- Homecare service
Park View Court
Report from 18 September 2024 assessment
Contents
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, 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 service since they registered on 27 March 2023. This key question has been rated Good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this. People were involved in the development and review of their care plans. The provider ensured that if a person was unable to make decisions about their care a mental capacity assessment was carried out and best interest decisions made in line with the principles of the Mental Capacity Act 2005. Staff were kept up to date with best practice.
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.
Assessing needs
People confirmed they had been involved in identifying their support needs for their care plan. They also said that their relatives and social workers were also involved if required.
Staff explained they understood the support needs of the people they visited as they regularly reviewed their care plans.
An initial assessment of a person’s support needs was carried out by the social worker and the registered manager to identify if their needs could be met in the extra care provision. When the person came to visit the flat the registered manager would discuss their support requirements in more detail.
Delivering evidence-based care and treatment
People told us that they felt confident that staff understood their support needs as they received the care they needed. People explained that, if required, staff supported them to prepare meals or to visit the communal restaurant which was located on the ground floor. One person said, “The staff will come and take me to the restaurant.”
Staff confirmed they had completed training to provide them with an understanding of how to provide care in a safe and effective manner to meet people’s needs. Staff said they also completed specialised training to meet people’s specific support needs such as diabetes, dementia and autism. Staff also explained that they worked with healthcare professionals to ensure people’s health and wellbeing needs were met.
Care plans included information on the person’s nutritional care needs including any allergies, if a special diet was required and if the person had any issues with swallowing. The care plan also identified if the person required support to prepare their own meal or access the on-site restaurant.
How staff, teams and services work together
People told us that all the staff who visited them understood their care needs and supported them, when required, to contact healthcare and other professionals.
The registered manager told us they worked with the local authority and other health and social care professionals to ensure people received the care they required
We did not receive feedback from partners regarding this aspect of the service.
The provider worked closely with the housing team who are responsible for the flats and the communal areas to ensure people received their care in a safe environment.
Supporting people to live healthier lives
People confirmed that staff supported them to make appointments with healthcare and 1 person said, “The girls in the office do that for me.” A person told us a staff member accompanied then to a hospital appointment, “I had a hospital appointment and the girl that came with me was wonderful.”
Staff explained they helped people, when required, with making and attending medical appointments, requesting prescriptions and identifying if a person’s health and care needs had changed.
People’s care plans and risk assessments identified any health issues the person was living with. There was information for staff on each medical condition, how if impacts the person’s life if any medicines had been prescribed and how to provide appropriate support. An oral healthcare plan had also been developed including information on if the person had access to a dentist, if they used dentures and the level of support they required from staff.
Monitoring and improving outcomes
People told us they did not always have the same staff member visiting them to provide support, but they did not have any concerns about this as they got to know the staff very well. One person said, “You don’t get the same carer for too long. It’s fine and I get to know different people.”
Staff recorded the care they provided during each visit which included how they had supported the person, if there had been any visits from healthcare professionals or family and detailed the experience of the person during the visit.
People’s care plans had information on outcomes related to aspects of their care which included the control over the person’s everyday life, personal dignity, safety and nutrition. Each of the outcomes identified how they could be achieved in relation to the person’s support needs.
Consent to care and treatment
People confirmed that staff explained about the support that was being provided and asked the person’s permission before it started. One person said, “Yes, they always consult me. [The registered manager] insists on that.”
Staff members demonstrated a clear understanding of how to support people to make decisions about their care. A staff member told us, “According to the care plan and profile, we know the capacity to know decisions. We support them to make informed decision by giving essential information to them in their best interest.”
People’s ability to consent to their care was assessed and if they were unable to agree to aspects of their care the provider had a process to ensure the principle of the Mental Capacity Act 2005 were follow so that care was provided in the least restrictive manner possible.