CQC report explained · a residential care home
What the CQC found at Parkgate Road
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
- Safe?
- Requires improvement
- Some risk assessments were not up to date, and unsecured wardrobes and items stored on them could have caused serious injury. Medicines, staffing, safeguarding and fire safety arrangements were otherwise described positively.
- Effective?
- Good
- This question was not inspected during this focused inspection. Its previous rating was carried forward when calculating the overall rating.
- Caring?
- Good
- This question was not inspected during this focused inspection. Its previous rating was carried forward when calculating the overall rating.
- Responsive?
- Good
- This question was not inspected during this focused inspection. Its previous rating was carried forward when calculating the overall rating.
- Well-led?
- Requires improvement
- The provider's checks did not always identify and resolve problems, including cleanliness and infection control issues. Management oversight needed to be strengthened.
What inspectors found, December 2023
Parkgate Road is rated Requires Improvement; inspectors found people were cared for kindly, but risk management, cleanliness and management checks were not always reliable.
This was an unannounced focused inspection on 30 October 2023. One inspector reviewed information, observed care, spoke with one person, staff, a relative and an advocate, and checked care, medicines, recruitment and quality records.
The home was safe in some important areas. Medicines were managed safely, staffing was sufficient, safeguarding procedures were understood and people received care from staff they knew. However, some risk assessments were out of date, wardrobes and items stored on them were not secured, and some cleaning and infection control practices did not meet the home's own standards.
The home was also rated Requires Improvement for being well-led. Quality checks had identified some problems but had not ensured they were fixed. The overall rating changed from Good at the previous inspection in 2018 to Requires Improvement. The other three areas were not inspected during this visit.
Medicines
Medicines were stored, given and disposed of safely. Records showed people received the support they needed, including for medicines taken only when required.
“Medicines were stored, administered and disposed of safely.” from the report
Staffing and safeguarding
Inspectors found enough staff to meet people's needs. Staff understood their safeguarding responsibilities, and recruitment checks followed the provider's procedure.
“During our inspection staffing levels ensured people were safe and their needs were met.” from the report
Personalised care
People received personalised care from staff who knew them well. The report also found that people's human rights, choices and independence were promoted and protected.
“People received person-centred care from staff who knew them well.” from the report
Out-of-date risk information
seriousOne person's risk assessment had not been updated after a hospital discharge. Another person's records contained incorrect information about their daily fluid intake. The records were updated during the inspection.
“One person's risk assessment had not been updated to reflect changes in their care and support needs following their discharge from hospital in September 2023.” from the report
Unsafe furniture and stored items
seriousSome bedroom wardrobes were not secured to the wall, and items stored on top could fall. The report says the operations manager confirmed action had been taken after the inspection.
“This put people at risk as the wardrobes could topple over and cause serious injuries.” from the report
Infection control and cleanliness
needs fixingSome staff wore jewellery, nail varnish or nail extensions despite the home's policy. Night cleaning records were incomplete, and some areas were dirty.
“However, some staff did not work in line with the providers policy because they wore jewellery, nail varnish and had nail extensions which was an infection control risk.” from the report
Weak management checks
needs fixingThe provider's monitoring systems did not always ensure that problems were fixed or that earlier standards were maintained. An audit had identified dirty areas, but inspectors found the same shortfalls later.
“The provider's systems and processes to monitor and improve the quality and safety of the service were not always effective.” from the report
- 01Have all wardrobes and items stored on top of them now been secured, and how are these checks recorded?
- 02How are care risk assessments updated promptly after a person's hospital discharge or a change in their needs?
- 03What has changed to ensure staff follow the infection control rules about jewellery, nail varnish and nail extensions?
- 04How are night-time cleaning checks completed and reviewed, particularly in the kitchen, toilet and bedrooms?
- 05How will the provider make sure its audits lead to problems being fixed and standards being maintained?
This was a focused inspection of Safe and Well-led only; the other three ratings were carried forward from the last inspection in 2018. This explanation was written from the published report of 2 December 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, October 2018
Parkgate Road was rated Good overall; inspectors found safe, kind and personalised care with effective management.
This was a comprehensive, unannounced inspection on 19 September 2018. Inspectors reviewed care records, staff files and quality checks. They spoke with a person, a relative, staff and a visiting health professional, and observed care.
The home provided residential care for people with learning or physical disabilities. Inspectors found enough staff, safe medicines practice, suitable staff training and support from health professionals. People were treated with respect, supported to make choices and helped to keep relationships and take part in activities.
All five CQC areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home had also been rated Good at the previous inspection in November 2015, so the overall rating continued unchanged.
Safe medicines
People received their medicines when needed. Staff were trained and their competence was checked regularly.
“Medicines were administered, stored and disposed of safely and in line with manufacturer's guidelines.” from the report
Skilled staff
New staff received an induction and worked towards the Care Certificate. Staff also had opportunities for further qualifications and support from managers.
“All staff had received an induction which included shadowing more experienced colleagues and working towards the Care Certificate.” from the report
Respectful care
Staff supported privacy, dignity, independence and important relationships. People were involved in planning and reviewing their care.
“People's dignity was maintained and their right to privacy was always respected.” from the report
Personalised support
Staff knew people's routines, communication methods and interests. Activities were planned around what each person wanted to do.
“People received individualised care which met their needs and preferences.” from the report
Open management
Staff felt supported and able to raise concerns or suggest improvements. The home used audits, meetings and feedback to monitor its quality.
“There were effective systems to monitor and review the quality of the home.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you meet my relative's particular care, communication and support needs?
- 02How do you involve people and their families when care plans are planned and reviewed?
- 03What activities and community opportunities could be arranged around my relative's interests?
- 04How would staff support my relative's health needs and attend appointments when required?
- 05How do you check that medicines are given safely and that staff remain competent?
This was a comprehensive inspection covering all five CQC areas, including care, records, staffing and quality checks; all five ratings were Good. This explanation was written from the published report of 31 October 2018 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 Parkgate Road
3 rated inspections over 8 years: the service has slipped, from Good to Requires improvement.
- December 2023Requires improvementcurrent ratingdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2018Goodstayed GoodSafe: GoodWell-led: Good
- February 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2014
Registered with the Care Quality Commission on 11 April 2014.
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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