CQC report explained · a nursing home
What the CQC found at Parkfield House Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, March 2019
Parkfield House Nursing Home was rated Good; inspectors found outstanding personalised activities alongside some food, fluid and infection-control recording issues.
This was an unannounced inspection on 5 February 2019. Two inspectors, a medicines specialist and an expert by experience visited. They spoke with people, relatives, staff and healthcare professionals. They also reviewed care records, medicines checks, staff files and quality audits.
Overall, the home was rated Good. Safe, Effective, Caring and Well-led were rated Good. Responsive was rated Outstanding. Inspectors found people were treated kindly, received their medicines safely and had their health needs met. Risks were assessed and the home was clean and well maintained.
The strongest area was how the home responded to people's individual interests and wishes. A wellbeing team offered varied activities, supported links with families and helped people take part in meaningful projects. Inspectors also found some issues, including incomplete fluid records, uncertainty about food being offered between meals, and minor infection-control concerns. These were raised during the inspection.
The previous inspection in 2016 also rated the home Good overall. At that time, Well-led required improvement and the home was advised to improve activities. Inspectors found the required improvements had been made.
Meaningful activities
The home offered varied activities shaped around people's interests, memories and abilities. Staff helped people achieve personal wishes and remain involved in the home and wider community.
“There was strong evidence that people were fully engaged in a wide range of meaningful activities led by a 'wellbeing team'.” from the report
Individual support
Staff knew people well and adapted support to their preferences. Inspectors found that people were included and valued as individuals.
“Staff were extremely responsive to people's individual needs and knew them well.” from the report
Safe medicines and risk management
Risks were assessed with clear guidance for staff. Medicines were stored, administered and recorded safely, with staff training and competency checks.
“People received their medicines safely and as prescribed.” from the report
Kind and respectful care
People and relatives spoke positively about staff. Inspectors saw staff offering kind support and respecting privacy, dignity, choices and cultural needs.
“We observed positive and caring interactions during the inspection.” from the report
Fluid records
needs fixingSome fluid records did not consistently show that people's target intake had been met. The records also did not always show what action was taken when intake was below target.
“However, some fluid records did not consistency demonstrate that people's target fluid intake was met” from the report
Food between meals
needs fixingRecords did not clearly show that people were consistently offered food after the evening meal. This could mean a long period before breakfast.
“It was not clear that people were consistently offered anything to eat after their evening meal” from the report
Meal-time attention
needs fixingIn one dining room, staff did not always interact with people during the meal. Ice cream was also served with the main meal and had melted before it was eaten.
“However, in the upstairs dining room, although there was a pleasant atmosphere, staff did not always interact with people.” from the report
Infection-control detail
minorOne member of staff was seen wearing false nails, which the inspectors said could be unsafe. The manager said this would be addressed without delay.
“However, we saw a member of staff wearing false nails which could be unsafe” from the report
- 01How do you now record and review people's fluid intake when they do not meet their daily target?
- 02How do you make sure everyone is offered food after the evening meal and does not have too long to wait for breakfast?
- 03What checks ensure staff follow infection-control rules, including the policy on false nails?
- 04How do you monitor staff interaction and support during meals on both floors?
- 05How are pressure-relieving equipment settings and labels checked?
This was an unannounced inspection covering all five CQC questions, including the care provided and the premises; the previous overall rating was Good, with earlier improvements required in Well-led and activities. This explanation was written from the published report of 8 March 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.
Every inspection of Parkfield House Nursing Home
5 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- March 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
Read what inspectors found at Parkfield House Nursing Home →
- August 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2015Requires improvementstayed Requires improvementSafe: Good
- September 2015Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- March 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 10 January 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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