Updated 2 June 2025
Date of Assessment: 10 June to 20 June 2025. Park View is a care home providing nursing and personal care for up to 56 people, some of whom are living with dementia. There were 54 people living in the home at the time of the assessment site visit. This assessment was initiated in response to concerns about staffing shortages, management issues, and a decline in the quality of care.
At our last inspection we found improvements were needed and the provider was in breach of 3 legal regulations in relation to good governance, people’s safety, and need for consent. At this assessment we found further improvements were required to, care records, staffing, infection prevention and control, medicines management, governance, and need for consent.
People did not always receive their medicines as prescribed. The providers’ quality assurance systems were not used effectively in identifying and addressing areas of improvement. Care plans and risk assessments lacked personalisation and did not always reflect people’s current needs.
Some staff had not completed the training required to meet people’s needs. For example, how to apply topical creams, and understanding mental capacity act (2005) and understanding deprivation of liberty and safeguards (DoLs). Safe staffing levels were not always maintained to meet people’s needs. However, staff knew people well and were respectful, kind and caring in their approaches.
The provider recently appointed a new manager and deputy manager, supported by regional directors. However, management and oversight systems were not robust, and opportunities to identify areas for improvement were missed. The provider responded to our findings and gave assurances they would take action to improve care quality and safety, including steps to reduce any immediate risks.
We found breaches of 4 legal regulations concerning governance, safe care and treatment, consent to care and staffing.
We have asked the provider for an action plan in response to the concerns found at this inspection.