Park House Rest Home - PAMMS Assessment Report
Stockton-on-Tees Borough Council (SBC) are utilising the Provider Assessment and Market Management Solutions (PAMMS) in our quality assurance process. PAMMS is an online assessment tool developed in collaboration with Directors of Adult Social Services (ADASS) East and regional Local Authorities. It is designed to assist us assess the quality of care delivered by providers.
The summary table below detail the PAMMS assessments undertaken for the contracted Older Persons (OP) care home throughout April 2025 to March 2026.
| New PAMMS rating | Previous PAMMS Rating | |
|---|---|---|
| Overall rating | Excellent | Excellent |
| Involvement and information | Excellent | Excellent |
| Personalised care and support | Excellent | Excellent |
| Safeguarding and safety | Excellent | Excellent |
| Suitability of staffing | Excellent | Excellent |
| Quality of management | Excellent | Good |
Date of inspection
19 to 21 May 2025
Date assessment was published
20 June October 2025
Date previous assessment was published
11 October 2024
PAMMS Assessment Summary (Positive Outcomes, Observations and Concerns)
The Home uses an electronic care plan system, a comprehensive pre-admission assessment is completed by the Manager with the prospective resident and where appropriate family and friends. The care plans included detailed person-centred information about the resident and their choices and preferences. The detail contained in the care plan clearly evidenced input from the resident, family and care staff, Residents spoken with were fully aware of the contents of their Care plan and confirmed continuous involvement. Information is accurately reflected across the documents and there is evidence of regular reviews conducted with the Key Worker to ensure that the details reflect the current wishes and abilities of the Resident. Most residents were observed to eat in the pleasant dining room. A menu is available on each table, a larger menu is on display on the wall and pictorial menus are also available. Residents spoken with confirmed their involvement in menu planning and all commented on the 'excellent food'. A cooked breakfast is available each morning, two explicit choices plus alternatives for lunch and lighter options at teatime. Staff were observed to notice that one resident was not enjoying her choice of meal, they discreetly offered alternatives and promptly brought a new meal. Menus are reviewed on a regular basis and are formulated by the residents with oversite from staff to ensure variety and nutritional value. Catering and Care staff demonstrated an excellent knowledge of resident's dietary preferences together with their choice of portion size, a range of beverages are offered to accompany meals including wine. The Medication room was found to be clean and tidy with medication organised per resident. Medication room and fridge temperatures are monitored, recorded and re-set daily and were all within recommended limits .Medications had clean clear labelling with the date of opening recorded and entries on the medication administration records matched the labelling on the medication. Medication requiring refrigeration, thickeners and topical preparations were all stored correctly. Controlled drugs were stored in an appropriate locked cupboard fixed to a solid wall. All Controlled Drug medications are prepared separately with a witness present and the appropriate entries made in the register.Protocols were in place for medication taken as and when required and included person centred information.Robust medication audits are carried by the Manager and the medication "Champion". Staff spoken with felt that the training received was relevant and of a good standard, comprising of online training, face to face training and competency assessments. All Staff at the Home complete the mandatory care training regardless of their role. At the time of the assessment compliance for mandatory was 100per cent. Reminders are issued to staff when refresher training is due these are followed up by the manager. The range of training available was very comprehensive, including training around needs of individual residents and specialist training for staff who carry out champion roles. There is clear evidence of career progression with training and qualification sourced to support this. Excellent staff retention ensures continuity of care and allows staff to gain a good knowledge of needs and build meaningful relationships with residents and their families. Satisfaction surveys have been completed for residents, staff, visitors and professionals within the last twelve month period. The findings are collated into a report with comments and actions plans and are available to be viewed. Feedback on the quality of the service is solicited from residents as part of the key workers monthly review and actions documented. Feedback via Carehome.co.uk is also encouraged, service users and visitors have used this option to give feedback on the service. At the time of the assessment there was 72 reviews all awarding five stars. The Home received a 'Top 20 Award' for 2025. Monthly key performance indicators record falls, infections, hospital admissions, safeguarding alerts, incidents, weight loss and pressure areas. The Manager reviews this information to identify trends, training gaps and any areas of concern. The manager and provider are innovative in developing ways to improve the quality of care and outcomes for the residents in the home. They have a champions programme which develops staff knowledge and understanding and has been used as a beacon for other homes developing these roles. The Manager regularly shares best practice in provider forums and has been involved in developing courses for Health and Social Care at a local college. The Home is committed to providing the best possible care for those residents living with dementia. The dementia champion attends external training and disseminates learning to all the staff. The management and staff participate in the Alzheimer's Society 'Dementia Friends' programme and engage with the staff from the Living well with Dementia Hub to ensure that the environment is appropriate. Support for family members is also available through Dementia coffee mornings and activities held during Dementia Action Week. |
Plans and Actions to Address Concerns and Improve Quality and Compliance
No areas were identified for improvement to ensure full compliance.
Level of Quality Assurance and Contract Compliance Monitoring
Level 1 - No Concerns, minor concerns - standard monitoring
Level of Engagement with the Authority
The Manager has a positive relationship with the Quality Assurance and Compliance (QuAC) Officer, maintaining honest and open communications and responding to requests for information in a timely manner.
Engagement and Support from Transformation Managers
The Manager and the whole staff team have an ongoing, positive relationship with the Transformation Team and are always keen to engage with initiatives and opportunities. The manager (and provider) has participated in the Well Led Programme, always attend Council activities, community events, Provider Forums, Leadership networking and Activity Coordinator meetings. They have also started to participate in research projects.
Current Care Quality Commission (CQC) Assessment - Date of Report Publication and Overall Rating
Date of inspection
17 August 2018
Overall rating
Good