CQC report explained · a residential care home
What the CQC found at ParkHouse Grange
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that people were protected from abuse and avoidable harm. Risks, staffing, medicines, infection control and emergency arrangements were managed safely.
- Effective?
- Good
- This area was not inspected during this focused visit. The previous rating was used in calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this focused visit. The previous rating was used in calculating the overall rating.
- Responsive?
- Good
- This area was not inspected during this focused visit. The previous rating was used in calculating the overall rating.
- Well-led?
- Good
- Inspectors found effective leadership, quality checks and communication with people, relatives and staff. The registered manager was committed to improving the service.
What inspectors found, August 2021
Rated Good overall; inspectors found safe care and strong management, with some medicine and record-keeping improvements still in progress.
This was an unannounced focused inspection on 14 July 2021. It was prompted by concerns about infection control and staffing. Inspectors found no evidence that these concerns had harmed people.
The home was rated Good for Safe and Well-led. Inspectors found that risks were assessed, staffing levels met people's needs, medicines were managed safely and infection control procedures were followed.
The home had effective checks on care quality and safety. People, relatives and staff were involved and felt listened to. The overall rating stayed Good, but the other three areas were not inspected during this visit and their previous ratings were carried forward.
Risk management
Risks to people's safety were assessed and reviewed. Care plans gave staff guidance on how to reduce known risks.
“Risks associated with people's care, needs and the environment had been assessed and were kept under continual review to ensure measures were effective.” from the report
Staffing
Inspectors and relatives found that there were enough staff to meet people's needs. Recruitment checks were also completed.
“Sufficient numbers of staff were deployed to meet people's needs and provide safe care.” from the report
Infection control
The home was clean and maintained infection control measures, including safe use of protective equipment and support for visits.
“We were assured that the provider was using PPE effectively and safely.” from the report
Management oversight
The home had regular checks, audits and spot checks. People, relatives and staff were encouraged to give feedback.
“There were robust systems for checks, audits and quality assurance which were operated effectively.” from the report
Electronic medicines system
needs fixingThe registered manager had found weaknesses in the electronic medicines system and was reviewing whether to replace it. This did not change the Safe rating, but it is worth asking how the review was completed.
“Whilst this reduced the risk of some errors, the registered manager had identified weaknesses in the system and a review was in progress to change to a more user friendly system.” from the report
Care plan records
minorThe registered manager had identified that electronic care planning needed improvement to raise recording standards. The report says work was being discussed with the provider.
“They had identified where improvements were needed in electronic care planning to improve standards of recording.” from the report
- 01What changes were made to the electronic medicines system after inspectors identified weaknesses?
- 02How are medicines given through skin patches recorded and checked now?
- 03What improvements have been made to electronic care planning and the standard of recording?
- 04How do you check that staffing levels continue to match each person's needs?
- 05How are relatives involved in care plan reviews and informed about changes to care or visiting arrangements?
This was a focused inspection of Safe and Well-led only; the other three ratings were carried over from previous comprehensive inspections. This explanation was written from the published report of 25 August 2021 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, July 2019
ParkHouse Grange was rated Good; inspectors found safe, kind and personalised care, with minor issues around laundry and signage.
The inspection was an unannounced visit on 21 June 2019. An inspector and an expert in dementia care spoke with people, relatives, managers and care workers. They reviewed care and medicines records, staffing information and other records.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines support, suitable training, clean surroundings and good links with health professionals.
People were treated with dignity and respect. Staff knew people's needs and preferences, and people had personalised care, activities and choices. Inspectors noted that some relatives were worried about one person's distressed behaviour, and that some laundry items went missing, but managers were addressing these matters.
Enough staff
Inspectors found the home was well staffed, with flexible staffing when people needed extra support. Staff checked on people regularly and recruitment checks were completed.
“The home was well staffed. Staff were present in communal areas and regularly checked on people in their rooms.” from the report
Kind relationships
Staff knew people well and treated them with kindness, dignity and respect. They offered comfort and reassurance when people were distressed.
“Staff had excellent relationships with the people they supported.” from the report
Personalised care
Care plans recorded people's preferences and routines. Staff worked around people's choices and supported some people to regain independence.
“People's care plans were personalised and identified how people wanted their needs met.” from the report
Activities and relationships
People could take part in group and one-to-one activities, with visiting entertainers and animals also mentioned in the report.
“The home's activity co-ordinator provided group and one-to-one activities for people.” from the report
Safe medicines support
Staff were trained and checked as competent before administering medicines. Electronic records and regular audits were used to monitor medicines.
“Staff used an electronic system supplied by their contract pharmacist to monitor and administer medicines.” from the report
Distressed behaviour
needs fixingThree relatives were a little worried about one person's distressed behaviour. The manager was working with a GP and mental health team, with risk assessments and increased observations in place.
“Three relatives said they were a little worried by the distressed behaviour of one of the people using the service.” from the report
Laundry problems
minorSome relatives said laundry was not always effective and that items sometimes went missing. The manager knew about the issue and was working to address it.
“Some relatives told us the laundry was not very effective with items going missing on occasions.” from the report
Limited signage
minorPictorial and other signage was minimal during the inspection. The manager said suitable signage would be added after the redecoration work.
“Pictorial and other signage was minimal. The registered manager said this was due to the re-decoration programme” from the report
- 01How are you currently supporting people who become distressed, and how do you involve their relatives and health professionals?
- 02What changes have been made to prevent people's laundry from going missing?
- 03Has suitable pictorial and other signage now been added following the redecoration?
- 04How do you make sure care plans are updated and changes are shared with all staff?
- 05How can relatives take part in care reviews and medicines reviews?
This was a planned, unannounced inspection that looked at all five CQC questions, and all five ratings remained Good from the previous inspection. This explanation was written from the published report of 31 July 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 ParkHouse Grange
4 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- August 2021Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2019Goodstayed GoodSafe: GoodWell-led: Good
- November 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2015Requires improvementSafe: GoodEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Good
- August 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- June 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 5 November 2010.
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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