Asher Nursing Home
Hove, BN3
Nursing
Rated 2 years agoReport explained
CQC report explained · a residential care home, run by Parkview Care Homes
Parkview Care Home
70 Old Shoreham Road, Hove, BN3 6HJ
Requires improvementpublished 13 July 2023, 3 years ago
Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.
The five questions inspectors ask
- Safe?
- Requires improvement
- Medicines, infection control, staffing, recruitment and incident monitoring had improved. However, risk assessments did not always clearly record the safety checks and equipment staff needed to use.
- Effective?
- Requires improvement
- Staff training, induction and supervision had improved, and care plans better reflected current needs. Future plans and goals were not always fully documented, and the service was still moving between paper and electronic records.
- Caring?
- Good
- Inspectors saw warm, respectful relationships. People were offered choices, involved in their care and supported to maintain their independence and dignity.
- Responsive?
- Good
- Staff knew people's preferences and how to respond when they were upset or anxious. People were supported with activities, community access, relationships and complaints.
- Well-led?
- Requires improvement
- Quality checks and action plans were stronger, and leaders were open about the improvements needed. Some actions and staff meetings were not yet fully embedded in everyday practice.
The latest report, explained
What inspectors found, July 2023
Rated Requires Improvement; inspectors found kind and responsive care, but safety records, unfinished decoration and management systems still needed work.
This was an unannounced follow-up inspection on 25 April 2023. Inspectors observed care, spoke with people, relatives and staff, and reviewed care, medicine, recruitment and management records.
The home had improved since earlier inspections. Medicines were administered safely, staffing levels were sufficient for people's current needs, and staff understood safeguarding. People were treated with kindness, involved in decisions and supported to follow their interests.
Some work was still unfinished. Risk assessments did not always clearly record the safety measures staff needed to check, some decoration had not been completed, and new quality systems needed to become consistent.
The overall rating changed from Inadequate to Requires Improvement. Safe, Effective and Well-led were Requires Improvement. Caring and Responsive were Good. The home left Special Measures after this inspection.
What inspectors praised
Kind, respectful care
People and relatives spoke positively about the care. Inspectors saw staff treating people with kindness, dignity and respect.
“Staff were compassionate and treated people with kindness and respect.” from the report
Safer medicines
Medicines were stored and given safely. Records and audits had improved, including guidance for medicines given only when needed.
“Medicines were administered and stored safely.” from the report
Improved staffing and training
There were enough staff for people's current needs, and mandatory training was up to date. Recruitment checks had also improved.
“At this inspection, there were enough staff on shift to meet people's needs and the planning on future rotas was robust to ensure staffing levels were safe.” from the report
People's choices and interests
People were involved in care planning, food choices and daily decisions. They could take part in activities and use the garden and wider community.
“We observed people being offered choices throughout the day of the inspection and where a choice was made this was respected and acted upon.” from the report
Progress in oversight
The management team had introduced stronger audits, action plans and reviews of incidents, complaints and safeguarding concerns.
“At this inspection, quality assurance processes were more robust, effective, and action plans were evident to drive improvements.” from the report
What inspectors were concerned about
Risk records not always clear
needs fixingRisks were generally being managed, but written assessments did not always tell staff exactly what to check or put in place. This included checks linked to smoking in a person's room.
“Further improvements were required to the documenting of these risks.” from the report
Unfinished decoration
minorRenovation work was still ongoing, with some walls only partly painted. The home was nevertheless described as clean, tidy and homely.
“This meant that some of the décor was still not finished in parts of the building, for example, walls only half painted.” from the report
Systems not fully embedded
needs fixingNew management and staff-meeting processes had improved but were not yet consistently established. The report says further time was needed to show they worked reliably.
“However, these changes need to be embedded and effective over time.” from the report
Questions to ask them, based on this report
- 01How will you make sure every risk assessment clearly records the equipment and checks staff must complete?
- 02What is the timetable for finishing the remaining decoration and renovation work?
- 03How are you checking that care plans include people's future plans and goals, as well as their current needs?
- 04When will the home move to one consistent care-record system, rather than using both paper and electronic records?
- 05How will you make sure staff meetings and the new quality checks remain regular and effective?
This was an unannounced follow-up inspection covering all five key questions, including infection prevention and control under Safe; it checked progress after earlier breaches and enforcement action. This explanation was written from the published report of 13 July 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 Parkview Care Home
6 rated inspections over 8 years: the service has slipped, from Good to Requires improvement.
- July 2023Requires improvementcurrent ratingup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2022Inadequatestayed InadequateSafe: InadequateEffective: Requires improvementWell-led: Inadequate
- February 2022Inadequatedown from GoodSafe: InadequateEffective: Requires improvementWell-led: Inadequate
- November 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2018Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 26 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
Other services run by Parkview Care Homes Limited
1 other service on the CQC register. A pattern across a group tells you more than one report.
Requires improvement
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