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CQC report explained · a residential care home

What the CQC found at Parklands Care Home

Goodpublished 3 March 2020, 6 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection prevention, protective equipment, testing, admissions, cleaning and visiting. The provider also described measures to manage COVID-19-related staffing pressures.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection.
Responsive?
Good
This area was not assessed in this targeted inspection.
Well-led?
Good
This area was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, February 2022

Inspected but not rated; inspectors found strong infection control and safely managed visiting during the COVID-19 pandemic.

This was a targeted, announced inspection on 27 January 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected care.

The home had screening, protective equipment, testing, cleaning and isolation measures in place. Visitors could attend by appointment, using a conservatory with separate entrances and exits. The report says no one in the home had tested positive for COVID-19 during the pandemic.

The service was inspected but not rated overall. Safe was also inspected but not rated. The other four areas were not assessed in this visit.

What inspectors praised
  • Safe visiting

    Visits were arranged by appointment in a separate conservatory. Cleaning took place between visits, and people had individual risk assessments for going out with family.

    “Visiting was safely facilitated using the homes conservatory which had a separate entrance and exit.” from the report
  • Protective equipment

    Staff had suitable protective equipment and hand sanitiser was available throughout the home. Staff had been trained to put on and remove protective equipment safely.

    “There was an adequate supply of PPE in stock including hand sanitisation which was available throughout the home.” from the report
  • Infection control

    The report found that infection control procedures and the COVID-19 policy were being implemented effectively. The home had not had anyone test positive for COVID-19 throughout the pandemic.

    “The provider had effectively managed and implemented IPC measures and had not had anyone test positive for COVID-19 throughout the pandemic.” from the report
  • Safe admissions

    The home followed the required testing and isolation arrangements when admitting people from health, social care or community settings.

    “The service was following the required testing and isolation periods (if required) for new residents.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are visiting arrangements and cleaning between visits managed now?
  2. 02What infection control measures are currently used, including protective equipment, hand sanitiser and staff training?
  3. 03How are new residents tested and supported during any required isolation period?
  4. 04How does the home manage staffing pressures linked to COVID-19 or other infections?
  5. 05When were the other care areas, including caring, effective, responsive and well-led, last assessed?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not assess the other four key questions. This explanation was written from the published report of 3 February 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.

An earlier report, explained

What inspectors found, March 2020

Rated Good; inspectors found safe, kind and well-organised care, with some records and checks needing improvement.

This was an unannounced inspection on 4 February 2020. One inspector spoke with people living in the home, visitors and staff, observed care, and checked care, medicines, staff and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and received good care. Staff were described as friendly, consistent and well trained.

Inspectors found some areas to improve. One accident record did not confirm whether medical advice was obtained. Capacity assessments and care plans needed more detail. Room temperature checks for medicines and kitchen protective clothing were also addressed during or after the inspection.

The overall Good rating was unchanged from the previous inspection, published on 26 July 2017. The report says the CQC will continue monitoring the information it receives and will inspect sooner if concerns arise.

What inspectors praised
  • People felt safe

    People and relatives told inspectors they felt safe. Staff understood what to do if they suspected abuse.

    “People and a relative told us they felt safe in the service.” from the report
  • Kind and respectful care

    Inspectors saw people being treated with dignity and respect. Staff offered choices and asked permission before care and activities.

    “We saw people being treated with dignity and respect and their individual needs were considered.” from the report
  • Reliable staffing

    Staffing numbers were sufficient and staff said the home did not use agency staff. People and visitors raised no staffing concerns.

    “Staff told us there was enough staff in place to meet people's needs and said the service never used agency staff.” from the report
  • Healthcare support

    People were supported to access healthcare services. Records included their health needs and medical history, and professionals visited the home.

    “People were supported to access professionals, healthcare services and support.” from the report
  • Activities and relationships

    Activities took place in the home and community, with a planned programme on display. People said they enjoyed the activities.

    “We observed activities taking place during the inspection and we saw photographs of previous activities taking place within the service as well as in the community.” from the report
  • Open management

    The home had audits, staff meetings, surveys and a suggestion box. The inspection team said information was provided promptly.

    “This confirmed the actions they had taken as a result of our findings.” from the report
What inspectors were concerned about
  • Accident follow-up was not fully recorded

    needs fixing

    A fall had been recorded, but the record did not confirm whether medical advice was obtained. The provider said it would investigate and improve how lessons were recorded.

    “However, there was no record which confirmed whether medical advice was obtained as a result of the fall.” from the report
  • Capacity records needed more detail

    needs fixing

    Capacity assessments had been completed, but inspectors said they would be stronger if there was an individual assessment for each decision.

    “Whilst these contained information about what decisions these related to; they were basic and would have benefited from individual assessments for each decision.” from the report
  • Care plans needed more detail

    needs fixing

    Care records contained information about people's needs but did not always give staff enough detail. The provider acted to review and improve them.

    “However, further information was required to ensure detailed information was available to staff to support the delivery of care.” from the report
  • Some safety checks needed correcting

    needs fixing

    Room-temperature checks for medicines were not being completed at the time of inspection. Staff also sometimes entered the kitchen without the required gloves and aprons.

    “However, we noted staff entering the kitchen on some occasions without gloves and aprons.” from the report
Questions to ask them, based on this report
  1. 01How do you now record and review accidents, including whether medical advice was obtained?
  2. 02How are individual capacity assessments recorded for each important decision?
  3. 03How often are care plans reviewed, and how do you make sure they contain enough detail for staff?
  4. 04How are medicine storage room temperatures checked and recorded each day?
  5. 05What arrangements ensure staff wear the required gloves and aprons when entering the kitchen?

This was a planned, unannounced inspection covering all five CQC questions, and the previous Good ratings in all areas remained unchanged. This explanation was written from the published report of 3 March 2020 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 Parklands Care Home

3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Parklands Care Home →

  2. March 2020Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Parklands Care Home →

  3. July 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2016Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. April 2011

    Registered with the Care Quality Commission on 28 April 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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