- Care home
Green Park Care Home
Assessment report published 6 February 2026
Contents
Ratings
Our view of the service
Date of assessment 16 September to 22 September 2025. Green Park is a care home providing accommodation, nursing and personal care for up to 100 older people; some of whom live with dementia. At the time of the inspection 99 people were living at the home across six different units. The assessment was prompted due to information of concern received regarding the quality and safety of the service. As part of the assessment, we spoke with people, staff, leaders and relatives and reviewed records in relation to people’s support.
We looked at all quality statements across the domains of safe, effective, caring, responsive and well-led.
The overall rating of this assessment was requires improvement. We found four breaches of the legal regulations in relation to safe care and treatment, management of medicines, IPC and good governance.
A new manager had commenced in post in June 2025 and had made positive changes to the service since their start date, however, there were some areas of improvement identified during the assessment. There were some inconsistencies identified within care records, and the management of medications required improvement. Risks were identified in relation to the environment, to include trailing wires within people’s bedrooms, broken toilet seats to ensuite bathrooms and damaged light fittings. Action was immediately taken by the manager to address the concerns identified.
The provider used an electronic care package system (PCS) for care planning and risk management. Whilst records were detailed and reviewed regularly, there were however, some inconsistencies within records which contradicted care being delivered. Plans were in place to review care plans, and the manager had introduced coaching sessions for staff.
Systems were in place to ensure people received their medicines as prescribed. However, we found some areas of improvement in particular for people refusing medications and the use of covert medications. Parts of the service were not clean and there were several environmental hazards identified placing people at risk of potential harm. The provider was responsive to the findings of the assessment and actions were taken without delay. We have asked the provider for an action plan in response to the concerns found.
Safer recruitment practices were in place. Staff received an induction with access to a range of training courses. Staffing levels varied across the units. This depended on the varying level of assessed needs of people. We have recommended a review of staffing levels within a unit of the service to ensure there were adequate staffing levels to meet the needs of people.
Observations evidenced staff were kind and caring, and feedback from relatives was positive. People had access activities and events throughout all units of the service. People’s bedrooms were person centred and there was access to communal spaces that accommodated different needs for example, a sensory room, workshop and garden room.
Staff provided positive feedback on leaders and the recent changes that had been made to the service. Visiting professionals confirmed there was good communication across the staff team and staff were responsive to people’s changing needs.
The manager submitted notifications in a timely manner and people were protected from abuse. Governance systems in place reviewed aspects of the service, however, some of the findings of this assessment had not been identified. We have recommended a review of the systems to ensure they cover all aspects of the service and highlight areas of improvement.
People's experience of this service
We spoke with people, relatives and professionals about the care provided. We received positive feedback from relatives regarding staff. Comments included, “They are great, patient with family member and constantly reassuring” and “They are brilliant, family member thinks they are all friends.”
Feedback regarding meals was positive with one relative stating, “They always ask if family member wants more food, has increased 50% of body weight since been here as food is that good.” There was mixed feedback regarding staffing levels with comments including, “Not all the time, there are only two staff members and some residents need hoisting so there is no one left with other residents” and “Daytime there is never any problems, night time doesn’t seem to have as many, if there has ever been a problem its always happened of a night, so I don’t think there is enough overnight.”
There was a range of activities and events planned for people and feedback from relatives was positive. Relatives confirmed they knew who the managers were and of the changes in management. Comments included, “Yes the new manager has made positive changes already, new uniforms and we now have a board up as you come in with the nurses on duty that day which is good, it would be good if they had a picture board with care staff so I knew who was who, but she has only been in a few weeks and seems positive” and “There has been a change recently, but the new manager has introduced herself and is lovely.” Relatives felt able to raise any issues with leaders and knew these would be taken seriously and responded to without delay.