1 July 2021
During an inspection looking at part of the service
Park Lodge Care Solutions is a residential care home providing accommodation and personal care for people with learning disabilities, autistic spectrum conditions and a variety of associated health needs. At the time of the inspection there were nine people living at the service. The service can support up to 10 people.
People’s experience of using this service and what we found
People received person-centred support from staff who knew them well. People’s independence was promoted, we observed people helping with day to day chores such as cleaning. One person told us, "they help me keep my room tidy" and "I cook, I am good at it, I like to cook Chinese food.”
People were supported by enough staff, one staff member told us, “I love helping people, I like that every day is different but everything we do is for the good of the residents. [Registered manager] is getting in lots of fun things for the residents to do, we try to make sure they are happy all the time, there is nothing I don’t like.”
People received safe care; their medicines were administered by staff who were trained and competent. Staff received safeguarding training and demonstrated an understanding of appropriate reporting. Lessons were learned when things went wrong, people and staff were involved and kept informed of any changes made in the service as a response.
People’s risks were assessed and minimised, allowing them to optimise their lives. The registered manager told us, “We talk to people, find out their hopes and wishes and do everything we can to minimise the risks so they can live their full lives.” People were supported to maintain important relationships. The service sought professional input to promote positive outcomes for people. Holistic approaches were used, one person was due to start Tai Chi to reduce anxiety and improve their mood.
People were empowered to make decisions and were asked for feedback on the service. One person told us, "I think I could make changes, but I don’t want to make any changes.” The registered manager described how they ensured they were visible in the service and told us, “I go around the house all the time, I make sure residents know I am there to talk to.”
Systems and processes were in place and the registered manager had a good oversight of the service, where audits highlighted areas for improvement, action plans had been created. The registered manager understood their obligations to report and respond to incidents.
People were supported to maintain links and access the community, for example, attend day centres and go to cafes.
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.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
Based on our review of safe and well led, the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support:
• Model of care and setting maximises people’s choice, control and independence. People had communication methods to maximise their choices. People personalised their bedrooms and were asked their opinions on the environment.
Right care:
• Care is person-centred and promotes people’s dignity, privacy and human rights. Planned care was person-centred and holistic to meet people’s needs.
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. People were supported to give their views and were listened to.
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 5 April 2018).
Why we inspected
This was a planned inspection based on previous ratings to review the key questions of safe and well-led only.
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 reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Park Lodge Care Solutions on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.