

Inspectors found that staff were kind and respectful, staffing and recruitment arrangements were safe, infection control was satisfactory, and people received food, activities and healthcare support. However, the provider breached regulations about consent, safe care and treatment, and good governance. CQC required an action plan and said it would monitor progress with the provider and local authority.

What inspectors praised
  • Kind and respectful staff

    People and relatives said staff were kind and caring. Inspectors also observed compassionate interactions and found that staff respected privacy and dignity.

    “People and relatives told us staff were kind and caring and they treated them with dignity and respect.” from the report
  • Safe recruitment and staffing

    The home had rotas showing the right number of suitably skilled staff. Staff recruitment included the required checks before appointment.

    “There were safe staffing and recruitment arrangements.” from the report
  • Infection control

    Inspectors were assured that the home used infection control measures, including PPE, safely and had arrangements for managing infection outbreaks.

    “We were assured that the provider was using PPE effectively and safely.” from the report
  • Food, activities and healthcare

    People were offered food choices and their special diets were understood. Staff supported activities, family contact and access to health professionals.

    “People were offered a good choice of food and drink.” from the report
What inspectors were concerned about
  • Risks were not managed consistently

    serious

    Risk assessments were not always reviewed effectively and care plans did not always tell staff how to keep people safe. Night checks and repositioning records were not always accurate.

    “Risks to people had not been sufficiently assessed or mitigated.” from the report
  • Medicines records and processes

    serious

    There was no clear process for recording thickening agents. Some as-required medicines lacked accurate instructions, and one person had no care plan or risk assessment for Warfarin.

    “There was no clear system for using or recording prescribed thickening agents.” from the report
  • Weak quality oversight

    serious

    Audits identified some improvements but did not lead to clear action. Records were not consistently accurate or up to date, and provider oversight was not effective enough.

    “The provider's quality assurance systems were not always effective in identifying and bringing about improvements to the service.” from the report
  • Care was too generic

    needs fixing

    Care plans did not always reflect individual needs, choices or end of life wishes. CQC made a recommendation that care planning should be more person centred.

    “Care plans did not always accurately reflect people's needs and choices and how they were to be met.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made to risk assessments, night checks and repositioning records since the inspection?
  2. 02How are thickening agents, as-required medicines and high-risk medicines now prescribed, administered and recorded?
  3. 03How do you check that Mental Capacity Act assessments, best-interest decisions and DoLS applications are completed at the right time?
  4. 04How are care plans made personal to each resident, including their choices, communication needs and end of life wishes?
  5. 05What actions were included in the CQC action plan, who is responsible for them, and what progress has been checked since the inspection?

This was the home's first inspection and it covered all five CQC questions, as well as infection prevention and control; the report says the home was newly registered. This explanation was written from the published report of 29 December 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.

The story over the years

Every inspection of Park View Care Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. December 2022Requires improvementcurrent rating
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read what inspectors found at Park View Care Home →

  2. August 2021

    Registered with the Care Quality Commission on 25 August 2021.

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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