Background to this inspection
Updated
15 May 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
Day one of the inspection site visit was carried out by one inspector and there were two inspectors on day two of the inspection site visit.
Service and service type:
Parklands View provides care and support to people living in specialist 'extra care' housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The
accommodation is bought or rented and is the occupant's own home. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care
housing; this inspection looked at people's personal care and support service.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
The provider was given 48 hours' notice because the location provides a domiciliary care service and we needed to be sure that someone would be available at the office. The inspection site visit took place on 30 March 2019 and 1 April 2019.
What we did:
We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about. We assessed the information we require providers to send us at least once annually 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 site visits, we spoke with seven people who used the service to ask them about their experience of the care provided. We spoke with the registered manager, care manager, two team leaders and two care assistants. We observed how staff interacted with people who used the service. In communal areas. We looked at the care records for four people. We checked that the care they received matched the information in their records. We also looked at records relating to the management of the service, including how the provider monitored the service to drive improvements and staff files.
We requested additional evidence to be sent to us after our inspection site vist, which included the training matrix. This was received, and the information was used as part of our inspection.
Updated
15 May 2019
About the service:
¿Parklands View provided domiciliary care services to younger adults, older people, who maybe living with dementia, physical disability or visual impairment. This service provided onsite care and support if required
over a 24-hour period. Parklands View had 82 self-contained apartments on the purpose built site. At this inspection visit 58 people were receiving personal care.
People’s experience of using this service:
¿People were protected from the risk of harm by staff who understood their responsibilities to safeguard people.
¿Recruitment procedures had improved o ensure prospective staff were suitable to care for people receiving personal care in their own homes, because all the required pre-employment checks were in place.
¿People told us they felt safe with the care provided by staff. Risks were identified and assessed. Staff we spoke with understood their responsibility in protecting people from the risk of harm. Staff told us they had received training and an induction that had helped them to understand and support people.
¿The deployment and planning of staff had improved since the last inspection visit. There were sufficient staff to meet people’s needs who were currently receiving support from the service. People were supported to take their medicines in a safe way.
¿Staff had received training in infection control and were provided with the necessary personal protective equipment to use when carrying out care and support tasks
¿Staff supported people to make decisions about their day to day care and support.
¿When needed, people were supported to maintain their dietary requirements. Staff we spoke with were aware of who to contact in an event of an emergency.
¿People told us that staff treated them in a caring way and respected their privacy and supported them to maintain their dignity. The delivery of care was tailored to meet people's individual needs and preferences.
¿The provider’s complaints policy and procedure was accessible to people who used the service and their representatives. People knew how to make a complaint and felt their concerns would be listened to and addressed.
¿Systems were in place to monitor the quality of the service to enable the registered manager to implement improvements when required.
Rating at last inspection:
¿At our last inspection, the service was rated "requires improvement". Our last report was published on 8 January 2018.
Why we inspected:
¿This was a planned inspection based on the rating of the last inspection. At this inspection we saw improvements had been made and the service was rated ‘Good.’
Follow up:
¿We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned for future dates.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk