Parkview Care 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.

This service scored 71 (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 did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them.

A procedure was in place to assess people’s needs including a pre assessment before people received support at the service. A review process formed part of this procedure, whilst reviews had taken place care documents had not always reflected changes. For example, information about how a person’s routine had developed and progress made with their specific goals had not been captured and reflected in their care documents which give staff the guidance needed to provide consistent support across the whole staff team. However, staff were aware of people’s current needs and described the routines developed and progress people had made toward their individual goals.

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 were involved and remained at the centre of their care with decisions and goals affecting their support made in collaboration. A person said, “They ask me what I like, and things I want to work on and how much support I need.” The provider used tools to inform people’s support needs, including the Malnutrition Universal Screening Tool (MUST)which is used to identify adults who are malnourished, at risk of malnutrition, or obesity alongside the Waterlow assessment, which is a clinical scale designed to predict the risk of a person developing a pressure ulcer.

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.

People had been settled for some time at the service and had not recently needed to move between other services. The registered manager explained their commitment to facilitating people’s smooth transition of care by sharing information with other services where appropriate if people choose to move to another service.

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.

People were being supported to attend health appointments for regular check-ups and when needed including doctors and dentists. A person explained “I can get to the GP myself using the bus or by walking and staff support me to other appointments.”

Healthy meal options were available, we observed people receiving meals they had chosen which were balanced whilst people’s choice to eat food they preferred was respected. A person said, “We have different choices for food, but if I want something not on the menu they can normally make it for me.” A staff member said, “We can offer the healthy option and alternatives, but if people who have capacity to choose want something less healthy, they are free to make this choice.” A person said, “I am making progress with my health goals.”

People’s specific heath conditions had been assessed. However, whilst staff demonstrated their understanding of people’s health goals and conditions care documents giving staff the guidance they need to effectively support people around these conditions did not always contain enough detail to consistently promote people’s health. We raised this with the registered manager who added detail around people’s specific health conditions and the support required to manage these.

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.

People told us they had been supported to make positive steps towards achieving their desired outcomes around health and personal goals. We saw evidence people had been supported to achieve improvements around skin integrity and social inclusion participating in an increased number of activities alongside developing their communication skills. A relative said, “We have been impressed with the progress [loved one’s name] is making, it’s really good to see.”

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

The registered manager had completed an MCA assessment, where there were doubts about people’s capacity to make certain decisions, including people’s capacity to manage their own medication or receive support from staff. The MCA promotes decision making by empowering people to make decisions for themselves wherever possible, and by protecting people who lack capacity by providing a flexible framework that places them at the heart of the decision-making process. The provider had trained staff in assessing people’s mental capacity who demonstrated their knowledge during conversations. A staff member said, “We gain people’s consent before we support them, this includes when we offer medication and personal care. People have the right to refuse.” A person said, “The staff ask me before they help with anything.”