Sherbutt House

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 – 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.

At our last assessment we rated this key question good. At this assessment the rating has remained good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

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 provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People’s needs were comprehensively assessed and included consideration of their physical, mental health, sensory, social and communication needs. The assessment was used to inform their care plan. Assessments also reflected people’s strengths and skills. People, and their relatives where appropriate, were fully involved in the process. They had opportunity to share their views, preferences and key information.

Assessments were regularly reviewed and updated to make sure the information was still relevant and the support was meeting people’s needs.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

The provider used relevant tools to assess and monitor people’s needs, including those related to nutrition and skin integrity. Care was delivered in line with these assessments, but we noted gaps in one person’s repositioning records. The registered manager issued a reminder to staff to improve record keeping in this area. They also put extra checks in place to ensure more robust monitoring moving forward.

People received appropriate support with their nutrition and hydration. Staff were very knowledgeable about the support people required, including any modified diets or thickened drinks. We observed staff offering choice and respecting people’s wishes. The provider’s satisfaction survey results indicated people were very satisfied with the meals provided.

The provider’s electronic system prompted staff when and how to provide support to people with their meals and drinks, and staff recorded when this had been done. We discussed with the provider about some recording improvements which could be made to enable managers to more easily monitor that all meals and drinks provided had been prepared in line with the person’s care plan.

The provider demonstrated commitment to promoting best practice in relation to nutrition and hydration. They had commissioned a nutritionist to develop food practices and menus in line with best practice guidance. People’s feedback was sought as part of this process. New menus had recently been introduced and early indications had shown positive impacts for people. For instance, improved blood sugars levels for one person who was diabetic, and a positive impact on weight maintenance for some others.
 

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing relevant information when people moved between different services or accessed other healthcare support.

Staff told us there was good team work at the service. Their comments included, “The staff team get on well and things are addressed if needed” and “It’s a great team. Any problem you can go to anyone.” Systems were operated effectively to ensure staff were aware of key information in a timely manner. Staff were clear about their roles and required tasks each day.

Staff also worked well with external professionals and relatives to provide joined up support. We received very positive feedback from visiting professionals. One described how well they worked with the service and said staff were able to “discuss any concerns, provide feedback and listen to any information or suggestions.” The provider had also received positive feedback and compliments directly from external professionals, when staff had supported people at appointments for instance.

Staff made appropriate referrals for specialist support or advice for people when needed, and followed any instructions given by healthcare partners. The GP and district nursing team visited the home on a regular basis.

This all demonstrated that staff worked effectively as a team, and with other services, to support people’s holistic needs.
 

The provider supported people to manage their health and wellbeing to maximise their choice and control. Staff supported people to live healthier lives.

People were supported to understand and make healthier choices including choices relating to their diet, lifestyle, physical activity, personal and oral hygiene. Care plans contained information about people’s health needs and staff ensured people were supported to attend routine check-ups. Staff supported people to follow any guidance given by healthcare specialists. One person had been supported to regain their skills and confidence with managing their health condition, and there had been improvements to their health as a result.

People attended a wide range of community-based activity, to help promote their physical activity and wellbeing. For instance, many people used the local leisure centre regularly and some people enjoyed walking and playing tennis. The home took part in the annual Care Homes Olympics each year, organised by the Humber and North Yorkshire ICB Nursing and Quality Team, to promote physical activity and community connections. We received positive feedback about how much people enjoyed taking part.

People were offered a healthy balanced diet, to support with leading healthier lives. The service had a nutrition champion who shared information, best practice and promoted healthy options.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Staff worked with people to identify any goals or outcomes they wished to achieve as part of the care planning process. These were evaluated each month. There were also additional goals recorded in relation to people’s personal aims and wishes. For instance, we saw one person had goals in relation to going to see a Christmas panto, a trip to Goathland and going for a Chinese meal. Staff supported people to achieve these goals.

Staff and relatives provided examples of positive outcomes from the care provided at the home. For example, a relative told us their loved one had become calmer and more able to manage situations since living at the home. For another person, there had been a reduction in incidents due to a change in their living environment and an increase in staff support. This had also had a positive impact for others they lived with and enabled them to maintain relationships.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff respected people’s rights when delivering person-centred care and followed the principles of the Mental Capacity Act (MCA). This included seeking consent to their care and for specific decisions, such as photography on social media. Capacity assessments and records of decisions made in people’s best interests were in place, where people lacked capacity to consent to significant decisions or restrictions. The provider acted to ensure relevant documentation was in place relating to use of CCTV in the grounds of home, in response to our feedback.

Staff completed training in relation to the MCA and understood the importance of seeking people’s consent before delivering care. We observed staff offering people choices and respecting their decisions.