3 April 2019
• We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection was carried out by one inspector.
Service and service type:
• Park House is a care home providing support to people with a learning disability or a secondary diagnosis such as an autistic spectrum disorder or a mental health condition.
• People in care homes receive accommodation and nursing or personal care. 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:
• Our inspection was unannounced.
What we did:
• We reviewed the information we held about the service. We asked the service to complete a Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well
and improvements they plan to make. We looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law.
• We spoke briefly to two people who used the service. The majority of residents left early in the morning to attend activities.
• We spoke to four relatives.
• We spoke to the operations manager, the deputy manager and three support staff. The registered manager was on annual leave at the time of the inspection.
• We reviewed two people's care records, two staff personnel files, staff training documents, and other records about the management of the service.
3 April 2019
About the service:
• Park House is residential care home providing personal care for up to four people with a learning disability.
• At the time of the inspection it was providing a service to four people.
• 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.
People’s experience of using this service:
• People at the service were kept safe, staff had an understanding of their safeguarding responsibilities and knew how to identify abuse.
• People were encouraged to take positive risks in their lives and risk assessments were in place to protect people at the service and reduced the risk of harm people may face.
• Relatives were happy with the service and told us their family member was kept safe.
• People were looked after by staff who had gone through a thorough recruitment process.
• Accidents and incidents were recorded and analysed by the service. Staff told us they took part in debriefing sessions after the incident to learn from the incident to prevent it happening again in the future.
• People’s medicines were managed safely and safe practices were followed in the administration of medicines.
• The service was clean and free from malodour, hand washing guidelines were displayed to minimise the risk of infection.
• People were assessed by the service before being placed and staff observed people at the service to ensure care was being provided in accordance with their care plan. People’s nutrition and hydration needs were met by the service and healthy eating was encouraged.
• Staff were supported to give effective care as they received appropriate training relevant to their role, supervision and appraisal.
• People were comfortable with staff and staff spoke in a kind and caring manner to people. Relatives thought staff were caring and treated people with respect.
• People’s care plans were personalised and regularly reviewed and updated as the needed.
• People were supported to communicate in a way that helped them as the service provided information in easy read format.
• There was a complaints policy, there were no complaints made by people living at the service. Complaints received from outside the service had been responded to promptly.
• The service had strong quality assurance processes to check the quality of care people received and systems to drive improvement.
Rating at last inspection:
• Good (report published 7 March 2017)
Why we inspected:
• This was a planned inspection based on the previous rating.
• We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
• We made two recommendations in our inspection report on diversity in care planning and documenting people’s end of life wishes. We will follow these up at our next inspection.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk