This unannounced inspection visit took place on 26 and 27 March 2018.

Parkview Gardens is a care home. People in care homes receive accommodation and nursing or personal care as single package under one. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The home is registered to provide care and accommodation for up to 60 people. At the time of the inspection visit there were 42 people residing at the home.

Parkview Gardens supports older people, people living with dementia and sensory impairments and people with physical disabilities who require residential care. The home is divided into five units all of which have communal spaces, dining areas and cooking facilities. At the time of the inspection visit only four of the five units were open. All bedrooms within the home are single and have ensuite facilities. The home is built over two floors, which are accessible by stairs or lift. The home has a secure garden area, a shop, a laundry, café area and a hairdresser’s salon.

At the time of the inspection there was a registered manager in place; However they were currently absent and the service was being supported by the operations manager. 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.

The service was registered with the Care Quality Commission in December 2016. This was the first inspection of the service.

People spoke positively about the service they received. They told us care provision was good and said staff were kind and caring. In addition, relatives and professionals we spoke with told us the service provided good care. They told us people’s health needs were met and people experienced positive outcomes. They said staff were positive about the people and were committed to ensuring a good standard of care was delivered at all times.

Good practice guidance had been considered when designing the home to ensure people were not restricted and to promote positive well-being. This included the use of technology to promote independence and keep people safe. Staff told us the consideration to good practice guidance had improved health outcomes for people.

During the inspection we observed people being offered emotional support in a sensitive and timely manner. People responded positively to staff interaction. Privacy and dignity was routinely considered by staff.

Relatives praised the flexibility of the service and the ways in which visitors were welcomed at the home. They told us they could visit whenever they wished and said pets and children were also welcomed.

We saw evidence of multi-agency working to promote effective care. A professional praised the skills and knowledge of staff who worked at the home. Relatives told us the home was good at meeting the needs of people.

Staff told us they were supported in their role by the operations manager and were encouraged to progress with self-development. We saw evidence of staff using good practice guidance to develop and implement effective care for people who lived at the home.

We received positive feedback about the quality of food provided at the home. People were offered choices to meet their preferences and dietary needs. Consideration had been made to ensuring meals were person centred and pleasing. Drinks and snacks were accessible at all times.

People we spoke with told us they felt safe living at the home. Systems were in place to safeguard people from abuse. Risks were assessed and safety of people was monitored by staff on an ongoing basis. We saw there was a person centred approach to managing risk which contributed to positive outcomes for people.

We reviewed accidents and incidents that had occurred