• Care Home
  • Care home

Archived: Parkside - Care Home Learning Disabilities

Overall: Good read more about inspection ratings

79 Thicket Road, Penge, London, SE20 8DS (020) 8776 9569

Provided and run by:
Leonard Cheshire Disability

All Inspections

29 March 2016

During a routine inspection

This inspection took place on the 29 March 2016 and was unannounced. At our previous focused inspection on 28 October 2015 we found that the provider had addressed the breaches of Regulations 12 and 15 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and were compliant with the warning notices we served. At our previous comprehensive inspection on 7 and 8 July 2015 we found the provider had breached Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 as systems and process were not established and operated effectively to ensure compliance with the requirements and records in respect of each service user were not accurate, complete and contemporaneous. At this comprehensive inspection on 29 March 2016 we found that the provider had addressed the breach of Regulations 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Parkside care home is registered to accommodate up to seven adults with learning disabilities living within the community. At the time of our inspection the home was providing care and support to five people and there was a temporary manager in post. A registered manager is a person who has registered with the Care Quality Commission 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.

Risks to the health and safety of people using the service were identified, assessed and reviewed in line with the provider's policy. Medicines were managed, administered and stored safely. Premises and internal maintenance work had been conducted and completed and maintenance records confirmed this. There were arrangements in place to deal with foreseeable emergencies. There were safeguarding adult’s policies and procedures in place to protect people from possible abuse and harm. Accidents and incidents involving people using the service were recorded and acted on appropriately. There were safe staff recruitment practices in place and appropriate numbers of staff were deployed throughout the home to meet people’s needs.

There were processes in place to ensure staff new to the home were inducted into the service appropriately. Staff received training that enabled them to fulfil their roles effectively and meet people’s needs. There were systems in place which ensured the service complied with the Mental Capacity Act 2005 (MCA 2005). This provides protection for people who do not have capacity to make decisions for themselves. People’s nutritional needs and preferences were met and people had access to health and social care professionals when required.

People were treated with dignity and respect and were consulted about their care and support needs. Staff respected people’s dignity and privacy. People were supported to maintain relationships with relatives and friends and we observed that people were also supported to access community services.

People’s support, care needs and risks were identified, assessed and documented within their care plan. People’s needs were reviewed and monitored on a regular basis. People were provided with information on how to make a complaint. The service worked with health and social care professionals and with local authorities who commissioned the service to ensure people’s needs were met.

There were systems and processes in place to monitor and evaluate the service provided. There was a temporary manager in post at the time of our inspection and they were knowledgeable about the requirements of a registered manager and their responsibilities with regard to the Health and Social Care Act 2014. Notifications were submitted to the CQC as required and they demonstrated good knowledge of people’s needs and the needs of the staffing team. People’s views about the service were sought and considered through residents meetings and satisfaction surveys.

28 October 2015

During an inspection looking at part of the service

We carried out an unannounced comprehensive inspection of this service on 7 and 8 July 2015 at which breaches of legal requirements were found. We took enforcement action and served two warning notices on the provider in respect of breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These included Regulation 12 as care and treatment was not provided in a safe way for service users and medicines were not managed in a safe and proper way and Regulation 15 as premises and equipment were not clean, safe, suitable and properly maintained. The provider sent us an action plan detailing the action they would take to meet these legal requirements.

You can read the report from our last inspection, by selecting the 'all reports' link for ‘Parkside Care Home Learning Disabilities’ on our website at www.cqc.org.uk.

We carried out this unannounced focused inspection on 28 October 2015 to check the provider’s action plan had been completed and the service was meeting the warning notices we served. This report only covers our findings in relation to the follow up on the breaches of Regulations 12 and 15. We have asked the provider to send us an action plan telling us how and when they will become compliant with the other breach. This breach will be followed up at our next comprehensive inspection of the service.

Parkside care home is registered to accommodate up to seven people with learning disabilities living within the community. At the time of our inspection the home was providing care and support to five people.

At this focused inspection on 28 October 2015 we found that the provider had addressed the breaches of Regulations 12 and 15 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and were compliant with the warning notices we served. We have revised and improved our rating for the key question ‘Safe’ to ‘Requires Improvement’ as at this time systems and processes that have been implemented have not been operational for a sufficient amount of time for us to be sure of consistent and sustained good practice.

People were protected from the risk of receiving inappropriate or unsafe care and treatment as risk assessments were conducted where appropriate and were reviewed on a regular basis in line with the provider’s policy.

Medicines were stored, administered and managed safely.

Premises were safely used and equipment was stored securely. Premises and equipment were kept clean, safe and properly maintained.

There were systems in place to detect and control the spread of infections and to promote good standards of cleanliness throughout the home.

Following our inspection a new call bell system was being installed for people using the service to seek assistance or help from staff in the event of an emergency.

7 and 8 July 2015

During a routine inspection

This inspection took place on the 7 and 8 of July 2015 and was unannounced. At our previous inspection on 16 April 2013 we found the provider was meeting the regulations in relation to the outcomes we inspected.

Parkside care home is registered to accommodate up to seven people with learning disabilities living within the community. At the time of our inspection the home was providing care and support to five people. The home had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission 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.

During our inspection we found that the provider had breach several Regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Risks to people were not always managed appropriately or reviewed in line with the provider’s policy. Medicines were not stored and managed safely and appropriately. There were no systems in place to detect and control the spread of infections and ensure good standards of cleanliness throughout the home environment were maintained. Premises and equipment were not clean, safe, suitable and properly maintained.

We have made a recommendation that staff receive supervision, appraisals and support in line with the provider’s policies. People's care was not always reviewed in response to their needs and in line with the provider’s policy. Systems and processes to regularly assess and monitor the quality of service people received were not always implemented, followed or conducted on a regular basis.

You can see what action we have told the provider to take at the back of the full version of this report.

There were systems in place to deal with emergencies and there were safeguarding adults from abuse policies and procedures in place which staff had good knowledge of. Incidents and accidents were recorded and acted on appropriately. There were safe recruitment practices in place and appropriate recruitment checks were conducted before staff started work.

There were processes in place to assess and consider people’s capacity and rights to make decisions about their care and treatment in line with the Mental Capacity Act 2005.

People’s nutritional needs and preferences were met and people had access to health and social care professionals when required. We observed staff treating and speaking to people in a respectful and dignified manner and people’s privacy and dignity was respected.

People’s needs were assessed with their involvement to ensure that the service was responsive to their individual needs and staff encouraged and promoted people’s independence. People were provided with information about how to make a complaint and people told us they felt confident in making a compliant if they had any concerns.

Staff meetings were held on a regular basis. People’s views about the service were sought and considered through satisfaction surveys that were conducted on an annual basis.

16 April 2013

During a routine inspection

People we spoke with told us that they felt supported at the home and that they felt staff respected them.

One person said that they felt able to work towards having their own flat with the help of staff, family and friends.

We found that the people who used the service were involved in their care planning and received a personalised care and support. Staff received support and training in different aspects of care. The provider had systems in place to monitor the quality of the service and records were adequately maintained and stored securely.

10 August 2012

During an inspection in response to concerns

People told us that they enjoyed living at the home and were extremely happy.

Some people told us they enjoyed going out to work and cooking dinner for the other people they lived with.

People told us that the staff were very kind and helped them look after the house.

8 August 2011

During a routine inspection

People who live at the home told us that they were happy there. People told us that the home was well maintained and that they were able to do the things they wanted. They told us that they had their needs met and that they were able to make choices about their lives.They said that they were well cared for and that the staff were friendly and supportive.