Park View

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 requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.
 

This service scored 75 (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 made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

There had been improvements since our previous inspection. The assessments had been reviewed and were up to date with evidence of reviews. These covered the majority of health, psychosocial, leisure and recreation, likes, dislikes, fears and phobias. Documentation contained a clear narrative about the person and was written very respectfully.

Relatives confirmed that people’s care had been reviewed and they were involved in the process. One relative told us, “Yes, we have PCP (person-centred plan) reviews, and we had review with social workers from [name of county] County Council. “
 

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.

There had been improvements since our previous inspection. People were supported to keep in touch with their relatives and staff facilitated visits. During our site visit, 1 person was being supported to visit their family at home for the day. Another person spoke to us about upcoming plans for a holiday supported by the staff at the service at a place the person chose.

Staff told us about how they were supporting a person who expressed a wish to live closer to their family in the future by planning a holiday to the area with them. They were taking in to account the person’s preferred method of travel to this destination to ensure the trip was successful.

Autism-specific assessments were in place. These documented specifically how people’s autism impacted their daily routines, their ability to engage in activities, environments and provided processing communication guidelines.
 

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

There had been improvements since our previous inspection. People were being supported with their dietary needs in the least restrictive way, with involvement from medical professionals.

People’s care documentation, which had been reviewed and updated, reflected people’s goals in different areas and the support they required to achieve outcomes. For example, one person’s care documentation reflected their wish to pursue volunteering opportunities and how staff should support them with this goal. One staff member provided an example of how the person was supported in a personalised way to explore the potential of attending a day centre.

Staff were aware of people’s choices relating to food preferences. During the site visit, staff explained that two versions of the evening meal were prepared following discussions with people, this was to support one person’s preference regarding vegetables while ensuring others were not restricted from having them. This approach supported people to make individual choices about their diet while promoting a balanced and inclusive mealtime experience.

A relative told us; “Good food, (I) get photos of what he eats He goes out to eat too. Every day they have balanced (meals), he eats lots of things, (these) ties in with [his] interests. They take him to [name of supermarket] to get ingredients to do food from different countries. Every night he has a cooked dinner.”
 

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

There had been improvements since our previous inspection. We saw recorded evidence of keyworker meetings taking place with people. A keyworker was a designated member of staff who supported them and oversaw people’s care.

Periodic formal reviews of people's care had started to take place, and this was confirmed by relatives and representatives. People's relatives confirmed their involvement in their loved one's care.
A social care professional told us that the provider’s professionals had spent time getting to know the person since their last visit and showed insight into the person’s challenges.
 

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

There had been improvements since our previous inspection. The principles of the Mental Capacity Act were being followed, and consent was sought in line with legislation. Mental capacity assessments were being carried out, were updated and included individualised statements.

We observed staff actively gaining consent from people. The service manager and locality manager were actively working with 1 person's family to make best interest decisions and discuss least restrictive measures following restrictions identified through their restrictive practice audit.

A relative told us; “Recently I was part of the mental capacity assessment review, (with) the manager and [person]. PB [positive behaviour] plan (was) emailed to me and I sent my bits I wanted added and all the forms for me to agree, consent and information sharing.”