CQC report explained · a nursing home
What the CQC found at Parr Care Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors were assured that the home managed visitors, admissions, testing, protective equipment, hygiene, social distancing and infection outbreaks safely.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Outstanding
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Outstanding
- This question was not assessed in this targeted inspection.
What inspectors found, October 2020
Inspected but not rated; inspectors found strong infection control and safe arrangements during the COVID-19 pandemic.
The CQC visited on 22 October 2020 as part of a targeted review of infection prevention and control. The visit was announced and focused only on how the home managed infection risks.
Inspectors were assured that visiting, admissions, testing, social distancing and use of protective equipment were handled safely. The home had an area ready for anyone who developed COVID-19 symptoms, and people admitted had to provide a negative test and self-isolate for 14 days.
People said they felt safe and were positive about cleanliness and hygiene. This was not a full inspection and the home was marked inspected but not rated, so it does not provide ratings for the overall quality of care.
Protective equipment and testing
The home maintained supplies of protective equipment and used it correctly. People and staff also had access to regular testing.
“Stocks of the right standard of personal protective equipment (PPE) were well maintained and staff used and disposed of it correctly.” from the report
Clean and reassuring environment
People spoke positively about cleanliness and hygiene and said they felt safe. Staff said they felt safe and supported at work.
“People were complementary about the standard of cleanliness and hygiene at the service and they told us they felt safe living there.” from the report
Family contact
Staff supported people to keep in regular contact with family and friends using technology during the pandemic.
“Staff reassured people throughout the pandemic and provided them with the support they needed to maintain regular contact with their family and friends through the use technology.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection control and visiting arrangements are in place now?
- 02How are people tested for infections, and how are test results managed?
- 03How would the home safely admit a new resident today?
- 04How does the home support residents to keep in contact with family and friends?
- 05Can you show us the home's latest full inspection ratings, since this inspection was not rated?
This was a targeted inspection of infection prevention and control during the COVID-19 pandemic; it did not assess the other key questions or give an overall rating. This explanation was written from the published report of 30 October 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, March 2019
Rated Outstanding overall; inspectors found exceptionally caring and well-led care, with two records needing attention.
Inspectors visited on 20 and 28 November 2018. Both visits were unannounced. They spoke with 30 people, four relatives, 11 staff and the registered manager. They also looked at care plans, risk records, medicines, staff recruitment records, rotas and the living environment.
The home was rated Good for Safe, Effective and Responsive. People felt safe, medicines were managed properly, staffing levels met people's needs and people had access to health professionals. Care plans were generally clear and regularly reviewed, although one person's fluid monitoring needed improvement.
The home was rated Outstanding for Caring and Well-led. Inspectors found kind and compassionate staff, strong leadership, good community links and particularly good support for people and families at the end of life. The overall rating was Outstanding.
Kind and compassionate care
Staff built positive relationships with people and their families. Inspectors saw care that was personal, kind and compassionate.
“Staff were highly motivated to provide care which was personal, kind and compassionate.” from the report
Strong leadership
The registered manager provided clear leadership and helped staff develop specialist roles. The home had effective quality checks and a strong culture of respect.
“The registered manager demonstrated outstanding leadership within the service with the support of the staff team.” from the report
End of life support
People and families were given practical and emotional support. The home had dedicated rooms, anticipatory medicines and opportunities to plan care in advance.
“People were supported at the end of their life to have a comfortable, dignified and pain free death.” from the report
Choice and independence
People could choose where to spend their time, when to get up and go to bed, what to eat and whether to join activities.
“People had freedom of movement around the service.” from the report
Community links
The home worked with local health, religious and hospice services. People could take part in faith activities and community visits.
“The service had strong links with the local community.” from the report
Consent records
needs fixingSome people signing records on behalf of others were not identified as having the legal responsibility to do so. Managers began an audit after inspectors raised this.
“Not all of the people signing on people's behalf were identified as having the legal responsibility to do so.” from the report
Fluid monitoring
needs fixingOne person's fluid monitoring needed improvement. Staff reviewed the arrangements and made changes by the second inspection day.
“We found that for one person their fluid monitoring required improvement.” from the report
- 01What changes have been made to ensure that people signing decision records have the correct legal authority?
- 02How do you now check and record people's fluid intake where monitoring is needed?
- 03How are medicines checked to make sure they are available and given when people need them?
- 04How do you support families who want to spend time with a relative receiving end of life care?
- 05How are people and their families involved in reviewing care plans and raising concerns?
This was a comprehensive inspection of the overall service and all five key questions, including the premises and care provided. This explanation was written from the published report of 8 March 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 Parr Care Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- October 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2019OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Outstanding
- October 2017
Registered with the Care Quality Commission on 3 October 2017.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of St. Helens
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 92 can care for a couple. 10 years' experience on average.
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
“It was clear that she genuinely cared and her warm approach really helped put our minds at ease.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.