This inspection took place on 15 March 2017 and was unannounced. This meant the staff and registered provider did not know we would be visiting.

Park View provides care and accommodation for up to nine people with a learning disability. On the day of our inspection there were nine people using the service.

The service had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

Park View was last inspected by CQC on 5 January 2016 and was rated Requires Improvement overall and in the Safe and Well-led domains. At this inspection we found the service was ‘Good’ in all areas and met all the fundamental standards we inspected against.

Accidents and incidents were appropriately recorded. Risk assessments were in place for people who used the service and described potential risks and the safeguards in place.

The registered manager understood their responsibilities with regard to safeguarding and staff had been trained in safeguarding vulnerable adults.

Medicines were stored safely and securely, and procedures were in place to ensure people received medicines as prescribed.

The home was clean, spacious and suitable for the people who used the service and appropriate health and safety checks had been carried out.

There were sufficient numbers of staff on duty in order to meet the needs of people who used the service. The registered provider had an effective recruitment and selection procedure in place and carried out relevant checks when they employed staff.

Staff were suitably trained and training was arranged for any due or overdue refresher training. Staff received regular supervisions and appraisals.

The registered provider was working within the principles of the Mental Capacity Act 2005 (MCA) and was following the requirements in the Deprivation of Liberty Safeguards (DoLS).

People were supported with their dietary needs. Care records contained evidence of visits to and from external health care specialists.

People who used the service and family members were complimentary about the standard of care at Park View. Staff treated people with dignity and respect and helped to maintain people’s independence by encouraging them to care for themselves where possible.

Care records showed that people’s needs were assessed before they started using the service and care plans were written in a person-centred way. Person-centred is about ensuring the person is at the centre of any care or support plans and their individual wishes, needs and choices are taken into account.

Activities were arranged for people who used the service based on their likes and interests and to help meet their social needs. The service had links with the local community.

People who used the service and family members were aware of how to make a complaint however there had been no formal complaints recorded at the service.

Staff felt supported by the registered manager and were comfortable raising any concerns. People who used the service, family members and staff were regularly consulted about the quality of the service. Family members told us the management were approachable and accommodating.

This inspection took place on 5 January 2016 and was unannounced. Park View provides accommodation, personal care and support for up to nine people with a learning disability and/or who have autistic spectrum disorder. People who used the service lived in a detached property on the north side of Scarborough. Everyone had their own bedroom and toilet facilities. There were nine people using the service on the day of our inspection.

At our previous inspection on 12 November 2014 there had been no registered manager working at the service. At this inspection we found that there was 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 about how the service is run.

Risks to people’s health and safety had not always been identified although there were policies and procedures in place for staff to follow. Accident and incident records identified that there had been two falls in November 2015. People had tripped on the uneven paving outside the dining room leading to the smoking area and we saw that this was still a hazard for people. The dining room floor was wet and slippery on the day we inspected due to the weather and the flooring used could have resulted in further falls.

The environment was not always safe. We saw a radiator cover hanging off in a persons bedroom which was a hazard until it was replaced. In addition carpets in the lounge were frayed and worn as was the window seat.

This was a breach of Regulation 15 of the Health and Social Care Act 2008(Regulated Activities) 2014. You can see what action we told the provider to take at the back of the full version of the report.

People at the service told us that they felt safe and we saw that the risks associated with people’s physical and mental health had been recorded in their care plans.

There were policies and procedures in place which supported staff in protecting people who needed safeguarding. They reflected the local authority good practice guidance. Staff were trained in how to recognise and report abuse. The registered manager was aware of how to report any incidents of abuse.

Staffing levels at the service reflected the changing needs of the people who used the service and were flexible. We saw that staff had been recruited safely. They had the appropriate skills and knowledge needed to care for the people at this service. They had received an induction when they started working at the service and training which was appropriate to their role.

Staff worked within the principles of the Mental Capacity Act (MCA) 2005. People were assisted to make decisions for themselves where it was possible. If they required assistance to make a decision, meetings were held with the significant people in their life as well as other professionals in order to make sure they were in the person’s best interest. People who used the service made choices about the food they ate, how their rooms were decorated and what they did throughout the day.

People’s nutritional needs were being met at the service. Where there were any medical issues people were referred to their doctor who then made referrals to other health professionals if it was necessary.

Care plans were detailed and person centred. They had associated risk assessments in place and had been reviewed regularly. Staff responded promptly to people’s changing needs and made the necessary changes to care plans.

Activities were planned individually and promoted inclusion in the local community. People chose what they wanted to do each day. They worked or attended day services if they wished. People were able to go on holiday each year.

People who used the service said that the staff were caring. We observed that there was a relaxed and friendly atmosp

We inspected Park View on the 12 November 2014. This was an unannounced inspection. We previously visited the service on 4 October 2013. The service met the regulations we inspected against at their last inspection.

Park View is registered to provide accommodation to persons who require nursing or personal care. Nursing care however is not provided. The home specialises in supporting up to nine people who have complex learning disabilities and some physical care needs. It is a located in Scarborough close to amenities and with good transport links. Park View is owned by Milewood Health Care Limited.

There was no registered manager in place. This is a breach of Regulation 5 Health and Social Care Act 2008(Registration Regulations) 2010. 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.

People who used the service told us they felt safe. Staff had a good understanding of abuse and how to report this. This meant that staff knew how to respond appropriately if they had any concerns over the safety of the people that lived there and people were protected from the risk of abuse.

We saw from people’s they had been involved in the their care plans and this meant they received the support they required.

We saw that people were treated with kindness and compassion when we observed staff interacting with people using the service. The atmosphere in the home was not always calm and relaxed but staff supported people to remain calm.

People using the service had social lives that were individual to their needs. Staff enabled them to maintain contact with their family and friends.

We saw documentary evidence that the management of the service was audited on a regular basis and as a result of the audits, action plans were developed to improve the service.

We found that the service took people’s views and wishes into account and involved them in their care. People spoke positively about the care and support they received. One person said the home was “Great.” Another person said “I am happy here, this is my home.”

People's care needs were assessed and care plans were drawn up to meet those needs. Risks were assessed and strategies were in place to minimise these. Risk assessments and care plans were kept under regular review. Specialists were consulted so that people had the benefit of expert advice.

People told us they felt safe and were confident that action would be taken in response to any concerns they might have. One person told us “The staff are respectful and polite to me.”

The provider had an appropriate recruitment procedure in place to make sure they only employed people suitable for the role.

Effective management systems were in place to promote people’s welfare and safety.

People were supported in promoting their independence and community involvement. People contributed their views as far as they were able to do so and everybody worked together to assist people to learn how to manage risks associated with everyday living.

People who used the service told us “I like it here I can talk to my key worker if I want to”. Another person said “I am going to The Flower of May for my holiday; I planned it with my key worker”.

Staff were aware of the different types of abuse and said they were confident they would be able to identify the signs of abuse in people who used the service.

People told us that if they had a complaint they would tell a member of staff or the manager. They also told us that there were regular house meetings where they could all discuss any concerns they had. One person said "I would tell the manager if I was unhappy". Another person told us they would tell their parents when they went home if they were unhappy. Interactions observed during the visit were positive and respectful.

People using the service told us that the staff are alright and they can talk to them about anything. They also said they could have a joke with the staff. They can go out and choose what they want to do.

People said their privacy was respected by staff who always knocked on their door before entering the room. They are supported to have an advocate if they want one. People did indicate that they don't like cleaning and want the home to employ a proper cleaner. Although another person was quite happy doing their own cleaning.