Parkhaven@Home

Updated 17 January 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is 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.

This was a comprehensive inspection. The inspection took place on 3 and 4 January 2019 and was announced. We gave the service one weeks’ notice of the inspection visit because the location provides a domiciliary care service. We needed to be sure that the registered manager and scheme managers would be available.

The inspection team consisted of an adult social care inspector.

Before our inspection, we reviewed the information we held about the service. This included the Provider Information Return (PIR). A PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also looked at the statutory notifications and other intelligence, which the Care Quality Commission had received about the service. We also received feedback from the local authority commissioning team. We used all of this information to plan how the inspection should be conducted.

During the inspection, we visited the people living in Parkhaven Court and Deyes Lane. We spoke with two people at Parkhaven Court about their experiences receiving support. We spent some time with the people who lived at Deyes Lane, observing at how their support was delivered. We looked at the care records for four people using the service, and records relevant to the quality monitoring of the service. We spent time with six staff who worked in the two schemes, including the managers. We spoke with two relatives by phone. Another relative sent us their feedback by email. We met with the registered manager on the second day of our inspection.

Updated 17 January 2019

Parkhaven@home domiciliary care service supports people in their own homes within an extra care housing scheme. It provides a wide range of services to support older people living with dementia. The service also supports people with a learning disability in a supported tenancy scheme. There were 24 people receiving a service from Parkhaven@home during our inspection.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People's needs were assessed and recorded by suitably qualified and experienced staff. Support was delivered in line with current legislation and best practice. Risk assessments and support plans had been completed for everyone who was receiving care to help ensure people's needs were met and to protect people from the risk of harm.

People's preferences had been recorded in respect of personal care routines and likes and dislikes for food and drinks. Allergies and other medical information was also recorded.

Staff had been appropriately checked when they were recruited to ensure they were suitable to work with vulnerable adults. The service ensured that staff were trained to a high standard in appropriate subjects.

Staff understood how to recognise abuse and how to report concerns or allegations.

The records we saw indicated that medicines were administered correctly and were subject to regular audit.

There were appropriate numbers of staff employed to meet the needs of people who received a service and to ensure they received the support at a time when they needed it.

Policies and procedures provided guidance to staff regarding expectations and performance. Staff were clear about the need to support people's rights and needs regarding equality and diversity.

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. We saw clear evidence of staff working effectively to deliver positive outcomes for people.

People we reviewed were receiving effective care and support. They gave positive feedback regarding staff support.

People told us that staff treated them with kindness and respect. Our observations confirmed this. Support was provided in accordance with people's assessed needs. Relatives said their family members were supported by staff to take regular holidays and enjoy their favourite activities.

People using the service, their relatives and staff were asked to share their views. They provided very positive responses regarding the support provided.

There was a complaints process. No complaints had been received.

People spoke positively about the management of the service and the approachability of the staff. There was clear management structure that supported staff. The registered manager was aware of their responsibility to notify the Care Quality Commission of certain incidents and has submitted notifications to meet this requirement. The ratings from the last inspection was displayed at each location and on the registered provider's website, as required.

Further information is in the detailed findings below.