Parkfield House Nursing Home

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.

The service was previously in breach of the legal regulation relating to person-centred care. At this assessment, the provider had made improvements. The service was no longer in breach of this legal regulation.

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 assessed and planned for people’s needs. Managers met with people and their relatives to discuss how they wanted to be cared for. Assessments were personalised and included detailed information. Nurses regularly reviewed and updated assessments. They created care plans which gave clear guidance for staff to follow.

Staff provided evidence-based care. The provider adopted nationally recognised good practice tools for assessing needs and planning care. Staff understood these and used them effectively. Managers ensured staff undertook regular training updates. This included organising bespoke training when they identified a gap in knowledge. Managers ensured nurses had good clinical skills. They worked closely with external professionals to make sure all staff understood legislation and good practice guidance.

People’s nutritional and hydration needs were assessed, planned for and met. Staff understood about people’s different specialist diets. The provider had arranged for specialist training from a dietitian. People were offered regular drinks and staff encouraged people to have good fluid intake. People were offered, and were able to help themselves, to snacks which included fruit.

Staff worked well together, sharing information to help them understand about people’s needs. Staff told us they had verbal and written handovers and that nurses gave guidance and direction. Managers organised regular meetings where staff discussed the service and best practice. Comments from staff included, “We all work together and support each other” and “There is good communication within the team. We have daily discussions and monthly meetings to review performance and share feedback.”

Staff communicated well with external professionals. They made timely referrals when people needed additional care or support.

Staff supported people to live healthy lives. Nurses worked with external healthcare teams to assess and plan for people’s health needs. They created guidance for staff. Staff monitored people’s health and wellbeing. People had regular appointments with healthcare professionals and told us their needs were well met. Community nurses worked with nurses at the home to review people’s needs and liaise with doctors, therapists and specialists.

People were supported to have a choice of healthy and nutritious food. Comments from people included, “I am eating better here than I have ever eating in my entire life” and “Food is delicious.”

Staff monitored people’s needs and wellbeing. They recorded observations and reported concerns to nurses and managers. Nurses regularly reviewed and updated care plans. People and their relatives told us staff were good at identifying changes in their needs or conditions. A relative commented, “[Person] is well monitored here. [They] cannot use a call bell and staff are always checking [they] are ok.”

People consented to their care and treatment. Nurses discussed their care plans with them and made sure they were happy with care interventions. Staff obtained consent before providing care, offering people choices and respecting their decisions. Some people did not have the mental capacity to make certain decisions about their care or treatment. The provider worked with their relatives or representatives to help make sure decisions were made in their best interests. The provider obtained information about people’s legal representatives and lasting powers of attorney. They obtained their consent when making decisions.