CQC report explained · a residential care home
What the CQC found at Parkbourn
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Risks were assessed and reviewed, medicines were managed safely, and there were enough staff to support people safely at home and in the community.
- Effective?
- Good
- Staff understood people's needs, supported access to health care, encouraged healthy eating and independence, and received relevant training and supervision.
- Caring?
- Good
- Staff knew people well and supported their dignity, choices, privacy, family relationships and independence.
- Responsive?
- Good
- Care was personalised and records were updated when needs changed. People were supported with communication, family contact, day services and activities they enjoyed.
- Well-led?
- Good
- The manager and staff promoted person-centred care, used audits and meetings to check quality, and worked with families and other agencies.
What inspectors found, November 2019
Rated Good; inspectors found safe, kind and personalised care, with end-of-life planning still being developed.
This was a planned inspection on 15 October 2019. The inspector reviewed care and medicines records, spoke with staff and the manager, and contacted two relatives afterwards. People living at the home were not available to speak to the inspector.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, detailed care plans and good support for people's health, independence, communication and community activities.
The home used positive behaviour support and no restrictive intervention practices were used. Inspectors noted that the home was larger than current best practice guidance, but said its design and location reduced any negative impact. Planning for people's end-of-life wishes was identified as an area for development.
Promoting independence
People were supported to make choices and build skills in everyday activities, including personal care, shopping, cooking and laundry.
“The service was highly effective at promoting people's independence.” from the report
Least restrictive support
The home used positive behaviour support and supported people in the least restrictive way. Inspectors found no restrictive intervention practices.
“The service used positive behaviour support principles to support people in the least restrictive way.” from the report
Consistent staff
Inspectors found a stable staff team with enough staff available to meet people's needs and support their chosen activities.
“People received care from a consistent staff team, who had worked at the service for a number of years.” from the report
Activities and community life
People took part in day services, local activities, trips, meals out and family events, based on their interests and preferences.
“People were supported to access a range of activities in the community on a regular basis, which included their particular interests and hobbies.” from the report
Quality checks
The management team and provider carried out regular audits and checks to identify areas for improvement.
“Quality assurance systems were in place and used effectively to monitor key aspects of the service.” from the report
End-of-life planning
minorSome people's wishes had been recorded, but the manager said this was still an area for development and that families would be supported to plan ahead.
“The registered manager explained this was an area for development and they would sensitively support people and families to plan ahead.” from the report
Larger-than-guidance home
minorThe home supported up to eight people and was larger than current best practice guidance. Inspectors said the building design and setting reduced any negative impact.
“The service was a large home, bigger than most domestic style properties.” from the report
- 01How will you develop and record each person's end-of-life wishes, and how will families be involved?
- 02How do you make the larger-than-guidance home feel personal and domestic for each person?
- 03How will you support my relative to build independence in personal care, cooking, shopping or other daily activities?
- 04What activities and community opportunities would be available for my relative based on their interests and communication needs?
- 05How do you involve families in reviewing care plans and responding when a person's needs change?
This was a planned inspection covering all five CQC questions and both the premises and care; people living at the home were not available to speak to the inspector, but two relatives were contacted afterwards. This explanation was written from the published report of 1 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.
What inspectors found, June 2017
Parkbourn was rated Good; inspectors found safe, kind and personalised care, with staff vacancies being managed.
This was an unannounced inspection on 3 and 9 May 2017. Inspectors reviewed care records, staff recruitment files, medicines records and quality checks. They spoke with three staff members, relatives of three residents and a health and social care professional.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found suitable risk assessments, trained staff, accurate medicines records and good systems for checking quality. Staff understood people's needs and supported their choices, health and independence.
Inspectors could not speak to or observe residents because they were out during both visits. They relied on records, staff, relatives and a professional's views. The home remained Good, the same rating as at the previous inspection in April 2015.
Medication management
Staff were trained to give medicines and received regular competency checks. Inspectors found the medicines administration records accurate, with clear guidance for medicines given when needed.
“Medication was well managed. All staff had received training by a competent person in the administration of medication and additionally received annual updates and competency refreshers.” from the report
Personalised support
Care plans described residents' preferences, communication and personal history in detail. Staff used this information to provide support suited to each person.
“Information in support plans was relevant, up to date and contained an in depth knowledge and understanding of each person.” from the report
Kind and committed staff
Inspectors found examples of staff making extra efforts to support important events, celebrations and activities for residents.
“Two staff members willingly gave up their time off so they could take the person.” from the report
Quality checks
The home carried out regular checks on areas such as care plans, medicines, finances and building safety. Managers followed up recommendations with action plans.
“There were audits for the safety of the building, finances, care plans, medication and more regular checks like the water temperatures.” from the report
Staff vacancies
minorThere were some vacancies when inspectors visited. The home was managing them through the existing team and an agency, while waiting for recruitment checks to be completed.
“Rotas showed that there were some staff vacancies in the home at the time of our inspection” from the report
- 01How many staff vacancies remain, and when do you expect the recruitment checks to be completed?
- 02How do you make sure agency staff provide consistent support for residents while vacancies are being filled?
- 03How do you check that each resident's detailed support plan is understood and followed by every member of staff?
- 04How do residents who cannot communicate verbally show their views about their care, and how are those views recorded?
- 05What actions have resulted from the most recent care plan, medicines and safety audits?
This was an unannounced comprehensive inspection covering all five rating areas, but inspectors could not speak to or observe residents because they were out during both visits. This explanation was written from the published report of 21 June 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.
Every inspection of Parkbourn
3 rated inspections over 4 years: the service has held its Good rating throughout.
- November 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- May 2011
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 7 February 2011.
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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38 live-in carers within about an hour of Sefton
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 £980 to £1,270 a week. 34 can care for a couple. 11 years' experience on average.
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
“It was clear that she genuinely cared and her warm approach really helped put our minds at ease.”
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.