Parry Healthcare Limited

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.

This is the first assessment for this newly registered service. This key question has been rated 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 assessed people’s care and treatment covering their health, care, wellbeing and communication needs with them.

The registered manager completed an initial assessment of people’s needs before they started delivering care to them. Care needs assessment covered people’s physical, and mental health needs, personal care, nutritional and hydration, mobility, and skin integrity. However, we found that details of the level of support people required with managing their medicines were not fully and clearly stated in their care plans. Care plans did not indicate what the different levels of support meant. This meant people’s needs might not always be effectively met.
 

Records showed people and their relatives were involved in discussing their care needs. One person said, “I was involved from the start. We sat down and discussed what I wanted and what they can provide.” Records also showed that professionals provided relevant information to the registered manager to help them understand people’s needs. The registered manager told us they continued to work with people and other professionals to establish people’s needs so the care provided could be tailored to meet individual need.

The provider did not always plan and deliver people’s care and treatment in line with best practice guidance and legislation.

Staff supported people to meet their nutritional needs. People’s care plans covered the support they needed with preparing their meals including shopping for food. One person told us, “The carers help with shopping if I need it. They help me prepare my breakfast, lunch and dinner.” A relative commented, “My relative can’t prepare food, so food provision was part of each of the four calls a day. They prepared simple breakfasts, sandwiches, drinks and microwaved meals. They knew their likes and dislikes.”

Where people had specific nutritional requirements, it was documented in their care plans. For example, one person had fortified meals and drinks due to concerns about their weight. The registered manager had involved the dietician who trained staff on how to prepare the fortified food and drinks. Staff knew to inform the registered manager and people’s relatives if they had concerns about people’s appetite and nutrition.

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.

Staff worked with other services and agencies to ensure people’s needs were met. Staff explained that when people needed to go to the hospital, they shared key information with the hospital team or ambulance service—such as details of the person’s care package, next of kin, and a summary of their medical history. The registered manager told us that they obtained feedback and handovers from professionals to help assess people’s needs and ensure their care was well coordinated. One relative told us, “My relative has a physiotherapy, and the staff have taken on advice given by them. In fact, they have had a positive impact on family member’s mobility.”

Care records showed agencies and services involved in people’s care. A member of the referral team noted that the provider was responsive and easy to communicate with during the referral process, which helped ensure people were discharged from the hospital promptly. They also worked closely with the care coordination centre when patients needed support from additional services.

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.

Staff supported people to access healthcare services they needed, and staff worked effectively with other services. One person said, “The carers have helped phone the GP before. I’m sure they will help me if I need it.” Records showed a range of professionals such as occupational therapist, district nurses, and GPs were involved in people’s care and staff liaised with them as when needed to maintain people’s health.

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’s care plans detailed the outcomes they wanted from the care and support they received. People told us staff worked with them to achieve these outcomes. One person stated, “They [provider] discussed my care from the start. I also had a phone call two weeks after I started receiving visits, to check if I needed anything different to what was agreed at the start, but I didn’t.” A relative mentioned, “We recently had a home visit for feedback and to check that the care plan is still appropriate, which it is.”

The registered manager told us they used care reviews and spot checks to obtain feedback from people about their care.

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

People consented to the care and support they received. One person said, “I make my own decisions, and they respect it.” One relative said, "Staff encourage family member to ask how they want things done, there is a strong emphasis on ensuring consent is obtained in all they do. I hear staff asking family how they prefer things done.”

Training record showed staff had received training in the Mental Capacity Act. One staff member told us, “Always think that the individual has capacity. If I’m worried about their decisions, I will let their next of kin know and my manager.” Care records contained information about people’s capacity to make decisions and who supported people to make decisions if they needed support to make specific decisions.