Background to this inspection
Updated
7 May 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection was carried out by two inspectors on 29 March 2016 and was unannounced. There were five people using the service at the time of our inspection. Prior to the inspection we reviewed the information we held about the service and the provider. This included notifications received from the provider about deaths, accidents and safeguarding. A notification is information about important events that the provider is required to send us by law. We also contacted the local authority responsible for monitoring the quality of the service. We used this information to help inform our inspection.
Not everyone at the service was able to communicate their views to us so we observed people’s experiences throughout the course of our inspection. We spoke with two people using the service and four members of staff including the temporary manager. We spent time observing the care and support provided to people, looked at three people’s care plans and records, three staff files and records relating to the management of the service.
Updated
7 May 2016
This inspection took place on the 29 March 2016 and was unannounced. At our previous focused inspection on 28 October 2015 we found that the provider had addressed the breaches of Regulations 12 and 15 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and were compliant with the warning notices we served. At our previous comprehensive inspection on 7 and 8 July 2015 we found the provider had breached Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 as systems and process were not established and operated effectively to ensure compliance with the requirements and records in respect of each service user were not accurate, complete and contemporaneous. At this comprehensive inspection on 29 March 2016 we found that the provider had addressed the breach of Regulations 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Parkside care home is registered to accommodate up to seven adults with learning disabilities living within the community. At the time of our inspection the home was providing care and support to five people and there was a temporary 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.
Risks to the health and safety of people using the service were identified, assessed and reviewed in line with the provider's policy. Medicines were managed, administered and stored safely. Premises and internal maintenance work had been conducted and completed and maintenance records confirmed this. There were arrangements in place to deal with foreseeable emergencies. There were safeguarding adult’s policies and procedures in place to protect people from possible abuse and harm. Accidents and incidents involving people using the service were recorded and acted on appropriately. There were safe staff recruitment practices in place and appropriate numbers of staff were deployed throughout the home to meet people’s needs.
There were processes in place to ensure staff new to the home were inducted into the service appropriately. Staff received training that enabled them to fulfil their roles effectively and meet people’s needs. There were systems in place which ensured the service complied with the Mental Capacity Act 2005 (MCA 2005). This provides protection for people who do not have capacity to make decisions for themselves. People’s nutritional needs and preferences were met and people had access to health and social care professionals when required.
People were treated with dignity and respect and were consulted about their care and support needs. Staff respected people’s dignity and privacy. People were supported to maintain relationships with relatives and friends and we observed that people were also supported to access community services.
People’s support, care needs and risks were identified, assessed and documented within their care plan. People’s needs were reviewed and monitored on a regular basis. People were provided with information on how to make a complaint. The service worked with health and social care professionals and with local authorities who commissioned the service to ensure people’s needs were met.
There were systems and processes in place to monitor and evaluate the service provided. There was a temporary manager in post at the time of our inspection and they were knowledgeable about the requirements of a registered manager and their responsibilities with regard to the Health and Social Care Act 2014. Notifications were submitted to the CQC as required and they demonstrated good knowledge of people’s needs and the needs of the staffing team. People’s views about the service were sought and considered through residents meetings and satisfaction surveys.