Background to this inspection
Updated
28 December 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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by two inspectors.
Service and service type
Parklands is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
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
We gave the service 24 hours’ notice of the inspection. This was because the service is small, and people are often out and we wanted to be sure there would be people at home to speak with us.
What we did 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. The provider returned the PIR and we took this into account when we made judgements in this report. We reviewed other information that we held about the service such as notifications. These are events that happen in the service that the provider is legally required to tell us about. We used all of this information to plan our inspection.
During the inspection
We spoke with two people who lived at the service. We also spoke with two members of staff, the registered manager and the provider. We reviewed a sample of people’s care and support records. We also looked at records relating to staff recruitment and the management of the service such as incident and accident records, training records, policies, audits and complaints.
After the inspection
We contacted three health and social care professionals who regularly visit the service and received feedback from one of them.
Updated
28 December 2019
About the service
Parklands is a small residential care home providing accommodation and personal care to a maximum of four adults with a learning disability. The provider is also registered to provide the regulated activity of personal care acting as a domiciliary care agency. A fifth bedroom is used by a supported living client. Some of the people who live there also have physical disabilities. At the time of our inspection the service provided care to three people. The person using the supported living service was not receiving personal care. All of the people and the staff have been at the service for a number of years.
The home is a bungalow situated in a residential area of Redhill, Surrey.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
Some aspects of medicines management needed to be improved. We have made a recommendation about the management of medicines.
Health and safety checks were completed, however emergency evacuation plans were not in place for people. Risks relating to legionella bacteria had not been fully assessed.
Care plans were required additional information in areas to fully reflect people’s needs and preferences. Staff knew people very well.
The systems in place to monitor the service needed to be improved. The providers policies needed updating to reflect current guidance and legislation.
People told us they felt safe living at Parklands. Staff felt confident to raise concerns with the manager and were aware of external agencies where they could report concerns. Risks were assessed, and management plans were in place to reduce the risks.
We reviewed staffing rotas that demonstrated there were enough staff available to meet people’s needs. Staff were recruited safely.
People made choices around their meals and were supported where they were at risk of losing weight. People’s healthcare needs were assessed and met by a range of healthcare professionals.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People told us staff were kind and caring. People were involved in making decisions about their care. People told us they were well respected by the staff.
People felt confident to raise any concerns and were happy they would be listened to. People accessed activities of their choosing.
People were involved in the running of their home. People and staff commented positively about the registered manager and the provider.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published January 2017).
This was a planned inspection based on the previous rating.