Background to this inspection
Updated
24 August 2017
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 inspection took place on 10 July 2017 and was unannounced. One adult social care inspector carried out this inspection.
Before we visited the service we checked the information we held about this location and the service provider, for example, inspection history, statutory notifications and complaints. A notification is information about important events which the service is required to send to the Commission by law. We also contacted professionals involved in caring for people who used the service, including commissioners and safeguarding staff.
Before the inspection, the provider completed a Provider Information Return (PIR). This 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 used this information to inform our inspection.
People who used the service didn’t use words to communicate, however, we observed interactions and gestures that people made. We contacted two family members and two advocates who had been involved with the service to gather feedback on behalf of people. We also spoke with the registered manager, the previous registered manager for the service, a team leader and two care staff.
We looked at the care records of the three people who used the service and observed how people were being cared for. We also looked at the personnel files for three members of staff and records relating to the management of the service, such as quality audits, policies and procedures.
Updated
24 August 2017
This inspection took place on 10 July 2017 and was unannounced. This meant the staff and provider did not know we would be visiting.
Parkside provides care and accommodation for up to four people with learning and physical disabilities. On the day of our inspection there were three people using the service.
The service had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like 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.
We last inspected the service in July 2015 and rated the service as ‘Good.’ At this inspection we found the service remained ‘Good’ and met all the fundamental standards we inspected against.
Accidents and incidents were appropriately recorded and risk assessments were in place. The registered manager understood their responsibilities with regard to safeguarding and staff had been trained in safeguarding vulnerable adults.
Appropriate arrangements were in place for the safe administration and storage of medicines.
The home was clean, spacious and suitable for the people who used the service and appropriate health and safety checks had been carried out.
There were sufficient numbers of staff on duty in order to meet the needs of people who used the service. The provider had an effective recruitment and selection procedure in place and carried out relevant vetting checks when they employed staff.
At the previous inspection we identified that staff did not always receive regular supervisions, and appraisals were overdue. During this inspection we found staff were suitably appraised and regular supervisions took place. Staff were suitably trained.
The provider was working within the principles of the Mental Capacity Act 2005 (MCA) and was following legal requirements in respect of Deprivation of Liberty Safeguards (DoLS).
People were protected from the risk of poor nutrition and staff were aware of people’s nutritional needs. Care records contained evidence of people being supported during visits to and from external health care specialists.
People who used the service and family members were complimentary about the standard of care at Parkside.
Staff treated people with dignity and respect and helped to maintain people’s independence by encouraging them to care for themselves where possible.
Care records showed that people’s needs were assessed before they started using the service and care plans were written in a person-centred way. Person-centred is about ensuring the person is at the centre of any care or support plans and their individual wishes, needs and choices are taken into account.
Activities were arranged for people who used the service based on their likes and interests and to help meet their social needs.
The provider had an effective complaints procedure in place and people who used the service and family members were aware of how to make a complaint.
The provider had an effective quality assurance process in place and staff told us they enjoyed their role, and felt supported by the management team.