CQC report explained · a nursing home
What the CQC found at The Park House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People said they felt safe. Risk assessments were current, staff knew people well, medicines were managed safely, and the building and equipment were regularly checked.
- Effective?
- Good
- This question was not rated in this inspection report.
- Caring?
- Good
- This question was not rated in this inspection report, although inspectors recorded positive feedback about the care and staff.
- Responsive?
- Good
- This question was not rated in this inspection report, although the home was described as supporting people's individual goals, skills and move-on plans.
- Well-led?
- Good
- Managers were experienced, approachable and visible. Governance systems, audits and feedback were used to monitor safety and improve the service.
What inspectors found, August 2023
Rated Good; inspectors found safe, person-centred care and strong management, although more permanent staff could improve consistency.
The inspection was unannounced and took place on 18 July 2023. One inspector spoke with people living at the home, relatives, staff and professionals. Records about care, medicines, staff recruitment, training, safety and management were also checked.
The home was rated Good overall. Inspectors rated Safe and Well-led as Good. They found people felt safe, staff understood their needs and risks, medicines were managed safely, and the home was clean and well maintained.
Inspectors found a caring culture focused on helping people build independence and move on successfully. Managers were visible and approachable. Checks and audits were used to monitor quality and make improvements.
This report only gives ratings for Safe and Well-led. The last inspection, published on 23 September 2021, also rated the service Good overall.
Clear risk support
Risk assessments were kept current and helped staff support people to take managed risks while staying safe.
“Risk assessments were clear and up to date and provided guidance for staff to help people take managed risks and enjoy their lives safely.” from the report
Safe medicines practice
Staff supported people to take medicines safely. Records and audits were used to check that standards were maintained.
“People received support from staff to take medicines safely. Medicines records were completed, and audits were carried out regularly to check practice and ensure standards were maintained.” from the report
Strong oversight
Inspectors found regular checks and audits, with action taken when shortfalls were identified.
“Governance processes were robust, and the quality and safety of the service was closely monitored.” from the report
Positive relationships
People, relatives and professionals gave positive feedback about the home, staff and management.
“People and their relatives gave us positive feedback about the service, staff and management team.” from the report
Staff consistency
minorThere were enough staff, but the report says more permanent staff would improve consistency. Bank and agency staff were used when needed.
“There were enough staff to support people and meet their needs, although it was acknowledged more permanent staff would improve consistency and the service overall.” from the report
- 01How many permanent staff currently work at the home, and how often are bank or agency staff used?
- 02How will my relative's risk assessments be written, reviewed and updated with their involvement?
- 03How are medicines checked, including any errors or changes in their effects?
- 04What support would my relative receive to develop skills, access the community and move on when ready?
- 05How can relatives give feedback and be kept informed if my relative's needs or circumstances change?
This inspection examined and rated Safe and Well-led; the report does not give ratings for Effective, Caring or Responsive in this inspection. This explanation was written from the published report of 24 August 2023 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 2021
The Park House was rated Good; inspectors found safe, caring and well-organised support, with some records and procedures still being strengthened.
This was the home’s first inspection since it registered. The visit was unannounced and took place on 16 and 17 August 2021. Inspectors spoke with three people and seven staff, and reviewed care, medicines, recruitment and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, a clean and well-maintained environment, safe infection control, trained staff and support based on recognised therapeutic techniques.
People were involved in their care plans and were supported to build skills for greater independence. Inspectors also found a calm atmosphere, good links with other professionals and systems for handling concerns and checking the quality of care.
Some improvements were needed. Information about previous care work was not always obtained during recruitment, medicine protocols were still being developed, and some agency staff had entered rooms without knocking. The provider put an action plan in place for recruitment and took steps to address the privacy issue.
Enough staff
Inspectors found staffing levels were sufficient for people’s assessed needs. Agency staff worked regular shifts to support consistency.
“There were sufficient numbers of staff to meet people's needs.” from the report
Therapeutic support
People received support aimed at recovery and greater independence. This included recognised therapy techniques, addiction recovery plans and help with practical skills.
“A variety of recognised therapeutic techniques, such as Cognitive Behavioural Therapy were used as part of the therapeutic programme for people using the service.” from the report
Respect and involvement
People were involved in creating and reviewing their support plans. Staff respected people’s choices, including when someone did not want to take part in psychology sessions.
“People's support plans were created and reviewed with their involvement.” from the report
Calm atmosphere
People said they valued the quiet and relaxed environment. Inspectors found the provider’s values were reflected in the care delivered.
“People told us how they appreciated the calm, quiet and relaxed atmosphere of The Park House.” from the report
Recruitment records
needs fixingInformation about some staff’s previous care and support work had not always been obtained. The provider immediately put an action plan in place.
“Information had not always been obtained where staff had previously worked in positions providing care and support.” from the report
As-required medicines
needs fixingIndividual protocols for some medicines taken when needed were still being developed during the inspection. The provider was consulting a pharmacist and a GP.
“Individual protocols for people prescribed medicines on an 'as required' basis were under development following consultation with a pharmacist and a GP.” from the report
Privacy when entering rooms
needs fixingSome agency staff had not always knocked before entering people’s rooms. The manager knew about this and had taken steps to improve the practice.
“People told us some agency staff had not always knocked on their doors before entering their rooms.” from the report
Food hygiene inspection
minorThe home had not yet received a food hygiene inspection from the local authority at the time of this report.
“The service had not yet received a food hygiene inspection from the local authority.” from the report
- 01Have you now completed the checks on all staff’s previous care and support work?
- 02Are the individual protocols for as-required medicines now complete and being reviewed?
- 03What training and checks ensure agency staff knock before entering people’s rooms?
- 04How do you involve residents in setting and reviewing goals for recovery and greater independence?
- 05Has the local authority completed a food hygiene inspection since this report?
This was the first comprehensive inspection, covering all five key questions and infection prevention and control measures. This explanation was written from the published report of 23 September 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.
Every inspection of The Park House
2 rated inspections over 2 years: the service has held its Good rating throughout.
- August 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2021GoodSafe: GoodWell-led: Good
- August 2020
Registered with the Care Quality Commission on 13 August 2020.
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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39 live-in carers within about an hour of South Gloucestershire
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 £1,020 to £1,280 a week. 32 can care for a couple. 11 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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.