Parkville Care Centre

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

At the lasted rated inspection this key question was rated as good. At this inspection the rating has remained good. This meant on the whole people’s outcomes were consistently good, and people’s feedback confirmed this. People’s needs were assessed before they came to use the service. Only people who the team were confident they could meet their needs were accepted to be supported by the service. Assessments were used as the basis for the care records. The care records clearly detailed people’s needs. The registered manager and staff worked to maximise the effectiveness of people’s care and treatment by consistently reviewing their health, care, wellbeing and communication needs with them. The support offered was delivered in line with legislation and current evidence-based good practice and standards. Staff had received mandatory and condition specific training. Staff supervision sessions were in the process of being completed in line with the provider's policy. Staff had received training around the Mental Capacity Act 2005 and associated code of practice. Staff understood the requirements of the MCA and appropriately applied for deprivation of liberty safeguards. They completed capacity assessments and held ‘Best Interests’ meetings with multidisciplinary teams, as needed. Staff worked with local healthcare professionals and sought advice when required. Visiting professionals told us staff were skilled, competent and they supported people well. Staff work as a team to ensure people’s support needs were met. We observed people had been enabled to maintain their skills and independence. Staff had followed best practice around dementia care so stepped in to meet people’s needs, which had led to people retaining their communication skills and social façade. People were really engaged in the life with the community.

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 told us they were involved in the assessment process and their views were always sort. For people less able to share their views relatives confirmed they were asked to support staff develop the assessment. They felt the assessment was thorough and captured people’s needs. A person said, “Staff know me really well and asked me all about my life and what I needed.”

Staff found there were effective systems in place to assess and monitor people's needs. A staff member said, “I involve residents where they have an ability to do so in the assessment and review. I also involve the family at initial stages and invite them to the ongoing regular reviews. I utilise care staff and other professionals for their knowledge and ideas as well when writing the assessments.”

Assessments were produced, which were regularly updated, and these fully captured people's needs. The staff used assessments as the basis for developing the detailed risk assessments and care plans. People’s records included information about any need to use the Mental Capacity Act such as whether people lacked capacity to make decisions, contact details for GPs and immediate family members, and information about healthcare conditions. This helped staff to recognise any deterioration in people’s health and determine when they needed to contact relevant health and social care professionals.

People told us that told us staff made sure the service met their needs. A relative, in general found the staff delivered care and support, which met their loved ones needs. A relative said, “I am very happy with [person’s name] being there. I know that with dementia things are not going to get better, but the staff help [person’s name] as much as they can do given her condition.” We saw staff followed the relevant guidance and best practice when supporting people.

Staff confirmed they had the skills and knowledge to carry out their role effectively. They completed training in relevant areas to ensure they could carry out their role safely and competently. This training included dementia care, condition specific courses and the new mandatory training all care services must now complete around supporting autistic people and people with learning disabilities. Staff supervisions were being completed in line with the company policies and expectations. A staff member said, “I find that there is enough training provided by the company and training covers loads of topics including how to work well with people who have dementia and people with limited communication.”

People’s needs were assessed before they came to use the service. The management team were clear they would only provide support to people, when they were confident staff could meet their needs. The provider had developed systems to ensure the correct staff skill mixes were available to meet service users’ needs. They were investing in staff development to provide a progressive and expert workforce.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

People told us that if they needed, staff would support them to access healthcare. A person said, "The staff are smashing and if I’m not well they always contact doctors or talk about what I need."

Staff liaised with external health and social care professionals to ensure people received consistent care and support. Staff told us they felt confident to support people with managing healthcare needs. The nurses working at the service told us they maintained their professional skills and ensured they met the requirements needed to remain registered with the Nursing Midwifery Council.

People's healthcare needs were met. Care records clearly detailed people’s health needs and how staff were to support them. They also set out how to encourage people to maintain their well-being and independence.

People told us the care they received was good and they were happy with the service provided. People reported staff closely listened to their views and support provided would be altered quickly to meet any changes they wanted. A relative said, “On the whole they are doing a good job, and I am happy.” Within this dementia nursing care setting we found many of the people continued to function to a high level and remain able to chat to people and talk about their lives; this was predominantly because of the way staff were working with individuals. We found the way staff worked with people demonstrated they had a clear understanding of best practices in care for people living with dementia. They had worked to people’s needs, and supported individuals to retain their social skills.

The management team and staff told us they closely monitored the service to ensure people experienced good outcomes. They routinely checked people were satisfied with the service and whether any needs had changed.

People’s care and support was monitored and reviewed to make sure their care and support met their needs. The management team regularly reviewed the systems and processes in the service to determine where improvements could be made. Action plans were used to identify and monitor where changes were required and how these could improve the service. They used all feedback to assist them improve the quality of care.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.