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CQC report explained · a residential care home, run by Runwood

Park View

Priory Road, Warwick, CV34 4ND

Goodpublished 4 January 2024, 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 from abuse and avoidable harm. Inspectors found suitable staffing, safe recruitment, well-managed risks, safe medicines processes and good infection control.
Effective?
Good
Staff had suitable training and supported people with their health, nutrition, choices and emotional needs. Inspectors found the home was working in line with the Mental Capacity Act.
Caring?
Good
This key question was not assessed during the focused inspection, so no new rating was given.
Responsive?
Good
This key question was not assessed during the focused inspection, so no new rating was given.
Well-led?
Requires improvement
Governance checks were in place, but the home needed a more consistently open culture. Some staff lacked confidence in raising concerns, confidentiality was questioned, and some medicines records lacked a clear rationale.
The latest report, explained

What inspectors found, January 2024

Rated Good overall, but inspectors found the home was not always well-led and rated this area Requires Improvement.

Inspectors carried out an unannounced focused inspection on 14 November 2023. They spoke with people, relatives, staff and healthcare professionals. They also observed care and checked care plans, medicines records, recruitment files and management records.

Safe and effective care were rated Good. Inspectors found enough suitably recruited staff, well-managed risks, safe medicines systems and good infection control. Staff had the training and skills to support people, including people living with dementia or experiencing distress.

Well-led was rated Requires Improvement. Some staff lacked confidence in raising serious concerns, and inspectors found problems with confidentiality and following the provider's procedures. Some records also did not clearly explain why certain as-required medicines were given. The overall rating remained Good, but this inspection only assessed Safe, Effective and Well-led.

What inspectors praised
  • Enough suitable staff

    Inspectors found staffing levels were monitored against people's needs and staff had been recruited safely.

    The provider ensured there were enough suitable staff on duty and monitored staffing levels based on people's dependency needs.from the report
  • Skilled support

    Staff had training and showed inspectors how they used it to support people experiencing anxiety or distress.

    Throughout our inspection staff explained and demonstrated how they implemented training in their everyday practice when people were experiencing anxiety or distress.from the report
  • Good food and mealtimes

    People had food choices and inspectors saw a relaxed mealtime where people were encouraged to eat, drink and enjoy company.

    At lunch time there was a relaxed and pleasant atmosphere and people enjoyed the mealtime experience.from the report
  • Safe medicines and infection control

    Medicines were managed by trained staff and inspectors found the home clean, tidy and using suitable infection control practices.

    People were protected from the risk of infection because staff followed good infection control processes.from the report
What inspectors were concerned about
  • Confidence in raising concerns

    needs fixing

    Some staff said serious issues had not always been handled according to the provider's procedures. This had reduced their confidence in management.

    Some staff expressed a lack of confidence in raising concerns to the provider.from the report
  • Confidentiality

    needs fixing

    Inspectors found that some staff described a lack of confidentiality. They said this could affect working relationships and investigations into safeguarding concerns or complaints.

    Some staff also described a lack of confidentiality within the staff team which had the potential to impact on working relationships and the integrity of investigations into safeguarding concerns or complaints.from the report
  • Medicines records

    needs fixing

    Some records did not clearly explain why certain as-required medicines were given to help people during distress.

    Records did not always evidence a clear rationale for the administration of some 'as required' medicines used to help people in times of distress.from the report
Questions to ask them, based on this report
  1. 01What action has been taken to make staff feel confident about raising serious concerns?
  2. 02How do you protect confidentiality when investigating safeguarding concerns or complaints?
  3. 03How are records for as-required medicines checked to make sure the reason for giving them is clear?
  4. 04What progress has been made on the service improvement plan since the inspection?
  5. 05What are the current ratings for Caring and Responsive, which were not assessed in this inspection?

This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not inspected, and the overall rating used earlier ratings for the questions not assessed. This explanation was written from the published report of 4 January 2024 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 View

5 rated inspections over 8 years: the service has improved, from Requires improvement to Good.

  1. January 2024Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Park View

  2. December 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodWell-led: Good

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

  3. February 2018Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. December 2016Requires improvementstayed Requires improvement
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. November 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2012

    Registered with the Care Quality Commission on 10 December 2012.

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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