Parkhill Support Services Brighton Road

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

Effective – this means we looked for evidence that people’s care,treatmentand support achieved good outcomes and promoteda good qualityof life, based on best available evidence.

At our last assessment we rated this key questiongood. Atthisassessmentthe rating hasremainedgood.

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.

People received effective care because the provider carried out comprehensive assessments of their health, wellbeing and communication needs before they moved into the service. These assessments considered people’s preferences, required levels of support and any assistive technology needed to promote independence and safety. The provider also assessed compatibility with people already living at the service to ensure people’s needs could be met and positive outcomes achieved.

Relatives told us they were encouraged to visit the service prior to admission to support a smooth transition. One relative said, “[Relative] came for a respite break and settled, so they stayed.” This demonstrated a person-centred and responsive approach to supporting people to move into the service.

The provider involved people and their representatives in developing and reviewing care plans. A family member confirmed they and the person’s social worker were involved in care planning and were invited to review meetings. Care plans reflected people’s assessed needs, preferences and choices, and provided clear guidance for staff to deliver consistent and individualised care.

Managers ensured staff were informed of changes in people’s needs. Staff were able to clearly describe people’s current support requirements and demonstrated an understanding of how to meet them. Records showed appropriate communication with healthcare professionals when people’s medical needs changed, supporting coordinated and responsive care.

These systems ensured people received care and support that met their assessed needs and supported their wellbeing.

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’s care plans were comprehensive, reflecting input from relevant professionals including GPs and other healthcare professionals. They clearly outlined individual’s preferences and people were supported to maintain a healthy weight through the provision of balanced and nutritious meals. Care plans also reflected consistency of foods and whether people needed support to eat.

A family member told us there was “Lovely food. It’s always hot and [relative has] choices”.

People were able to eat when they wanted and were encouraged to eat together at mealtimes if they wish to. People were able to eat in their room if they chose to do so. The staff supported people to prepare their meals according to what everyone wanted on the day.

Staff demonstrated awareness of the importance of hydration and nutrition in preventing malnutrition and promoting overall wellbeing.

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’s records showed that the staff communicate well with GPs, nurses, social workers and other records and other professionals, this ensured information was shared promptly and accurately and as a result, the support people received was consistent and reflected people’s needs

Relatives felt reassured that health professionals worked collaboratively to promote their family members’ wellbeing and best interest. Relatives told us about examples of good communication and teamwork. Staff felt included, supported and valued. Comments included, “The staff works well together to give my [relative] quality support to live best.”

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.

A family member told us, “My [relative] has improved significantly since being supported by the organisation. The staff are really nice.”

Staff developed clear, detailed care plans that guided practice. They included information about healthy eating and specific dietary needs where required. Staff followed recommendations from healthcare professionals and clearly documented these in care records to ensure consistent support.

Staff supported people to access healthcare services within the local community, including GPs, dentists, opticians and hospital appointments. Following medical appointments, staff updated care plans promptly to reflect any changes in treatment or guidance.

People’s health needs were monitored effectively, their wellbeing improved and they maintained greater independence.

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 the expectations of people themselves.

Staff clearly documented outcomes and set out specific actions to achieve them. They followed clear guidance to support people in meeting their goals. The registered manager regularly reviewed care and support plans and communicated any changes promptly to the care team.

People and their relatives told us the team met all care needs. One relative said, “I am involved in the care planning process. We set realistic goals that focus on my [relative]. I would contact the manager to make changes if required.”

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

A family member told us, “Staff always respect my [relative’s] privacy and maintain their dignity. They obtain consent before providing personal care.”

The provider supported people to make their own decisions and sought consent in line with the Mental Capacity Act 2005 (MCA)The provider informed people of their rights in relation to consent and upheld these when delivering person-centred care and treatment.

Staff consistently sought consent before providing care. They respected people’s privacy and maintained their dignity at all times. One family member told us, “Staff always respect my [relative’s] privacy and maintain their dignity. They obtain consent before providing personal care.”

The provider supported people to make their own decisions wherever possible. Staff sought consent in line with the Mental Capacity Act 2005 (MCA).Where people lacked capacity, staff carried out and recorded appropriate best-interest decisions. They involved family members, representatives or advocates in the decision-making process.

Records clearly documented the rationale for any restrictions. Staff assessed, agreed and reviewed these to ensure they were proportionate and in the person’s best interests.

Staff demonstrated a good understanding of consent, mental capacity and best-interest processes, and applied this knowledge in practice.