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CQC report explained · a residential care home

What the CQC found at Parkview

Goodpublished 31 October 2019, 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 that the home managed infection risks, including visitors, admissions, testing, protective equipment and outbreaks. This was a targeted review of infection prevention and control only.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, April 2021

Inspected but not rated; inspectors found good infection prevention and control arrangements during the COVID-19 pandemic.

This was an announced, targeted inspection on 10 March 2021. Inspectors checked infection prevention and control measures, including how the home managed COVID-19 risks.

Inspectors found policies covering COVID-19, regular testing, safe admissions, visitor arrangements and the use of protective equipment. Staff were seen using protective equipment properly, and enough supplies were available.

The home was marked 'Inspected but not rated'. This means the visit did not provide a new overall quality rating or ratings for all five areas of care.

What inspectors praised
  • Visitor safety

    Visits were planned and controlled. Visitors were screened, tested and required to use a designated area that was disinfected after each visit.

    “Visits were held in a designated area which was disinfected after each use.” from the report
  • Protective equipment

    The home had enough masks, gloves, aprons and face shields, with equipment stations around the building. Inspectors saw staff using protective equipment appropriately.

    “We saw that the service had enough personal protective equipment (PPE) in stock, including face masks, gloves, aprons and face shields.” from the report
  • Testing and vaccination

    People and staff were tested regularly in line with national guidance. Some staff and people had received a first vaccine dose at the time of the inspection.

    “The service had arrangements in place to test people and staff regularly for COVID-19 in line with current national guidance.” from the report
  • Safe admissions

    The home had procedures for admitting new people, including testing and a 14-day isolation period after moving in.

    “The service had appropriate procedures in place to admit new people which followed current national guidance on testing them for COVID-19 and implementing a 14-day isolation period from the time they moved in.” 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. 01What infection prevention and control arrangements are in place now for visitors?
  2. 02How are people and staff currently tested when there is a suspected or confirmed infection?
  3. 03What protective equipment is available, and how do you check that staff use it correctly?
  4. 04What is the current process for admitting someone new, including testing and isolation?
  5. 05What is the home's current overall rating and when was the last full inspection?

This was an announced targeted inspection of infection prevention and control practices during the COVID-19 pandemic; it was inspected but not rated and did not assess all five questions. This explanation was written from the published report of 21 April 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.

An earlier report, explained

What inspectors found, October 2019

Parkview was rated Good in all areas; inspectors found kind, safe and personalised care, with some records and cleanliness improvements needed.

This was an unannounced inspection carried out over three days. Inspectors spoke with people living at the home, relatives, staff and a healthcare professional. They observed care and checked care plans, medicines records, staff files, complaints and other management records.

The home supported 63 people living with dementia. Inspectors found people were safe, treated with kindness and dignity, and supported to make choices. Staff understood people's needs, medicines were managed safely, and people received suitable food, drinks and healthcare.

There were some areas to improve. Records about consent and best-interest decisions were not always complete or signed, and inspectors recommended that the home review its practice under the Mental Capacity Act. The home was generally clean, but people, relatives and staff said more could be done, and an action plan had recently been started.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection, published in April 2017.

What inspectors praised
  • Protection from harm

    Inspectors found that people were protected from abuse and avoidable harm. Staff knew how to report concerns and risks were assessed with plans to manage them.

    “People were protected from the risk of abuse.” from the report
  • Kind and respectful staff

    Staff knew people well and treated them with kindness and respect. They supported privacy, dignity and independence during daily care.

    “People were supported by staff who were kind, caring and respectful towards them.” from the report
  • Personalised activities

    People were supported to take part in activities suited to their interests, including music, games, trips, animals and community visits.

    “People were supported to participate in activities of their interest and stimulated in ways that were socially relevant and suitable to their needs.” from the report
  • Food and healthcare

    People were supported to eat and drink enough, with specialist advice used where needed. They also had access to GPs and other health professionals.

    “People were supported to eat and drink sufficient amounts for their health and wellbeing.” from the report
What inspectors were concerned about
  • Mental Capacity Act records

    needs fixing

    Records of consent and best-interest decisions were not always signed or clear about who had been involved. The inspectors recommended that the home review its practice.

    “We recommend that the service consider current guidance on MCA 2005 and update their practice accordingly.” from the report
  • Cleanliness

    needs fixing

    The home was generally clean, but people, relatives and staff said more could be done. The home had recently created an action plan to improve cleanliness.

    “The home was generally clean; however, people, their relatives and staff said more could be done to improve the level of cleanliness in the home.” from the report
  • Meal information

    minor

    There was no menu available for people. Meals available at each mealtime were written on a board instead.

    “There was no menu in place for people, at each mealtime, available meals were written on a board for people to refer to.” from the report
Questions to ask them, based on this report
  1. 01How have you improved the recording of consent and best-interest decisions since this inspection?
  2. 02What actions were included in the cleanliness action plan, and have they all been completed?
  3. 03How do you decide how many staff are needed on each shift, and how do you maintain continuity when shifts are vacant?
  4. 04How will my relative's communication needs, interests and preferred activities be recorded and reviewed?
  5. 05How will my relative and our family be involved in care planning and decisions about end-of-life wishes?

This was an unannounced, planned inspection covering all five CQC questions, including the care provided and the home itself. This explanation was written from the published report of 31 October 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.

The story over the years

Every inspection of Parkview

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

  1. April 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Parkview →

  2. October 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Parkview →

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

    Read this report on cqc.org.uk

  4. July 2016Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. March 2016Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. December 2015Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  7. September 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. August 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  13. November 2010

    Registered with the Care Quality Commission on 9 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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