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Inspection Summary


Overall summary & rating

Good

Updated 16 August 2018

This inspection took place on the 15 and 18 June 2018 and was unannounced. The inspection team consisted of one inspector. The service was previously under a different provider and was recently purchased by Salutem Healthcare Group.

Parkdale is a care home that provides accommodation and personal care for up to six people who have a learning disability and may have a physical and/or a sensory disability. There were six people living in the service when we inspected. The service is located in a residential road in Colchester, Essex. Each person has a single room and there is a communal bathroom, shower room, kitchen, dining room and lounge. There is a rear enclosed garden at the back of the bungalow with level access.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

At the last inspection, in April 2017, the service was rated Good overall with requires improvement in Effective and Well Led. This was because we found concerns relating to staff not receiving appropriate training and supervision and we could not be assured that the registered manager had oversight of the running of the service. At this inspection, we found the service remained Good in Safe, Caring, Responsive and improvements had been made within the Effective and Well Led domain.

The service has a registered manager. 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 a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service was safe. The provider’s recruitment processes ensured that appropriate checks were carried out before staff commenced employment. There were sufficient numbers of staff on duty to meet the needs of people and keep them safe from potential harm or abuse. People’s health and wellbeing needs were assessed and reviewed to minimise risk to health. The service had a good management and monitoring structure in place for medication.

The service was effective. People were cared for and supported by staff who had received training to meet their needs. The registered manager had a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. People were supported to eat and drink enough as to ensure they maintained a balanced diet and referrals to health and social care services was made when required.

The service was caring. Staff cared for people in an empathetic and kind manner. Staff had a good understanding of people’s preferences. Staff always worked hard to promote people’s independence through encouraging and supporting people to make informed decisions.

The service was responsive. People and their relatives were involved in the planning and review of their care. Care plans were reviewed on a regular basis and also when there was a change in care needs. People were supported to follow their interests and participate in social activities. The service responded to complaints received in a timely manner.

The service was Well Led. The service had systems in place to monitor and provide good care and these were reviewed on a regular basis. The registered manager told us that current systems and processes where being updated and improved.

Inspection areas

Safe

Good

Updated 16 August 2018

The service remains Good.

Effective

Good

Updated 16 August 2018

The service was effective.

Staff received an induction when they commenced employment with the service and attended various training courses to support them to deliver care safely and fulfil their role, in addition staff were now receiving regular supervision.

Staff supported to meet their needs and their nutritional requirements were being met.

People had access to healthcare professionals as and when needed to meet their needs.

Caring

Good

Updated 16 August 2018

The service remains Good.

Responsive

Good

Updated 16 August 2018

The service remains Good.

Well-led

Good

Updated 16 August 2018

The service was well-led.

There was effective oversight and support from the provider.

The service had a quality assurance system in place which was used to identify shortfalls and to drive improvement.

The service had an open culture. People were asked for their views about the service and their comments were listened to and acted upon.