Park View Road

Updated 15 April 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 2 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Park View Road is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Park View Road is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection.

During the inspection

We spoke with 7 relatives about their experience of the care provided. We spoke with 8 staff, including the registered manager, senior support worker and support workers. We looked at 4 care records, 4 medicine records and 3 staff files relating to recruitment. We also looked at quality monitoring records relating to the management of the service, such as audits and policies. We observed support and interactions between people and staff.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at quality assurance records and training information

Updated 15 April 2023

About the service

Park View Road provides support to up to 10 people with learning disabilities and autistic people, at the time of our inspection, 8 people were living at the home. The building was a large single-story building with 9 bedrooms and a flat that consisted of a bedroom, bathroom and lounge/ kitchen, the flat was integral to the building, at the time of the inspection the flat was empty. Some rooms were en-suite, however not all. There was outside patio area and a drive with parking spaces.

People's experience of using this service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support

Medicines were safely managed, and medicines records were accurately completed. Staff knew people well and we observed positive interactions. Improvements needed to be made to the environment people lived in, to ensure it was clean and well maintained. Inconsistencies in support records did not provide staff with sufficient guidance to safely support people.

Right Care

People and their families told us staff were kind and supported them well. Staff understood how to protect people from poor care and the risk of abuse, Staff were trained about how to recognise and report abuse and told us when they would report any concerns. We observed staff interacting with people in a kind and compassionate way. There was a lack of encouragement for people to be engaged in everyday living skills and activities such as cooking, cleaning and laundry tasks.

Right Culture:

Quality assurance processes had not identified all the concerns we identified during our inspection. People and staff were positive about the registered manager and stated that they were approachable and fair to all staff members, and new the people supported well. Some support planning did not always assist people to lead inclusive and empowered lives. Some of this was due to the environment. The registered manager understood further work was needed regarding the building and environment and shared renovation plans regarding this.

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 21 November 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Park View Road on our website at www.cqc.org.uk.

We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. We found no evidence during this inspection that people were at risk of harm from this concern.

Recommendations

We have made 3 recommendations in relation to recruitment, person-centred care and daily records.