Parvale House

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question good. At this assessment the rating has remained good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 83 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider always made sure people’s care and treatment was effective by thoroughly assessing and reviewing their health, care, wellbeing and communication needs with them. People had highly individualised care and support plans in place that had been developed with the person, those important to them, and professionals where appropriate. People’s preferred communication style was used so they could take part in reviews to develop their care. This enabled people to have their views, opinions and feedback captured and acted on. We saw care and support plans were flexible to meet some changing and complex needs. An example of this was a person with current high level changing medical needs. A robust plan was in place to support them with this, and all staff were aware of the potential impact of this on the person both now and in the future. We saw that the provider used a positive behavioural support practitioner to provide additional guidance and support. We saw that staff had been given additional training in a specific area of health care in anticipation of this being needed in the future for one of the people living there.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. People’s nutritional and hydration needs were met in line with current standards and evidence-based guidance which the provider kept up to date with and systems were in place to support people with the complexities of their medical conditions. Communication tools were always tailored to each individual and available to them to enable them to express their views, wishes and to make decisions.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. We observed staff understanding a person's medical needs which would impact across their and their family's lives. Staff described positive team working to ensure staff responses and approaches were consistent and reduced people’s anxiety and distress.

The provider always supported people to manage their health and wellbeing to fully maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. People had access to external health and social care professionals when they needed them. Staff responded to changes in peoples’ wellbeing and needs in a timely manner and liaised with other services to help people live their best lives. Staff worked with agencies to identify and follow adaptations and alternative approaches to enable people to engage with health monitoring and routine testing.

The provider monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves. Staff understood the inequalities autistic people and people with a learning disability face, and we observed them working with people to manage their healthcare and screening appointments. We observed people feeling able to go independently to their own health appointments as they had been given the confidence and independence to do so. Staff offered support around this, and people told us they always felt able to ask for help if they needed it. As a result, people were engaged fully, and the management of their health conditions was more effective.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People’s care plans evidenced best interest processes were followed in line with the Mental Capacity Act.