Parkhill Support Services Ltd

Updated 24 May 2023

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

One inspector carried out this inspection.

Service and service type

This service provides care and support to people living in a ‘supported living’ setting, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. The current manager had applied to CQC to become the registered manager for the service.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because the service is small, and people are often out, and we wanted to be sure there would be people at home to speak with us.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with the person who used the service about their experience of the care they received. We spoke with 2 members of staff, the manager and the operations manager. We reviewed a range of records. These included the persons care records and medication records. We looked at staff records in relation to recruitment, training, supervision and other records relating to the management of the service, including policies and procedures and quality assurance records.

Updated 24 May 2023

About the service

Parkhill Support Services Ltd is a supported living service providing personal care for up to 5 people living with learning disabilities and/or autistic people. At the time of our inspection 1 person was using the service.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

People’s experience of using this service and what we found

We found the outcomes for people using this service reflected the principles and values of Right support, right care, right culture. These included promotion of choice and control, inclusion and independence. People’s support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Right support

People’s independence was promoted. Care and support needs and risks to people had been assessed to ensure their needs were met safely. Staff supported people to achieve their aspirations and goals. People were encouraged to take part in activities and pursue their interests in their local area. There was a complaints procedure in place in formats that people could understand.

Right care

People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to people’s diverse needs. The person using the service had a choice about their living environment and they were able to personalise their room. They had access to health care professionals when they needed them.

Right culture

People received person centred care, support and treatment because staff were trained in areas related to their care and support needs. Staff they received regular supervision from the manager. People and other people important to them were involved in planning their care. People and staff views were considered through surveys and meetings.

Rating at last inspection and update

The last rating for this service was inadequate (published 23 March 2022). The service was placed into Special Measures. During this inspection the provider demonstrated that improvements had been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Since the last inspection we recognised that the provider had failed to notify the Commission without delay of an incident specified in Regulation 18(2) of the Care Quality Commission (Registration) Regulations 2009 which occurred whilst services were being provided in the carrying on of a regulated activity or as a consequence of the carrying on of a regulated activity. This was a breach of the regulation, and we issued a fixed penalty notice. The provider accepted a fixed penalty and paid this in full.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Parkhill Support Services Ltd on our website at www.cqc.org.uk.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.