This inspection took place on 20 and 28 November 2018. Both visits were unannounced.

This was the first inspection of the service under its current registered provider Aymaan Ltd.

Parr Care Home is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission regulates both the premises and the care provided, and both were looked at during this inspection.

Parr Care Home accommodates up to 60 people in one two storey accessible building. The service provides personal and nursing care for older people and people in need of end of life care and support.

A registered manager was in post. 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 about how the service is run.

The registered manager demonstrated outstanding leadership within the service with the support of the staff team. We found excellent aspects as to how the service was led and the development of relationships with other areas of the local community.

Staff were highly motivated to provide care which was personal, kind and compassionate. Staff were seen to be extremely kind and compassionate in their approach. They had formed positive relationships between people and their family members.

Staff were allocated the roles of champions to maintain up to date information in many aspects of their role to ensure that people received the care and support they needed in maintaining their health, dignity and privacy.

Systems and procedures were in place in relation to the Mental Capacity Act 2005. Records demonstrated that where required, applications had been made on behalf of people in relation to Deprivation of Liberty Safeguards.

People were supported at the end of their life to have a comfortable, dignified and pain free death. People were actively encouraged to discuss and plan for their advanced decisions about their care and support.

People had freedom of movement around the service and told us that they had a choice where they spent their time, and what time they went to bed and got up. Choices of meals and dining opportunities helped people maintain their decision making and people were registered to vote.

Policies and procedures were in place and available to all staff to promote best practice.

People had access to activities and were provided with the opportunity to maintain their faith and spiritual needs.

People’s views on the service were sought on a regular basis, any improvements identified were addressed quickly. People had the opportunity to participate in the recruitment of new staff.

People using the service felt safe and told us that they knew who to speak with if they had any concerns.

A complaints procedure was in place and people knew who they would speak to if they wanted to raise a complaint. People and their family members were confident that any concerns would be listened to.

Systems were in place to ensure that people's medicines were safely stored and procedures were in place to help ensure that people received their medicines when they needed them.

Safe recruitment procedures were in place to help ensure that only suitable staff were employed to support people.

People told us that staff delivering their care and support were caring.