2 October 2017
During a routine inspection
Parklands care home provides residential care for up to 30 older people and people who may have a dementia related condition. It is situated in the village of Rawcliffe, five miles from the town of Goole, in the East Riding of Yorkshire. There are various communal areas including lounges and dining rooms for people to use. People have access to outside gardens and seating areas, which are provided in secure settings. There is car parking for staff and visitors to the rear of the home.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager will be referred to as 'manager' throughout the report.
At the last inspection in May and July 2016 the overall rating for the service was Good. The rating for Responsive was Requires Improvement. This was because we found the provider did not have adequate systems and processes to record and respond to complaints. We made a recommendation for the provider to seek advice and guidance on the management of complaints. During this inspection we checked and found improvements had been implemented based on our recommendations with a clear process in place to record and respond to complaints.
Systems and processes were in place that helped keep people safe from harm and abuse. Care workers had completed safeguarding training and knew the signs of abuse to look out for and how to raise any concerns.
The provider ensured there were sufficient skilled and qualified care workers to meet people's individual needs and preferences. Recruitment checks were completed that helped the provider to make safer recruiting decisions and minimise the risk of unsuitable people working with vulnerable adults.
The service was working within the principles of the Mental Capacity Act 2005. Care workers understood their responsibilities under the MCA and were actively promoting people’s independence. The manager and care workers had an understanding of Deprivation of Liberty Safeguards. They had made appropriate referrals to the relevant authorities to ensure people's rights were protected.
The provider was implementing measures to ensure consent to care and support was robustly recorded and were reviewing their policies and procedures for obtaining and recording consent.
People were supported with their health and wellbeing and had access to other health services when they needed to.
We received positive feedback about meal time arrangements at the home. The chef was aware of and catered for people’s specific dietary requirements that were recorded in their care plans.
An activities coordinator ensured people were supported to enjoy a programme of activities that they could join in on their own or as part of a group. People were supported to ensure they did not become socially isolated.
Systems and processes were in place to ensure medicines were managed and administered safely as prescribed in line with best practice.
There were systems of audit in place to check, monitor and improve the quality of the service. We recommend the provider review their quality assurance policies and procedures to assure their effectiveness.
The manager understood their responsibilities as part of their registration with the CQC and had informed the CQC of significant events in a timely way. However, we found that notifications to the CQC for applications and outcomes of four DoLS that are required as part of their registration had not always been completed effectively. We recommend that the provider reviews their process for submitting all required notifications.
Everybody spoke highly of the manager staff team and the service provided.