30 October 2019
During a routine inspection
Parklands is a small residential care home providing accommodation and personal care to a maximum of four adults with a learning disability. The provider is also registered to provide the regulated activity of personal care acting as a domiciliary care agency. A fifth bedroom is used by a supported living client. Some of the people who live there also have physical disabilities. At the time of our inspection the service provided care to three people. The person using the supported living service was not receiving personal care. All of the people and the staff have been at the service for a number of years.
The home is a bungalow situated in a residential area of Redhill, Surrey.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
Some aspects of medicines management needed to be improved. We have made a recommendation about the management of medicines.
Health and safety checks were completed, however emergency evacuation plans were not in place for people. Risks relating to legionella bacteria had not been fully assessed.
Care plans were required additional information in areas to fully reflect people’s needs and preferences. Staff knew people very well.
The systems in place to monitor the service needed to be improved. The providers policies needed updating to reflect current guidance and legislation.
People told us they felt safe living at Parklands. Staff felt confident to raise concerns with the manager and were aware of external agencies where they could report concerns. Risks were assessed, and management plans were in place to reduce the risks.
We reviewed staffing rotas that demonstrated there were enough staff available to meet people’s needs. Staff were recruited safely.
People made choices around their meals and were supported where they were at risk of losing weight. People’s healthcare needs were assessed and met by a range of healthcare professionals.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People told us staff were kind and caring. People were involved in making decisions about their care. People told us they were well respected by the staff.
People felt confident to raise any concerns and were happy they would be listened to. People accessed activities of their choosing.
People were involved in the running of their home. People and staff commented positively about the registered manager and the provider.
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 January 2017).
This was a planned inspection based on the previous rating.