During an assessment under our new approach
Assessment activity took place between 23 July 2025 and 16 September 2025. We visited the service on 23 July 2025, 12 August and 02 September 2025. Turning Point Parkview is a residential care home. It provides accommodation with personal care to up to 7 people in a single floor premises. At this assessment 6 people were living at the service. This was the first assessment of this service carried out under our single assessment framework. This was an unannounced assessment completed by 3 inspectors, a regulatory coordinator and an expert by experience. We spoke with 7 staff and sought feedback from professionals involved with the service. We spoke to 7 relatives about their views of the support provided to their family members. We looked at all quality statements and identified breaches in regulations in relation to risk management, Infection prevention and control, medicines, safeguarding, safe premises ,staff skills and knowledge, dignity, person–centred care and management oversight.
We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.
The service did not support people safely with their medicines. Medicines were not stored safely, and staff were not trained to provide safe administration of medicine in an emergency. Staff did not have sufficient information to mitigate risks to people’s health and wellbeing. Staff did not follow plans to support people when they were distressed. The environment needed repair and some areas were not clean. Staff had not ensured hazardous substances were locked away.
Staff did not always recognise when poor care or a lack of engagement put people at risk of emotional or psychological harm. The provider did not report all safeguarding incidents as required. Staff had been trained in safeguarding and knew how to report concerns internally.
Staff lacked skills and knowledge in relation to person centred care, positive engagement and record keeping and there were not always enough staff to meet people’s individual needs. The service did not support people to have the maximum possible choice and independence, and they did not have control over their own lives. People did not have enough to do. Support was task focused, and staff did not focus on people’s strengths or work with them to identify and achieve their aspirations.
People did not always receive compassionate care. There was a lack of engagement from staff as well as times when they spoke to people as if they were young children. Staff did not follow guidance about how to communicate effectively with people. Staff did not uphold people’s privacy and people receiving personal care or using the toilet were left exposed. Immediate action was taken to address these issues when we raised them with senior management.
The new management team were aware of shortfalls in the quality and safety of the service. They had plans to make improvements although we found progress was slow. Although audits were completed, some issues identified during this assessment had not been identified or acted on.