Parkgate Road

Updated 2 December 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 Care Act 2008.

Inspection team

This inspection was undertaken by 1 inspector.

Service and service type

Parkgate 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. Parkgate 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

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

Notice of inspection

This inspection was unannounced

What we did before inspection

We reviewed information we had received about the service since the last inspection and sought feedback from a local authority who work with the service. We used the information the provider had sent us within their annual Provider Information Return. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 1 person to gather their experience of the care and support provided. We spent time observing the care and support people received in communal areas to help us understand the experiences of people who could not talk with us. We spoke with 4 staff including, the operations manager, the registered manager, a senior support worker and a support worker. We reviewed a range of records. This included 2 people's care and medicines records, 2 staff recruitment files, and records of the checks the provider and management team completed to assure themselves people received a safe, good quality service. We also spoke with a relative and 1 person’s Advocate via the telephone to gather their experiences of the care and support provided. We also looked at quality assurance records.

Updated 2 December 2023

About the service

Parkgate Road is a residential care home providing personal care to 5 people at the time of the inspection. The service can support up to 5 younger adults with a learning disability or autistic spectrum disorder.

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:

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. Some aspects of risk management required improvement. Action was taken to address this. Staff were recruited in line with the provider’s procedure. People’s medicines were managed safely.

Right care:

Staff did not always work in line with the providers policies and procedures. People received personalised care and their human rights were promoted and protected. People felt safe and staff understood their responsibilities to keep people safe. A relative and advocate had no concerns about people’s safety. There were sufficient staff to provide people’s care and to support.

Right culture:

The providers systems and processes used to monitor and improve the quality and safety of the service were not always effective and service oversight needed to be strengthened. People received care from staff they knew. Staff felt valued and supported by the registered manager who promoted an open culture within the home. The provider encouraged feedback about the service. Recent feedback showed good levels of service satisfaction. The management team and staff worked in partnership with other professionals to achieve good outcomes for people.

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 31 October 2018).

Why we inspected

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

We undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for 175a Parkgate Road on our website at www.cqc.org.uk.

The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.