Georgian 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

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 requires improvement. At this assessment the rating has changed to good.

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

This service scored 79 (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. The registered manager met with people and their relatives and discussed the assessment information with them and their relatives before they moved to the service. People using the service, and their relatives told us they had been involved in the assessments of their needs and care planning.

A relative told us, “Yes, [we were involved] definitely. I and the rest of the wider family do feel involved with [relatives] care and support. We have no qualms about asking for something if it is a bit different.”

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.

Care plans included detailed information about people’s preferences and how to support them to achieve their identified goals. People and their relatives were positive about the care and support people received. A relative told us, “[Relative] does pretty much what they want. When [relative] gets up, they [staff] do get them showered, but as far as meals are concerned, [relative] can really have them when [relative] wants. For example, they came back from hospital once at 1:00 am in the morning and they [staff] gave [relative] an omelette.'‘ [Relative] is up a lot during the night wandering around and a carer will always walk around with them.”

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. A member of staff told us, “We have regular visits from GP who do a weekly round seeing people we support who have any health issues. We also have community nurse; we have regular contact with social workers.”

A health professional visiting the service told us, “The home was very good, one of the best I go to, would place a loved one here if they needed support. Staff are very caring, helpful and knowledgeable. Very supportive and always give a thorough handover. Feels a part of the staff team, the owners and staff have the interest of patients at the heart.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. There was choice of food available to people considering their individual preferences. A relative told us, “Yes, [relative] can get a drink or snack when [they] want. [Relative] lost a lot of weight in hospital and in another Care Home, and has put this back on mostly. The meals are very good. They do tend to have a lot of vegetables which can be a bit repetitive, but the actual meals are very good and there is always two options. There is also always the option that [relative] can have a sandwich at any time if they doesn't like what is there.” People were provided with opportunities to attend a number of activities in the home and they had access to health professionals. A person told us, “If I feel unwell, they get the doctor in for me. It is not a bad place this.” A relative told us, “[Relative] will see the nurse first if [relative] needs something and if necessary, they will get a doctor in.”

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.

Systems had been reviewed and actions implemented to ensure information was shared with and followed by staff in line with best practice, following a specific incident at the service. Procedures had been strengthened to monitor people's fluid intake and people’s weights were monitored with action taken if required. The registered manager, in partnership with the local GP, had implemented an assessment tool for use when people’s health deteriorated. This guided staff about how best to escalate any concerns. A communication record for use with the GP had also been developed. These systems were being embedded into daily practice, and the provider was monitoring. There were examples where staff monitored people’s needs and took action to improve outcomes. Where a person’s needs had changed, staff had referred to partner agencies for further support and assessment. A relative spoke of how they were involved in their loved one’s care and said staff were good at communicating, taking ongoing actions to review and keep them safe.

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

Feedback from people included, “Yes, they [staff] will always ask me for my agreement before doing anything. For example, if I was in a situation where they need to pump my chest, that needs permission on religious grounds. I did say yes when this happened.” And a relative said, “They will explain to [person] what is happening. Whether they understand it is another matter, but they do try. They do ask [person] if they want to go outside or go to the park, or to go home for a while.” and “The carers will always inform and explain things to [person] before they do it.”