The inspection took place on 6 December 2018 and was announced. We gave the provider 24 hours’ notice of the inspection as some people who used the service could be anxious about visitors.

Parkview Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service accommodates eight people who are living with learning disabilities and / or a diagnosis of mental ill health. At the time of our inspection there were eight people living in the home.

At our last inspection on 13 January 2016 we rated the service ‘good.’ At this inspection we found the evidence continued to support the rating of ‘good’ overall. There was no evidence or information from our inspection and ongoing monitoring which demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People continued to receive a safe service. Medicine administration records were completed by staff when they had administered the medicines safely. Risks associated with people’s needs had been assessed and measures were in place to reduce these. There were sufficient staff to meet people’s needs and safe recruitment procedures for staff were in place. Accidents and incidents were monitored to identify any trends and measures were put in place to reduce the likelihood of these happening again.

The service remained effective. Staff received the training and support they required including specialist training to meet people’s individual needs. People were supported with their nutritional needs. The staff worked well with external health care professionals. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. The principles of the Mental Capacity Act (MCA) were usually followed.

People received care from staff who were kind, compassionate and treated them with dignity. They were comfortable in the presence of staff and the registered manager. Staff had developed positive relationships with the people they supported, they understood people’s needs, preferences, and what was important to them. Staff knew how to support people when they were distressed and made sure emotional support was provided. People’s independence was promoted.

People continued to receive a responsive service. Their needs were assessed and their support was planned with them and or their relative where required. Care plans were not always reflective of people’s current needs. However, any changes were recorded through reviews and people received care which met their needs. Staff knew and understood people’s needs well. People received opportunities to pursue their interests and hobbies, and social activities were offered. There was a complaints procedure available if this was needed.

The service remained well-led. The monitoring of service provision was effective because shortfalls had been identified and resolved. There was an open and transparent and person-centred culture with good leadership. People and their relatives were asked to share their feedback about the service.

Further information is in the detailed findings below.

This inspection took place on 13 January 2016 and was unannounced. The home was last inspected in February 2015 and was found to be compliant in all the areas looked at.

This home provides accommodation and care for up to eight people Parkview is a nursing home for up to eight people who have learning disabilities and/or a mental ill health diagnosis. At the time of the inspection there were eight people living in the home.

At the time of the inspection, the home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations.

People told us and indicated by gestures and body language that they felt safe in this home. Staff demonstrated that they knew how to keep people safe and they knew how to report allegations or suspicions of poor practice.

People were protected from possible errors in relation to their medication because there were good arrangements for the storage, administration and recording of medication. There were good systems for checking that medication had been administered in the correct way.

People who lived in this home told us, or indicated by gestures that they were happy.

People had opportunities to participate in a range of activities inside the home and in the community. People were helped to maintain contact with relatives and friends.

Throughout our inspection we saw examples of and heard about good care that met people’s needs. Staff treated people with dignity and respect.

Staff working in this home showed that they had a good understanding of the needs of the people who lived there. We saw that staff communicated well with people living in the home and each other. People were enabled to make choices about how they lived their lives.

Staff were appropriately trained, skilled and supervised and they received opportunities to further develop their knowledge. The registered manager and staff we spoke with demonstrated that they understood the principles of protecting the legal and civil rights of people using the service.

We saw and healthcare professionals told us that staff supported people to have their mental and physical healthcare needs met. Staff made appropriate use of a range of health professionals and encouraged people to maintain a healthy lifestyle.

People were provided with food which they enjoyed and which met their nutritional needs and suited their preferences.

There was effective leadership from the provider and the registered manager to ensure that all members of the staff team were competent. Staff told us that they felt valued and well supported.

The provider and registered manager assessed and monitored the quality of care through observation and regular audits of events and practice. The registered manager consulted people in the home, their relatives and professional visitors to find out their views on the care provided and used this information to make improvements, where possible.

Where commissioners of the service had identified areas in which improvement was needed in relation to the recording of incidents and behaviour management, the manager had liaised with specialists to develop improved recording systems. These were due to be implemented after our visit.

The registered manager checked to see if there had been changes to legislation or best practice guidance to make sure that the home continued to comply with the relevant legislation.

We also reviewed care documents and associated documents required for the running of the home. We were only able to speak with one person on the day of the inspection, other people living at the home either had no verbal communication or our presence caused some anxiety. We spoke with family members of people using the service and staff that supported them, and observed care and support provided by staff.

We found that people had opportunities to have their views heard and were actively involved in the planning of their care and treatment. The provider sought the opinions of staff, family and people to improve the quality of the service. They also regularly monitored many areas of the service to ensure they maintained standards and where the opportunity arose, to improve this it was taken.

The provider ensured that people’s care and treatment needs were met. They employed staff who had a good understanding of people’s needs and knowledge of how to meet them. One family member told us: “The key workers are brilliant with people who live here” People were supported to access the community and other healthcare professionals appropriately.

People had a nutritious diet and plenty of choice. One family member told us: “People who live here like the food, we were there at a party and there was lots of food which they liked.”

We spent time talking with people and observing the way they were supported. Some of the people we met were unable to give us verbal feedback about their experiences of the home but showed us with their gestures or signs that they were happy.

We also spoke with five healthcare professionals, with members of staff as they working, and one family member during our visit. The feedback from everyone we spoke with was positive and included, "This home is a success story. People here have very complex needs and staff have shown a strong commitment to working with people and helping them settle."

We found that people were being supported to access the healthcare they needed. This had been planned and recorded to ensure people's safety and welfare. We found people were being supported to take the medicines they needed to stay healthy and settled.

Systems were in place to reduce the chance of people being hurt or abused. In the event that this did occur there were procedures to review and report the incident. This meant people could be confident they would not experience harm.

We found there were enough staff who had the necessary skills and experience to support the living at Parkview.

The building had been subject to development and refurbishment and we found this was now providing a comfortable and safe place for people to live.

People who live at Parkview have communication needs. They found it very difficult to tell us about their experiences of the care and support they receive. We did spend some time with people looking at the way they were supported. We spoke with staff and health professionals who support people at Parkview. They told us they think people receive a good service.