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CQC report explained · a residential care home, run by Winslow Court

Park House

28 Sherford Street, Bromyard, HR7 4DL

Goodpublished 10 October 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected by safeguarding procedures, risk assessments, suitable staffing and safe recruitment. Medicines were administered safely, although the opening date was missing from one medicine and was corrected immediately.
Effective?
Good
Care was tailored to people's needs and choices. Staff were trained, people were supported with food, healthcare and communication, and the home worked with health and social care professionals.
Caring?
Good
Staff treated people with warmth, dignity and respect. People were supported to make daily choices and remain as independent as possible.
Responsive?
Good
Care plans were detailed and reflected people's needs, preferences and communication requirements. People were supported with relationships, family visits, activities and complaints.
Well-led?
Good
The registered manager promoted an open culture, understood their responsibilities and used audits to identify and address improvements. People, relatives and staff were involved through meetings, surveys and feedback.
The latest report, explained

What inspectors found, October 2023

Rated Good; inspectors found safe, kind and person-centred care, with a minor medicines recording issue addressed immediately.

This was an unannounced inspection on 5 September 2023. Inspectors spoke with people living at the home, relatives, staff and a visiting professional. They observed care and checked care records, medicines records, recruitment checks and management records.

The home supported six people and could support up to nine. Inspectors found enough trained staff, safe medicines administration, suitable risk assessments and good infection control. People were treated with respect, involved in their care and supported to make choices, stay independent, see family and take part in activities.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means inspectors found consistently good outcomes and good management. The overall rating was unchanged from the previous Good rating, published in January 2019. The inspection had been prompted partly by safety concerns, but inspectors found no evidence that people were at risk of harm from that concern.

What inspectors praised
  • Safeguarding and staffing

    The home had safeguarding systems, enough staff and thorough recruitment checks. Inspectors found that concerns had been acted on promptly.

    The provider had effective safeguarding procedures in place.from the report
  • Personalised support

    Care plans were individual and covered health, independence, goals, skills and abilities. Staff were described as knowing people well.

    The plans were comprehensive, covering all aspects of people's lives such as health, independence, goals, skills and abilities, and guided staff on how best to support people.from the report
  • Respect and independence

    People were treated with dignity and supported to make choices, maintain privacy and develop independence.

    Staff members showed warmth and respect when interacting with people.from the report
  • Activities and relationships

    People could take part in activities such as walking, shopping, coffee and meals out. The home supported contact with family and friends.

    The provider supported people to develop and maintain relationships with others such as family and friends to avoid social isolation.from the report
What inspectors were concerned about
  • One medicines record

    minor

    The opening date was missing from one medicine. Other records showed when it had been opened, and the manager corrected this immediately.

    We found the open date had not been recorded on 1 medicine though records were able to identify when this medicine was opened.from the report
  • Decision-specific assessments

    minor

    The provider said it planned to review assessments so they clearly related to each individual decision. Ask what this review found and whether it is complete.

    The provider planned to review the assessments in place to ensure they were decision specific.from the report
  • Mixed relative feedback

    minor

    Although much of the feedback was positive, the report noted that relatives did not all give the same view of the service.

    People and staff were involved and engaged in the service whilst we had mixed reviews from people's relatives.from the report
Questions to ask them, based on this report
  1. 01What checks are now in place to make sure every medicine has its opening date recorded?
  2. 02Have the planned reviews of decision-specific assessments been completed, and what changes were made?
  3. 03How do you respond when relatives give mixed feedback about the service?
  4. 04How would staffing levels be changed if my relative's needs temporarily increased?
  5. 05How would my relative's future wishes about end of life care be recorded and reviewed?

This was an unannounced inspection covering all five quality areas, including infection prevention and control; it was prompted partly by concerns about people's safety, and the previous Good ratings remained unchanged. This explanation was written from the published report of 10 October 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.

The story over the years

Every inspection of Park House

3 rated inspections over 7 years: the service has held its Good rating throughout.

  1. October 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Park House

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

    We are reading this report · the original is on cqc.org.uk

  3. July 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2011

    Registered with the Care Quality Commission on 24 January 2011.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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Same provider

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