CQC report explained · a nursing home
What the CQC found at Parkmanor Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People’s risks were assessed and reviewed, staffing levels were considered sufficient, safeguarding arrangements were understood, and medicines were managed safely. Cleanliness and some equipment were initially not satisfactory but were corrected immediately.
- Effective?
- Good
- This question was not included in this focused inspection.
- Caring?
- Good
- This question was not included in this focused inspection.
- Responsive?
- Good
- This question was not included in this focused inspection.
- Well-led?
- Good
- Managers had systems for oversight, staff support and improvement. However, the infection control audit had not identified the cleanliness problems found by inspectors.
What inspectors found, February 2022
Parkmanor Care Home was rated Good; inspectors found safe, person-centred care, but cleanliness and quality checks needed improvement.
The inspection began as a targeted check of infection prevention and control. After inspectors found cleanliness concerns, it was widened to a focused inspection of Safe and Well-led. Inspectors visited on 28 January and 4 February 2022, and relatives were contacted by telephone.
The home was rated Good overall, with Safe rated Good and Well-led rated Good. Inspectors found enough suitably trained staff, safe medicines management, good risk assessments and staff who understood safeguarding.
On the first visit, some communal areas and equipment were not clean, and damaged items made infection control harder. The home acted immediately, and inspectors found these issues had been addressed by the second visit. However, its infection control audit had not identified the problems before the inspection.
Personalised risk management
Inspectors found detailed, regularly reviewed risk assessments. Staff understood people’s individual risks and how to manage them.
“We saw comprehensive risk assessments which had been reviewed regularly and contained a good level of information on the type of risks presented, the severity of the risk and ways in which staff could manage those risks” from the report
Person-centred care records
Care plans included people’s preferences, routines, life history and interests. Relatives were involved in developing and reviewing them.
“Information within care plans and risk assessments was person-centred and included relevant information around people's needs, their likes and dislikes, their life history and family relationships.” from the report
Staffing and safeguarding
There were enough experienced and qualified staff, and staff had safeguarding training and understood how to report concerns.
“There were enough experienced and qualified staff deployed to safely meet people's needs.” from the report
Cleanliness and equipment
seriousOn 28 January, some communal areas, furnishings and equipment were not clean. Damaged items also meant infection control standards could not always be maintained, although the home put this right by 4 February.
“This placed people at increased risk of contracting and transmitting infections.” from the report
Audits did not find the problem
needs fixingThe infection control audit had been completed but did not identify the cleanliness and equipment issues found by inspectors. This reduced the home’s oversight of cleanliness.
“This meant registered persons did not have sufficient oversight of the cleanliness of the service.” from the report
- 01What changes were made to cleaning routines after the inspection, and how do you check that they are still being followed?
- 02How do you now make sure damaged equipment and furnishings are reported and repaired quickly?
- 03What has changed in the infection prevention and control audit so that similar problems are identified earlier?
- 04How will you involve me in developing and reviewing my relative’s care plan and risk assessments?
- 05How do you check that staffing levels and staff training continue to meet residents’ needs?
This was a focused inspection of Safe and Well-led, prompted by a targeted infection prevention and control inspection; the other three question ratings were not assessed in this report. This explanation was written from the published report of 18 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.
What inspectors found, December 2019
Rated Good in all five areas; inspectors found safe, kind and personalised care with strong leadership.
This was an unannounced inspection on 19 November 2019. The inspection team spoke with people living in the home, relatives and staff. They observed care and reviewed care plans, medicines records, staff files, complaints and other records.
Inspectors found that people felt safe. Risks, medicines and infection control were managed well. Staff were trained and there were enough staff to meet people's needs. People received suitable food, drinks and healthcare.
People described staff as kind and respectful. Care was personalised and supported people's choices, communication, relationships and activities. Complaints were handled promptly, and families were involved in care planning.
The home was rated Good overall and Good in Safe, Effective, Caring, Responsive and Well-led. All five ratings remained Good from the previous inspection.
People felt safe
People told inspectors they felt safe. Staff understood how to recognise and report abuse, and individual risks were clearly assessed and managed.
“People were protected from the risk of abuse and avoidable harm by trained staff who understood how to identify and report concerns.” from the report
Kind and respectful care
Inspectors observed positive interactions. People said staff treated them with kindness, dignity and respect, while supporting privacy and independence.
“People were well-treated and supported with kindness. Staff treated them with respect and got to know them well.” from the report
Personalised support
Care plans included people's histories, preferences, routines and communication needs. Staff were guided on how to support each person in an individual way.
“People's care files were person-centred and reflected the person's histories, presenting needs and preferences.” from the report
Food and drinks
People and relatives complimented the food. Staff understood dietary needs and provided drinks, snacks and help with eating and drinking when needed.
“People were provided with hot and cold drinks and snacks throughout the day.” from the report
Activities and relationships
People could suggest activities and were supported to maintain important relationships. Inspectors saw activities having a positive effect on people.
“Staff provided stimulating activities daily.” from the report
Strong management
The management team used audits, feedback and action plans to monitor quality. Staff described the leadership and practical support positively.
“The registered manager conducted regular audits of record-keeping, operations and the service environment and conducted competency checks of staff” from the report
Inspectors raised no specific concerns in this report.
- 01How many staff are on duty for each shift, and how do you adjust staffing when a person's needs change?
- 02How will you involve our family member and us in creating and reviewing their care plan?
- 03How do you support people living with dementia to communicate choices and maintain familiar routines?
- 04What activities are available each day, including at weekends, and how are residents' suggestions acted on?
- 05How are medicines, risks and care records checked, and how would you tell us if something went wrong?
This was an unannounced inspection covering all five key questions, and both the premises and the care provided were looked at. This explanation was written from the published report of 31 December 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 Parkmanor Care Home
6 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- February 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2019Goodstayed GoodSafe: GoodWell-led: Good
- May 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2016Requires improvementstayed Requires improvementSafe: GoodEffective: GoodWell-led: Requires improvement
- June 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- March 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- September 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 15 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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