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Archived: Parklands

Overall: Requires improvement read more about inspection ratings

7 Eldersley Close, Redhill, Surrey, RH1 2AJ (01737) 765179

Provided and run by:
Mrs Mary Frances Philpot

All Inspections

30 October 2019

During a routine inspection

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.

13 January 2017

During a routine inspection

This inspection was carried out on the 13 January 2017. Parklands is registered to provide 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. People living at the service may have a learning disability including autism. Some of the people who live there also have physical disabilities. At the time of our inspection the service provided care to four people. All of the people and the staff have been at the service for a number of years.

There was a registered manager in post at the time of the inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

There were enough staff to support the needs of people including those that required one to one support.

People were protected from the risk of abuse and staff understood their roles and responsibilities. People told us that they felt safe and relatives had peace of mind that their family members were looked after in a safe environment.

Staff understood the risks to people. Staff encouraged and supported people to lead their lives as independently as possible whilst ensuring they were kept safe. People’s medicines were managed in a safe way and those that could were encouraged and supported to manage their own medicines.

Staff receiving appropriate training and supervision to provide effective care to people.

People's human rights were protected because the requirements of the Mental Capacity Act (MCA) and Deprivation of Liberty (DoLS) were being followed. MCA assessments were completed where needed. Staff understood MCA and why it was important to understand if people had capacity to make decisions.

People enjoyed the food at the service. Staff supported people’s nutritional and hydration needs and people accessed health care professionals when needed.

Staff were caring and considerate to people’s needs. People said that staff were caring and kind to them and treated them with dignity. People and relatives were involved in their care planning and the care that was provided was person centred.

Care plans were detailed and provided guidance to staff on best to support people. Staff communicated with each other the changes to people care.

People were supported to follow their interests and take part in social activities, education and work opportunities. People said that they enjoyed going out and lived their lives to the fullest.

Systems were in place if complaints and concerns were received. The provider had systems in place to regularly assess and monitor the quality of the care provided. The provider actively sought, encouraged and supported people's involvement in the improvement of the service.

People told us the staff were friendly and management were always approachable. Staff were encouraged to contribute to the improvement of the service. Staff told us they would report any concerns to their manager. Staff felt that management were very supportive and staff felt valued.

The registered manager had informed the CQC of significant events. Records were accurate and kept securely.

2 January 2014

During a routine inspection

During our visit we met and spoke with two people who used the service. We also spoke with the registered manager, one care staff and one relative. On the day of our inspection we also inspected the domiciliary care agency. We were told that the domiciliary care agency was providing personal care to one person who lived in the same bungalow but had a separate room which had been used as supported living.

Our observations of staff practice showed that people were receiving effective, safe and appropriate care, which was designed to meet their specific needs. We saw that people felt comfortable in approaching staff and asking for assistance. People were relaxed and content in their surroundings. Staff engaged positively with people using the service to encourage them to communicate their consent, wishes and choices.

People told us that staff treated them with respect and promoted their privacy. They told us they felt they would be listened to if they raised any concerns. People told us that staff supported them to visit friends and families.

We spoke with people who used the service and their commented were, 'I like living here as it is easy for me to walk around in this bungalow', 'I feel safe in here.', 'I love it here it is like home from home.', 'Staff support me to go out very often, I like going to cinema and I went home for Christmas.'

Relative that we spoke with told us. 'It is very good here, staff care for my relative very well and management is very supportive.'

On the day of our inspection we saw one person who used the service was celebrating their birthday with friends and family.

We found that the provider had a system in place to monitor the quality of the service they provided and we found that people were generally satisfied with the care and treatment they received.

People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.

People were protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were maintained.

31 January 2013

During a routine inspection

Two of the people who used the service were at home during our visit. The told us that they had been at the home for a long time and that they, 'love the home' and 'I love the staff'.

Records showed that people living in the home were predominately younger adults and that they took part in a range of planned meaningful activities both inside the home and in the wider community.

We found the staff to be knowledgeable about the people that they cared for. They demonstrated that they understood their care needs and supported them to live independent lives.

We found that the provider kept accurate and up to date records and that they were securely held.

16 January 2012

During a routine inspection

Most of the people who use the service were not at home during the site visit. So we cannot report what people said. Records showed people living in the home were predominantly younger adults who were busy on a daily basis, taking part in a range of planned and meaningful activities in line with their individual plan of care. One resident told us briefly before leaving the home for a planned activity that, 'its lovely here.' The inspector spoke at length with the provider and the registered manager.