Park View

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people were safe and protected from avoidable harm.

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 service had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice.

Staff discussed closed cultures during team meetings and had completed specific training to mitigate the risk of closed cultures developing in the service.

The service worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different services.

The service supported people and their relatives to be fully involved when moving between services, completed robust strength-based assessments and established core staff. We saw people had been supported to transition between school and college and the transition went smoothly. The college told us, “The approach illustrates a person-centred ethos and a genuine commitment to the welfare and development of people”.

The service worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. Staff concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The provider shared concerns quickly and appropriately.

There were appropriate policies in place to protect people from abuse and staff had training in safeguarding adults and children. Staff could describe actions they would take if they suspected or saw abuse. Contact numbers for the management team, the local authority safeguarding team and Care Quality Commission were also available to staff. The management team knew what action to take if concerns or safeguarding issues were passed to them. Records showed the registered manager had reported and investigated incidents appropriately and promptly when required, they followed their requirements under duty of candor and provided feedback to relevant people in a timely way.

The service worked with people to understand and manage risks by thinking holistically. Staff provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them.

Risk assessments were clear, detailed, and reviewed often to keep people safe.

People were fully involved and supported to take positive risks. For example, a person who had expressed a wish to eat food, they were nil by mouth due to previously choking, the service worked with the person and their clinician. The person and their staff team tracked their progress and carefully managed potential risks. Over time, the person had become able to eat a normal diet, whilst still having clinically assisted nutrition as required. This helped to empower the person to make choices about their diet, whilst remaining safe.

The service detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care.

People were supported to identify risks within the environment. People had received health and safety training and regularly completed environmental audits that included the cleanliness of the home and the condition of flooring and decoration alongside the provider.

The service made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs.

The service completed staff recruitment checks, in line with legal requirements, to ensure only suitable staff were hired. Staff received training tailored to the needs of people they were supporting, this included suitable training in working with autistic people, people with learning disabilities, clinically assisted nutrition and hydration and person-centred care. This helped to ensure staff had the training and skills to meet people’s needs.

The service assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly.

People were supported to keep the home clean and minimise the risk of infection. Staff used personal protective equipment when required and understood how to prevent infections from spreading. Staff encouraged people to maintain their personal hygiene, keep their home clean, some people had developed their skills and could tell us how to stop germs from spreading.

The service made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. Staff involved people in planning, including when changes happened.

Staff safely supported people with their medicines and kept clear records. Staff knew how to report medicines concerns and followed best practice guidance including Stopping Over-Medication of People with a Learning Disability, Autism or Both (STOMP) to prevent people receiving medication unnecessarily. PRN (as required) medication protocols are in place to ensure that medicines administered on an ‘as and when required’ basis are given safely and appropriately. Creams were used with clear body maps to ensure people had creams administered safely. Staff were trained, competent, and regularly assessed to make sure best practice was followed and people received their medicines safely.