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CQC report explained · a residential care home

What the CQC found at Parkview Residential Home

Goodpublished 27 September 2019, 7 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 visitors, admissions, personal protective equipment, testing, cleaning, social distancing and infection outbreaks safely.
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 strong infection prevention and control arrangements during the pandemic.

This was an announced, targeted inspection on 9 March 2021. It looked at how prepared the home was to prevent and control coronavirus infections.

Inspectors were assured that visitors were screened, visits were controlled, staff used personal protective equipment safely, and cleaning and laundry arrangements were effective.

The home had plans for safe admissions, testing, social distancing, ventilation and managing outbreaks. It also used extra care and housekeeping staff to help maintain continuity and cleaning.

The service was inspected but not rated. This means the visit did not give an overall quality rating or a separate rated score for Safe.

What inspectors praised
  • Safe visiting arrangements

    Visitors were screened and visits were booked. A separate visiting pod helped visitors avoid contact with other people in the home, and it was cleaned between visits.

    “Visitors accessed the visiting pod via a separate entrance and did not have contact with anyone other than their own relative.” from the report
  • Staffing continuity

    The home did not move staff between homes and did not use agency staff. Extra care staff were employed to help maintain staffing during sickness.

    “There was no movement of staff between homes and no agency staff were used.” from the report
  • Personal protective equipment

    Staff wore appropriate protective equipment, with designated areas for putting it on and taking it off. Disposal was carried out safely.

    “Staff wore appropriate personal protective equipment (PPE) at all times within the home.” from the report
  • Infection control planning

    The home had an up-to-date infection prevention and control policy. It had arrangements for testing, safe admissions, zoning and managing possible outbreaks.

    “The infection prevention and control (IPC) policy was up to date and in line with current guidance.” 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 do you currently manage visits, and are visits still booked and screened?
  2. 02What happens if there is an infection outbreak or a resident or staff member tests positive?
  3. 03How do you make sure there are enough care and housekeeping staff when people are off sick?
  4. 04How are new residents admitted safely and kept separate from others when needed?
  5. 05How have your infection prevention and control arrangements changed since the inspection in March 2021?

This was a targeted inspection of infection prevention and control arrangements during the coronavirus pandemic; the service was inspected but not rated. This explanation was written from the published report of 2 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, September 2019

Rated Good; inspectors found safe, kind and personalised care, with improvements made since the previous inspection.

This was an unannounced follow-up inspection on 28 August 2019. Two inspectors spoke with five people, three relatives and 10 staff. They also observed care and reviewed care files, staff records, training, safety records, audits and other documents.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and happy. Inspectors found suitable medicines systems, clean surroundings, regular risk reviews, personalised care records, activities and respectful support.

The inspection followed a previous Requires Improvement rating, published on 9 April 2019, when there were multiple breaches of regulation. Inspectors found enough improvement had been made and said the home was no longer in breach of regulations.

There were still two issues to note. One recently recruited staff member was missing a recent reference, and two accidents had not been reported to CQC. The manager agreed to report similar incidents in future.

What inspectors praised
  • People felt safe

    People and relatives told inspectors they felt safe. Safeguarding training, risk reviews and safety checks were in place.

    “People told us they felt safe at the service.” from the report
  • Clean and organised

    Inspectors found the home clean and tidy, with no unpleasant smells. Medicines were stored and given safely, with regular checks.

    “All areas of the home were clean and tidy and no malodours were detected.” from the report
  • Personalised care

    Care records included people's routines, preferences, interests, health information and end-of-life wishes. People were involved in planning and reviewing their care.

    “Care files included evidence that people had been involved with care and support planning and were included in reviews.” from the report
  • Kind and respectful support

    People and relatives described the care positively. Inspectors observed staff supporting people discreetly and respectfully.

    “We observed staff interacting with people in a discreet and respectful manner when required.” from the report
  • Activities and community links

    The home offered activities, outings and celebrations. People also enjoyed visits from religious leaders, schools and local clubs.

    “A range of activities was on offer, including exercises, quizzes, movies, music, baking and arts and crafts.” from the report
What inspectors were concerned about
  • One missing staff reference

    minor

    Of five recently recruited staff records checked, one was missing a recent reference. The manager said this would be chased immediately after the inspection.

    “Four were satisfactory and one was missing a recent reference.” from the report
  • Two accidents were not reported to CQC

    needs fixing

    Two accidents had not been notified to CQC because the manager considered them minor. The manager agreed that similar incidents would be reported in future.

    “We found two accidents had not been reported and discussed this at length with the registered manager.” from the report
Questions to ask them, based on this report
  1. 01Have the two accidents that were not reported to CQC led to any changes in how incidents are assessed and reported?
  2. 02Has the missing reference for the recently recruited staff member now been obtained and checked?
  3. 03How do you use the dependency tool to decide staffing levels for the needs of my relative, including at different times of day?
  4. 04How are restrictions on movement recorded, and how are family members involved in best-interests decisions?
  5. 05Have the planned individual one-to-one activities and dining-room improvements been put in place?

This was an unannounced follow-up inspection that assessed all five key questions after the previous Requires Improvement rating and multiple regulatory breaches. This explanation was written from the published report of 27 September 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 Residential Home

7 rated inspections over 4 years: the service has improved, from Inadequate to Good.

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

    Read what inspectors found at Parkview Residential Home →

  2. September 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Parkview Residential Home →

  3. April 2019Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Inadequate

    Read this report on cqc.org.uk

  4. July 2018Requires improvementdown from Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. January 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. July 2016Requires improvementup from Inadequate
    Safe: InadequateEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  7. November 2015Inadequatestayed Inadequate
    Safe: InadequateEffective: InadequateCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  8. July 2015Inadequate
    Safe: InadequateEffective: InadequateCaring: InadequateResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  9. September 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  13. June 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  14. June 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  15. January 2011

    Registered with the Care Quality Commission on 12 January 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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