Background to this inspection
Updated
18 November 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.
Inspection team
The inspection was carried out by 1 inspector and 1 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
This service provides care to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is bought or rented and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care service.
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 not a registered manager in post. At the time of the inspection an interim manager was in post and the provider was advertising for a permanent manager.
Notice of inspection
The inspection was unannounced.
Inspection activity started on 21 July 2023 and ended on 4 September 2023. We visited the office on 21 July 2023.
What we did before the inspection
We reviewed the information we held about the service. Due to technical problems, we were not able to review information in the Provider Information Return (PIR). A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We sought feedback from the local authority contracts monitoring and safeguarding adults teams and reviewed the information they provided. We used all of this information to plan our inspection.
During the inspection
We spoke with 1 person and 8 relatives about their experience of the care provided. We spoke with the nominated individual, the manager and the quality lead. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also received feedback from 5 care workers.
We reviewed a range of records including 4 people's care and medicines records, recruitment records for 2 care workers, and a variety of records relating to the management of the service including policies and procedures.
Updated
18 November 2023
Parkside Court Extra Care Scheme is an extra care service providing personal care to people living in 30 flats
and 17 bungalows in 1 purpose-built location. There is an office on site and communal areas within
the building for people to use as they wish.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of inspection 17 people were receiving personal care.
People’s experience of using this service and what we found
People and relatives were happy with the service and the care people received and were complimentary about care staff, describing them as “great,” “very good” and “friendly.” Comments from relatives included, “[Family member] gets the same group of carers who are lovely and friendly. They’re smashing” and, “They are nice girls. They all get the thumbs up from me.” Staff were passionate about their roles and the people they support. A staff member said, “I really enjoy my job, I enjoy helping the clients to the best of my ability. Parkside Court is a great place to work.”
The provider had taken appropriate action following the last inspection, to make required improvements in the service. Systems were reviewed and revised to ensure risks to people’s health, safety and well-being were well documented and managed, safe recruitment processes were always followed, and people’s care plans were person-centred and reflected their individual needs and wishes. The provider also implemented additional quality checks to monitor the service more effectively.
There were systems in place to keep people safe. There were enough staff to meet people’s needs. Staff safeguarded people from abuse. Medicines were safely administered and managed. The provider and staff protected people from the risk or spread of infection.
Staff knew how to effectively communicate with people and communication methods were detailed in care records. People and relatives knew how to raise any concerns and the provider had a suitable complaints procedure in place.
The service was well-managed. The provider promoted an open and honest culture in the service. People and relatives were regularly consulted about the quality of the service through surveys and reviews. The provider, management and staff worked in partnership with other health professionals to achieve positive 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 and update
The last rating for this service was requires improvement (published 14 November 2022). Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve Regulation 17 (Good governance).
Why we inspected
We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements.
This report only covers our findings in relation to the Key Questions Safe, Responsive and Well-led which contain those requirements. For the key questions not inspected, we used the ratings awarded at the last comprehensive inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Parkside Court Extra Care Scheme on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.