Parkhouses Independent Living Services achieved a Good rating across all five key questions at its first inspection in April 2022, with people and relatives consistently praising staff as kind, caring and competent. Minor shortfalls in recruitment record checks, PRN medication protocols and Mental Capacity Act documentation were identified but the provider responded promptly with action plans.
Concerns (3)
moderate
Record keeping
: “We noted robust checks had not always been carried out. The office manager agreed to audit all staff files and address any shortfalls.”
minorMedication management: “Instructions for the administration of medicines prescribed 'as necessary', were included in people's care plan documentation not in the medicines records.”
minorConsent / capacity: “The registered manager agreed to update two people's care documentation with details of the legal authorisations placed on their liberty.”
Strengths
· People felt safe and staff were described as kind, caring, friendly and respectful by people and relatives.
· Sufficient staffing levels with good consistency — people usually received care from the same team of staff.
· Robust risk assessments covering environment, care, medicines and other factors were in place.
· Staff received regular safeguarding training and understood when to report concerns to other agencies.
· Medicines were managed safely with monthly record checks and staff trained in administration.
Quality-Statement breakdown (22)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to live healthier lives, access healthcare services and supportGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Engaging and involving people using the service, the public and staff; Working in partnership with othersGood