Parry Healthcare Wiltshire

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.

We observed care records for 5 people. We saw that the provider had completed Assessments and reviews of people’s needs with them. The registered manager told us how they communicated regularly with the local authority to ensure that the support they provided was meeting the needs of people. We observed communication from the provider explaining the changing needs of a person and requesting a review for this person in order to ensure that the persons needs were fully met in a safe and preferred way. We spoke to 5 staff who told us that care plans contained the details they needed to support people. One staff member told us that when a new person was supported, the registered manager completed a care plan quickly.

The Registered Manager told us how they completed needs assessments with people they supported. These assessments included information provided by the local authority and information provided by people and their relatives. This meant that people’s needs were assessed and the support they required could be tailored to meet their preferences.

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.

Care records contained comprehensive information about people’s needs and wishes. For example, one person’s care record identified how to support the person when brushing their teeth. It identified what the person could do for themselves and where support was required.

People we spoke to told us that the Registered Manager spoke with them frequently to gain feedback and ensure that support was meeting their needs. Comments included “[Registered Manager] is always asking if anything needs changing”

Staff told us that care plans contained clear information on how to support people. Comments included, “The care plan has everything we need to know what the person likes”.

This meant people had opportunity to plan their support and staff where aware of what was important to people when supporting them.

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. During our visit we saw the provider had communicated with other professionals. For example, the provider had communicated with the local speech and language therapy [SALT] team to ensure a person’s eating and drinking needs were fully assessed and that the provider was aware of these needs. at the time of our visit the provider did not support this person with their eating and drinking needs. However, the registered manager told us they had requested this information to ensure that staff had full knowledge of the person and could identify any changes in their needs quickly. This information was clearly detailed in their care records. This meant people’s needs were clear and easily shared between 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.

We spoke to a person’s relative; they told us how staff encouraged their relative to walk as well as use their wheelchair. We were told, “Staff Encourage [person} to walk rather than use their wheelchair”. This meant the person was supported to maintain their mobility.

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.

The provider had a complaints policy and maintained a record of complaints. Action plans were created where required to ensure that actions were taken and responses provided to people. We saw meetings had been held with people and their relatives to discuss complaints and to monitor the actions taken to resolve people’s concerns.

People told us they had regular contact with the Registered Manager and their support was monitored. Comments included “[Registered Manager] pops in to ask if everything is ok” and, “If I have a concern I just call or ask the staff, they sort it quickly”.

This meant the provider was able to closely monitor people’s outcomes and take action quickly when needed.

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

Care plans contained records of consent gained from people in relation to their care and treatment. Staff were able to describe how they gained consent when supporting people daily. Comments included, “I always ask for permission first”. People confirmed this. We spoke to one relative who told us, “Staff ask for consent, they ask if its ok”.

Staff had received Mental Capacity Act training. We spoke to staff, most of whom were able to describe what the Mental Capacity Act was and how they support people’s capacity. This meant people were supported to give consent for their care and where people lacked capacity they were supported in line with legislation.