CQC report explained · a residential care home
What the CQC found at Parkside
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found suitable risk assessments, staffing, recruitment checks, infection controls and medicines systems. They noted that two criminal record checks were more than three years old and that some emergency plans lacked floor plans showing fire exits and escape routes.
- Effective?
- Good
- Staff had relevant training, supervision and knowledge of people's needs. Care plans supported people's choices, nutrition, healthcare and communication, but oral health care planning was limited.
- Caring?
- Good
- People and relatives described staff as kind, respectful and supportive. Inspectors observed care that protected privacy, dignity and independence and supported people's cultural and spiritual needs.
- Responsive?
- Good
- Care plans were personalised and staff knew people's preferences, communication methods and possible triggers. People were supported with activities, relationships and community involvement, and there was a process for handling complaints.
- Well-led?
- Good
- Inspectors found approachable management, good teamwork and regular audits of care and safety. However, two incidents had not been formally notified to the CQC when they should have been, although the notifications were sent after the inspection.
What inspectors found, July 2020
Rated Good; inspectors found safe, kind and personalised care, with some records needing improvement.
This was a planned inspection based on the previous Good rating. Inspectors visited the care home and three supported living settings between 4 and 10 February 2020. They observed care, spoke with people, relatives and staff, and checked care, medicines, recruitment and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and spoke positively about staff. Inspectors saw patient and respectful interactions, good knowledge of people's needs, suitable staffing, safe medicines management and personalised support.
Inspectors found some weaknesses in record keeping. Oral health needs were not set out in specific care records. Two staff files had criminal record checks more than three years old, and two incidents had not been formally notified to the CQC at the time. The manager took or promised action on these points.
Safe medicines
Medicines were stored, administered and recorded safely. Staff were trained, and audits checked the arrangements.
“Medicines were managed effectively in the home and in the supported living schemes we visited.” from the report
Kind and respectful care
People appeared comfortable with staff. Inspectors saw patient, considerate interactions that respected privacy and dignity.
“Staff supported people with dignity and respect and had a caring approach.” from the report
Personalised support
Care plans covered people's routines, preferences, communication and goals. Staff knew people well and adjusted support when needs changed.
“Care support plans included easy read care plan with pictures clearly detailing people's aims and aspirations, a plan of how they aimed to achieve this” from the report
Activities and independence
People were supported to take part in activities and use community services. Food choices and accessible kitchens also supported independence.
“The service organised activities for people in the home and supported living schemes to encourage people to engage with one another and build relationships.” from the report
Oral health records
needs fixingCare plans had limited information about people's oral health and how staff should support it. The inspector made a recommendation for better care planning.
“Care plans contained limited information on people's oral health needs and how to support people to meet these.” from the report
Older criminal record checks
needs fixingTwo of the five staff files checked had criminal record checks that were more than three years old. The manager said updated checks would be obtained.
“We looked at five staff records and found that in two of these, criminal records checks were more than three years old.” from the report
Emergency plan detail
needs fixingThe emergency plan did not include a floor plan showing fire exits and escape routes. A floor plan was sent for the care home after the inspection, with further plans promised for supported living settings.
“However, we noted that the plan did not include a floor plan detailing fire exits and escape routes.” from the report
Incident notifications
needs fixingTwo injuries had been reported to the local authority but not formally notified to the CQC at the time. The relevant notifications were sent after the inspection.
“However, the service had not sent the CQC formal notifications in respect of these.” from the report
- 01What specific oral health support does my relative need, and has this now been recorded in their care plan?
- 02Have updated criminal record checks been obtained for the two staff members whose checks were more than three years old?
- 03Do the care home and supported living settings now each have floor plans showing fire exits and escape routes?
- 04What happened in the two incidents that were not formally notified to the CQC at the time, and what has changed to prevent this happening again?
- 05If we are considering supported living, how would the planned closure of five supported living services affect my relative's care or accommodation?
This inspection covered the care home and three supported living settings, including personal care and support, all five CQC questions, six care records, eight medicines records and management systems; the CQC did not regulate the housing premises used for extra care support. This explanation was written from the published report of 28 July 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.
What inspectors found, September 2017
Parkside is rated Good; inspectors found safe, kind and well-managed care, with some medicines and staff-check records needing improvement.
This was a comprehensive, announced inspection on 25 July 2017. One inspector visited the home and the nearby supported living service. They spoke with people, relatives, staff, the manager and a care professional. They also checked care records, staff files, medicines records and management audits.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People and relatives said they felt safe and were positive about the care. Inspectors saw kind and respectful support, person-centred care plans, suitable activities and systems for managing risks, medicines, staff training and complaints.
The service had acted on two breaches found at the previous inspection in June 2015. Medicines storage had been improved and arrangements for staff expenses when supporting people outside the home had been put in place. Inspectors still found that medicines storage temperatures were not being recorded daily at the time of the visit, although this started after the inspection.
Personalised risk support
Risk assessments were tailored to each person and explained how staff should reduce risks and provide safe support.
“Risk assessments were personalised and included preventative actions that needed to be taken to minimise risks” from the report
Kind and respectful care
Inspectors saw staff treating people with kindness, patience and respect. People's privacy and dignity were maintained.
“Staff interacted positively with people, showing them kindness, patience and respect.” from the report
Choice and activities
Care plans included people's preferences and goals. Activities were based on individual interests, and people had choices about food and daily life.
“Each person had their own activities timetable which was devised based on their specific interests.” from the report
Open management
Staff said managers were approachable and listened to concerns. The home used meetings, feedback and audits to monitor its work.
“They told us the registered manager was supportive and approachable.” from the report
Medicines temperature records
needs fixingThe home was not recording the temperature of medicines storage facilities each day during the inspection. The manager said this would be recorded, and evidence was later sent to inspectors that recording had started.
“We noted that temperature checks for the medicines storage facility were not documented” from the report
Medicines audit records
needs fixingThe medicines audit was documented every six months, although the manager said daily checks were carried out. The manager agreed that future medicines audits would be documented monthly.
“The provider carried out a medicines audit, however we observed that this was documented every six months.” from the report
Older criminal-record checks
needs fixingSome staff criminal-record checks were more than three years old. The manager said they would be updated and later confirmed that this process had started.
“However, we noted that some people's criminal records checks were more than three years old.” from the report
Consent for shared medicine storage
needs fixingAt the supported living service, inspectors said written consent should be obtained if people's medicines continued to be stored together in the office. Otherwise, medicines should be stored appropriately in people's rooms.
“We discussed with the registered manager the importance of obtaining people's written consent” from the report
- 01How are daily medicines storage temperatures recorded now?
- 02Are medicines audits documented monthly, as the manager said they would be?
- 03Have all staff criminal-record checks been updated where they were more than three years old?
- 04How is written consent obtained for storing medicines together at the supported living service?
- 05How are people's individual goals, preferences and activity choices reviewed as their needs change?
This was a comprehensive inspection of the care home and nearby supported living service, covering all five rating areas. This explanation was written from the published report of 2 September 2017 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 Parkside
3 rated inspections over 5 years: the service has held its Good rating throughout.
- July 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- March 2011
Registered with the Care Quality Commission on 17 March 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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