Parkview

Updated 29 November 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was carried out by one inspector.

Service and service type:

Parkview is a 'care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. A registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

This inspection was unannounced.

What we did before the inspection

Prior to the inspection the provider sent us a Provider Information Return. Providers are required to send us information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

We reviewed information we held about the service, for example, statutory notifications. A notification is information about important events which the provider is required to tell us about by law.

We wrote to four health and social care professionals to gain their feedback about working with the provider. We received feedback from one professional in response.

During the inspection

We spoke with five people, who were able to give us limited feedback. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with the registered manager, the deputy manager and four care staff.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and supervision. A variety of records relating to the management of the service, including policies, procedures, audits, incident reports and risk assessments were reviewed.

After the inspection

We spoke to five relatives to gain their views about their family members experience of receiving care and living at the service.

Updated 29 November 2019

About the service:

Parkview is a residential care home. It provides personal care and support for up to nine people who have learning disabilities and associated conditions, such as autistic spectrum disorders. There were eight people living at the service at the time of inspection.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service received planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service:

The registered manager had good oversight into the day to day culture of the home. There were systems in place to monitor the quality and safety of the service. The registered manager was a visible presence within the home and had a good working relationship with people and staff.

People received personalised care from staff who had a good understanding of their needs. Staff received appropriate training and support in their role. They were confident in providing effective support around people’s behaviour and anxiety.

The provider assessed people’s needs and reviewed people’s care plans to ensure they were receiving appropriate support. Guidance from professionals was incorporated into people’s care plans where required.

Risks to people were assessed and reduced and there were systems in place to protect people from the risk of suffering abuse or avoidable harm.

People’s communication needs were met by staff who understood their preferences and motivations.

People were supported to access healthcare services and overcome any fears they had around accessing appointments or meeting professionals. People were supported to achieve good outcomes in relation to their health and nutrition.

People were supported to follow their interests, build their skills and explore their independence. There were enough staff in place to meet people’s needs and support them in their daily routines and activities. People were encouraged to develop friendships and maintain contact with families. People were treated with dignity and respect and given privacy when they wanted time alone.

People were involved in the planning and reviewing of their care. The provider involved people in developing the service and monitoring the quality of care.

The environment at Parkview was suitable for people’s needs. People were comfortable in the home and had the opportunity to decorate their personal spaces as they wished.

Staff understood the need to gain appropriate consent to care. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

There were appropriate systems in place to handle complaints and listen to people’s feedback.

The provider had a proven history of providing responsive and empathetic end of life care.

Rating at last inspection:

The service was rated good at our last inspection (17 November 2016)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk