CQC report explained · a nursing home
What the CQC found at Western Park View Nursing Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
- Safe?
- Requires improvement
- People were at potential risk from infection because the laundry environment and some cleaning systems were not adequate. Risk assessments and care records were not always accurate, although staffing, safeguarding and medicines were found to be safe.
- Effective?
- Good
- This question was not inspected during this focused inspection. Its previous rating was used in calculating the overall rating.
- Caring?
- Good
- This question was not inspected during this focused inspection. Its previous rating was used in calculating the overall rating.
- Responsive?
- Good
- This question was not inspected during this focused inspection. Its previous rating was used in calculating the overall rating.
- Well-led?
- Requires improvement
- Management checks did not consistently identify shortfalls or ensure records were completed accurately. The manager had started an improvement plan, and staff and people's views were being gathered.
What inspectors found, March 2021
Requires Improvement; inspectors found infection-control and record-keeping problems, although staffing, medicines and safeguarding were managed safely.
Two inspectors carried out a focused inspection on 08 March 2021. They reviewed information, spoke with a person using the service, the manager and staff, and checked care, medicine, recruitment and management records.
The home was not always safe. Laundry areas could not be cleaned effectively, dirty laundry was stored on the floor, and infection-control audits and cleaning schedules were not detailed enough. Some risk assessments and care records also contained inaccurate or incomplete information.
There were enough staff, medicines were managed safely, and staff understood safeguarding procedures. The home had infection-control measures such as visitor PPE and routine COVID-19 testing. However, management checks had not consistently found or fixed the problems.
The overall rating changed from Good at the previous inspection, published in September 2019, to Requires Improvement. This inspection only assessed Safe and Well-led. The other ratings were carried over from the previous comprehensive inspection.
Enough staff
Inspectors found there were enough staff with the right skills and experience to meet people's needs. Recruitment checks included the required information and DBS checks.
“There were enough staff who had the right skills and experience to keep people safe and meet their needs.” from the report
Medicines managed safely
Medicines were given safely and on time. Staff were trained and their competence was checked regularly.
“People were supported with their medicines in a safe and timely way.” from the report
Safeguarding awareness
Staff knew how to report concerns about abuse or harm, including to outside organisations. The manager raised safeguarding concerns in line with local procedures.
“Staff had been trained in safeguarding procedures and they knew what action to take to protect people from harm and abuse” from the report
COVID precautions
Visitors were required to use PPE, staff were observed using it appropriately, and people and staff were routinely tested for COVID-19.
“Both people and staff were routinely tested for COVID, consistent with government guidance.” from the report
Laundry infection risks
seriousThe laundry walls and flooring were not sealed, and laundry was stored on the floor. Inspectors said this increased the risk of infection spreading.
“People were placed at risk of acquiring an infectious disease.” from the report
Inadequate infection-control checks
seriousThe infection-control audit did not cover all areas, and cleaning schedules did not give enough detail. This was the breach of Regulation 12.
“An infection control audit had been undertaken; however, it did not include all areas of the service or provide enough guidance to complete the audit well.” from the report
Inaccurate risk records
needs fixingRisk assessments and care records were inconsistent. One falls assessment used the wrong age, which made the risk score unreliable.
“The quality and accuracy of the information recorded within people's risk assessments and care plans were not consistent throughout the service” from the report
Management checks
needs fixingAudits did not consistently identify problems or lead to improvements. The home did not have a manager registered with the CQC at the time of inspection.
“Systems to audit the service did not consistently identify shortfalls in the service and bring about improvement.” from the report
- 01What repairs have been made to seal and clean the laundry walls and flooring?
- 02How do you now make sure dirty laundry is never stored on the floor?
- 03How are infection-control audits and cleaning schedules checked across every area of the home?
- 04How do you check that risk assessments contain accurate information and are completed by trained staff?
- 05What progress has been made with the improvement plan and the manager's CQC registration?
This was a focused inspection of Safe and Well-led, including infection prevention and control; Effective, Caring and Responsive were not inspected and their previous ratings carried over. This explanation was written from the published report of 30 March 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.
What inspectors found, September 2019
Rated Good; inspectors found kind, safe and personalised care, but some medicines and food-and-fluid records needed improvement.
This was an unannounced, planned inspection on 30 July 2019. Inspectors spoke with people, relatives and staff. They observed care and checked records, including medicines, staffing, accidents and incidents, quality checks, and five people's care records.
The home was rated Good overall and Good in all five areas. Inspectors found people were safe, treated with kindness and respect, supported by trained staff, and given personalised care. People had access to food, activities and healthcare.
There were two recording issues. Some medicines records had gaps, and some food and fluid monitoring charts were incomplete. Managers said they would address these issues, and one issue was dealt with during the inspection.
The overall Good rating means inspectors found the service consistently met the required standards at that inspection. The home had previously been rated Good overall in 2017, while Responsive and Well-led had improved from Requires Improvement to Good.
Kind and compassionate staff
People and relatives gave many positive accounts of the staff's kindness and compassion. Inspectors found staff spent time getting to know people and supported them with warmth and respect.
“The staff have brought me to tears with their care, compassion and kindness.” from the report
Safe care and staffing
Staff understood safeguarding and risk management. Inspectors observed safe moving and handling, and found staffing arrangements and recruitment checks were in place.
“We observed staff safely and skilfully hoisting a person. They reassured them and explained what they were doing to ensure the person was calm.” from the report
Personalised support
Care plans included people's preferences, life histories and individual needs. Staff supported choice, independence, faith and personal routines.
“People's care plans contained personalised information, so staff could understand and support people on an individual basis.” from the report
Activities and relationships
The activity co-ordinator used people's interests and life histories to plan group and individual activities. Family visits and links with religious and community groups were supported.
“The activity co-ordinator used this information to plan daily activities.” from the report
Medicines records
needs fixingInspectors found that medicines records were mostly in good order, but staff needed to improve signing medicines in and out and avoid gaps in administration records.
“Staff needed to improve the way medicines were signed in and out of the home and ensure there were no gaps on the medicines administration records.” from the report
Food and fluid monitoring
needs fixingSome monitoring charts for food and fluids were incomplete. The deputy manager updated the records and reminded staff at a handover meeting.
“Some people's food and fluid monitoring charts were incomplete. The deputy manager addressed this immediately, updating the records and informing staff at a handover meeting.” from the report
Manager registration
minorThe previous registered manager was no longer working at the home and had not applied to deregister. A new acting manager was in post and had applied for registration.
“A new acting manager was in post and had applied for registration.” from the report
- 01What checks are now used to make sure medicines are signed in and out correctly and that medicines administration records have no gaps?
- 02How do you check that food and fluid monitoring charts are completed for people who need them?
- 03Has the acting manager's CQC registration application been completed, and who is currently responsible for the home's management?
- 04How do you make sure staffing levels remain suitable when people's needs change or agency staff are used?
This was an unannounced planned inspection covering all five CQC questions; Responsive and Well-led improved from Requires Improvement, while the other ratings remained Good. This explanation was written from the published report of 13 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.
Every inspection of Western Park View Nursing Home
5 rated inspections over 6 years: the service has held its Requires improvement rating throughout.
- March 2021Requires improvementcurrent ratingdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
Read what inspectors found at Western Park View Nursing Home →
- September 2019Goodstayed GoodSafe: GoodWell-led: Good
Read what inspectors found at Western Park View Nursing Home →
- February 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- November 2015Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Inspected but not ratedResponsive: Requires improvementWell-led: Requires improvement
- March 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- May 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- October 2011
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 7 February 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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Most charge £980 to £1,270 a week. 83 can care for a couple. 12 years' experience on average.
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