Widecombe Nursing 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 good. At this assessment the rating has remained good.

This meant people’s needs were met through good organisation and delivery.

We have not awarded this service a score for Responsive.

Find out about when we will not publish a key question score and what we look at when we assess Responsive.

The provider did not always make sure people were at the centre of their care and treatment choices and they did not always work in partnership with people, to decide how to respond to any relevant changes in people’s needs.

Care plans for supporting peoples emotional support and distressed behavior, were not always informative for staff, for example they explained people’s behaviours, however, it was not always clear what staff needed to do to support people.

We found people did not get the opportunity to regularly access their community and opportunities for activities at weekends. People’s communication care plans were not always reflective of how to support people’s needs.

Staff we spoke with knew people well. A staff member said, “We know [people], we talk with them, and they let us know.”

Relatives told us that staff were kind and friendly and staff had the skills and knowledge to care for their loved ones. A relative told us, “My [person] was admitted to the nursing home a long time ago. [Person] is familiar to all. They do their best and show a lot of respect.”

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. People received support from external healthcare professionals. Referrals were made to healthcare teams. A relative informed us that staff help their loved one with hospital appointments, and staff let them know how the appointments go.

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs. Menus were available for people in a variety of formats. For example, written and pictorial menus. The menus were available in communal areas or in people’s rooms.

The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. Staff involved people in decisions about their care and told them what had changed as a result.

People, staff and relatives were able to feedback, including by surveys. Relatives and visitors were able to feedback on leaving Widecombe Nursing Home when signing out on the electronic signing in and out system. The registered manager reviewed feedback and discussed changes at team meetings.

People are involved in their care plans. One person told us they were involved in putting together their care plan and when staff review it, they speak to them about it.

A relative told us, “My relationship with the management staff is excellent. I have seen [person] care plan, and I regularly get invitations to the relative’s meetings.”

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

A staff member told us that they were informed by the management team or nurses of any changes to people’s care plans. Staff could see changes on the electronic handheld device the service used. Staff informed us that if they see any changes in people’s wellbeing, they informed the nurse or management.

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. During our assessment we observed positive interactions, people appeared comfortable when engaging with staff.

Staff had received training in Equality and Diversity. This meant staff had knowledge and understanding about how to support everyone to feel valued and respected.

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, peoples wishes relating to how they wanted their final days to be, including music they would like to be played.