Parkhill Support Services Main Road

About the service

Parkhill Support Services Main Road is a supported living service providing personal care for up to six people with a learning disability and autistic people,, brain injury and complex health needs. At the time of our inspection there were two people using the service.

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

The service was not able to demonstrate how they were meeting some of the underpinning principles of Right Support, Right Care, Right Culture.

Right Support

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. Care and support was not tailored to meet individual needs and to ensure people were supported to have a meaningful and fulfilling life and achieve best outcomes. People and their relatives were not always involved and encouraged to make decisions about the care and support in place or how the service was run. The service did not always work within the principles of the Equality Act by ensuring people’s diverse and cultural needs were met.

Right Care

Medicines were not safely managed to ensure they were effective when administered and achieved best possible health outcomes. The service did not always ensure that risks faced by people had been identified, assessed and planned for. Staff did not always understand the need to protect people in their care from abuse. Needs assessments were completed but they did not consider the ability of staff having the appropriate knowledge and skills to safely support people.

Right culture

The provider did not have oversight of the service. An effective quality assurance system was not in place. The culture at the service was not always positive. The service did not work effectively with other agencies to drive improvement. Lessons were not learnt from accident and incidents and safeguarding to drive improvement. There was an organisational structure in place, but staff did not always know of their individual roles and responsibilities.

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

Rating at last inspection:

This service was registered with us on 20/03/2020 and this is the first inspection.

Why we inspected

We undertook this inspection to assess that the service is applying the principles of Right support, right care, right culture.

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to regulation 9 (Person centred care), Regulation 11 (Need for consent), Regulation 12 (Safe care and treatment), Regulation 13 (Safeguarding service users from abuse and improper treatment), and Regulation 17 (Good governance).

We have made recommendations about staff recruitment records, infection prevention and control, staff support and access to healthcare services.,.

Please see the action we have told the provider to take at the end of this report.

Full information about CQC's regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.