Larchwood Nursing and Residential Home

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the provider met people’s needs.

At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant people’s needs were met through good organisation and delivery.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs.

Care plans detailed people’s needs and captured people’s preferences and choices. Staff were familiar with people’s needs and were able to tell us how people liked to be supported and knew them well. Not all people at Larchwood nursing and residential home were able to tell us about their experiences. Their relatives told us that they had been involved with their loved one’s care plans. A relative told us, “They involve me in everything; we sit down and discuss everything about [person].”

The provider understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity.

Larchwood nursing and residential home accepted fast track referrals for people in need of urgent placement and worked effectively with other health professionals to support transitions for individuals moving between services.

We saw people’s care plans evidenced healthcare professional’s visits and care plans being reviewed on the advice from healthcare professionals.

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs.

People had care plans that set out people’s communication needs. Staff understood how to communicate effectively with each person; for example, a care plan supporting a person living with dementia, advised staff that they required time and opportunity to respond to a choice being given. We observed staff supporting this person and giving them the time and opportunity to respond to staff.

The provider did not always make it easy for people to share feedback and ideas, or raise complaints about their care,treatmentand support. For example, relatives were not given the opportunity to attend relative meetings as a group. This missed opportunities for the provider to share information and receive feedback. However, the registered manager was accessible to people and had anopen-doorpolicy forpeople and relatives.Relatives told us thatif they had concerns that they could speak tothe manager.Complaints and concerns were recorded and responded to by the registered manager.

The provider made sure that people could access the care, support and treatment they needed when they needed it. The registered manager understood how to access specialist support should this be required and had developed strong links with local health teams.

Relatives told us they were confident that the service would contact the appropriate health professional if their loved one’s health deteriorated. A relative told us, “Absolutely, if [person] health declines the care staff would notice as they know what to look out for and would get the doctor in.”

Staff and leaders actively listened to information about people who are most likely to experience inequality in experience or outcomes and tailored their care, support and treatment in response to this. The staff had undertaken equality and diversity training, and the provider had a policy in place to support this. During our inspection we observed positive interactions and people appeared comfortable when engaging with staff.

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life.

People had informative care plans around end-of-life care. For example, people’s wishes regarding ‘do not attempt cardiopulmonary resuscitation’ (DNACPR) were recorded in their care plans.