Darnall View Residential 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 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 assessed and kept under review. Changes to people's care and support were effectively communicated to staff. People and relatives were involved in reviews about the care and support provided and were able to actively contribute to planning their care. Staff and leaders considered people’s communication needs and tailored their approach to ensure people were involved in their care. For example, where people’s first language was not English, staff used translation aids and systems to communicate with greater proficiency. Where staff were fluent in other languages, they used their skills to communicate more effectively. Staff understood people’s body language and facial expressions to assess their daily 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. We observed staff serve the lunch time meal and found people were supported in line with their needs and offered choices. We saw snacks and drinks were available throughout the day. Where needed, staff monitored people’s fluid and dietary intake to ensure they had sufficient dietary intake to maintain good health. Saff and leaders monitored food and fluid intake and took appropriate action to escalate concerns where needed. The catering team were aware of dietary requirements and where people required alternatives or modified diets to meet their nutritional needs, these were provided. People and relatives were happy with the food and fluids provided. One relative said, “They [staff] cook fresh every day, and teatime is a buffet and staff help people to choose what they want to eat.”

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. Staff and leaders understood the importance of sharing appropriate information which was clear and concise and in line with people’s needs. We saw staff communicated well between themselves and also with visitors and external professionals. Staff told us they worked well as a team to ensure people received care and support which met their changing needs. One staff member said, “We work as a team together and we have communication book and diary for the seniors. Handovers take place in the morning and at night as shifts change. We also have a WhatsApp group which is well used.” Another staff member said, “We have a really good team and a good understanding of each other. We have worked with each other for a longtime, the managers will help out too.”

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. People had access to healthcare professionals and staff followed their guidance and support. Care plans detailed the support people required and staff were knowledgeable about people's care. One staff member said, “We communicate with the GP if we have any concerns and they complete 2 ward rounds a week on Mondays and Thursdays. District nurses are approachable as well. The healthcare professionals we see are good supportive people.” People and relatives told us they had access to healthcare professionals. One relative said, “They [staff] are interested in [family member's] wellbeing, health and all aspects of their care.” One external professional said, “The care home uses personal care plans and approaches. They contact the relevant services appropriately when required.”

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. People's care plans reflected their goals and detailed how staff would support them to achieve good outcomes. For example, 1 person’s goal was to maintain a level of continence and privacy that was optimal for the person. Actions documented were to ensure appropriate continence wear was assessed and worn, and to observe the person’s body language which may indicate their desire to use the toilet. People were also supported to talk about their employment before they retired. One person was really proud of their position and was extremely happy to chat to staff about it, and this was encouraged.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. We observed staff interacting with people and found they included people in their decisions and choices. Staff respected people's views and preferences. Where people lacked capacity to consent, we found best interest decisions had been made in line with people’s preferences.