Parker House Nursing Home

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

People’s care and treatment was effective due to their health, care and well-being needs being assessed with them. People’s support plans detailed their needs and preferences. People told us they were involved in the assessment process. However, monitoring of support plans required further development to ensure support provided was effective. Staff were aware people’s preferences.

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.

Staff knew people’s needs well. Staff knew how to access care records and ensured they referred to healthcare professionals when needed. Staff told us they received training in the new electronic care planning system. Staff told us they referred to specialists such as dietitians and speech and language therapists when people needed specialist support.

People were involved in planning their care. People told us they were happy most staff knew their needs well, however some people said due to turnover in staff they at times had to tell staff how they liked to be supported. A person told us, “I have to tell the staff how I want to be looked after when they keep leaving and new staff don’t know me.” However, another person we spoke with said, “I can ask for anything to be done differently - I find staff very easy to talk to.” Relatives we spoke with told us they were involved in their loved one’s care and staff included them in the care planning process. Records in place detailed people and their relatives were involved in care plan reviews. Some people declined to take part or could not take part in a review of their needs and staff respected this.

Care plans documented people’s risks and needs. Care plans had recently been transferred onto an electronic care planning system. Staff had sought support from a specialist nurse to review care plans to ensure they were detailed and clearly directed staff in how to support people. Care plans we reviewed during this assessment detailed people’s needs and wishes. Some risk assessments relating to the use of bed rails were not always clear, the registered manager took action to ensure these were clear after our assessment. Moving and handling, continence and personal hygiene care plans were in place to direct staff in how best to support people. National assessment tools were used to understand people’s needs and how best to support them. For example, Waterlow and MUST risk assessments were completed for all people. People had an oral healthcare assessment in place to ensure people maintained their oral health.

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

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.

Processes in place required further development to ensure people’s needs were monitored. Staff recorded people’s daily well-being on the newly implemented electronic system. However, this had only been recently introduced and we found large gaps for one person in the support they received in regards to their continence needs. The registered managed told us they were able to check daily records from their system and they completed checks. However, as the system was new there was not a formal audit in place to monitor this. Records we reviewed detailed staff referred to healthcare professionals such as the GP when needed.

People told us staff supported them to access healthcare professionals and attend any appointments as needed. People said, “The doctor comes in every week, and you can ask to see them if needed. An optician will visit, and my chiropodist comes every four weeks.” Relatives we spoke with were confident staff supported people to seek support form external professionals when needed. A relative said, “Staff make sure my [relative] sees the doctor, they know them well.”

Staff and the registered manager knew people well which meant they knew when to seek specialist advice and support for people. Staff told us they contacted the GP when needed and other healthcare professionals such as dieticians and occupational therapists. The registered managed told us staff had completed training in REACT TO RED and RESTORE2. REACT TO RED is training relating to the prevention of skin damage and RESTORE 2 supports in the early detection of sepsis. This meant staff were able to recognise and act if a person became unwell. Staff who worked in the kitchen discussed people who required modified or fortified diets. Staff implemented guidance from dietitians to ensure people were provided with a diet in line with their needs.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

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.