Selly Wood 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 good. At this inspection the rating remains 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.
The service maximised the effectiveness of people’s care by assessing and regularly reviewing their health, wellbeing, and communication needs. Care plans were comprehensive and reflected people’s individual requirements, including physical, clinical, and social needs. Assessments were completed on admission, routinely reviewed, and updated whenever care needs changed, for example after hospital stays or changes in mobility. Staff demonstrated a clear understanding of people’s current needs and supported them to participate in decisions about their care.
Communication needs were assessed, and staff used person-centred approaches to ensure people could express preferences and concerns. Relatives were actively involved, with one relative stating, “Staff always explain what is happening and keep us updated about any changes in care,”. Multidisciplinary input, including GP, physiotherapy, and other healthcare professionals, supported accurate, up-to-date reviews, ensuring care plans were effective and responsive to people’s changing needs.
While clinical assessments were thorough, psychosocial needs particularly for people living with dementia were less detailed. Leaders recognised this and had arranged for the onsite Registered Mental Health Nurse (RMN) to deliver workshops to strengthen staff understanding and assessment of people’s cognitive and psychological abilities.

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 planned and delivered people’s care and treatment in partnership with them, ensuring their preferences and what mattered to them were central to all decisions. Care was delivered in line with legislation and evidence-based good practice, with staff using up-to-date guidance to inform interventions. People’s care plans reflected current standards and were reviewed regularly to ensure they remained relevant to their needs, including nutrition, hydration, skin integrity, and mobility.
Staff demonstrated knowledge of best practice and implemented it consistently, supported by audits, supervision, and access to training. People and their relatives were kept informed about their care, including any changes or new approaches, and were involved in decisions about their care plans. The service actively monitored outcomes, shared learning across teams, and incorporated guidance from healthcare partners to improve care delivery. This approach ensured care was personalised, safe, and aligned with current professional and regulatory standards.
The dementia care plans explained people’s medical needs clearly, but they didn’t always include enough information about what keeps the person happy, calm, and engaged. Leaders were addressing this through planned dementia-specific training delivered by the home's (RMN) to strengthen evidence-based practice.

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, teams and external professionals worked effectively together to maintain continuity of care. Up-to-date assessments and digital records ensured staff understood people’s current needs. When referrals or transitions were required, information was shared promptly with GPs and community partners, so people did not have to repeat their history. One staff member told us, “We make sure everything is handed over properly, so other services know exactly what the person needs.”
Transition planning considered people’s health, communication needs and preferences. Daily clinical handovers, GP reviews, community visits and telephone consultations ensured concerns were escalated and addressed quickly, including when emergency support was required.
When people received input from several professionals, staff communicated consistently to keep care aligned. This coordinated approach supported safe seamless care and demonstrated that the provider worked well with partners at a consistently good level. The visiting GP told us, “The staff here communicate well with us, follow care plans accurately, and ensure residents’ medical needs are met promptly."

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 and reduce their future needs for care and support.
The provider supported people to manage their health and wellbeing. Staff encouraged people to take an active role in monitoring their health where possible and to engage in physical activity, maintain hydration and nutrition, and follow care plans tailored to their individual needs. Regular assessments, including skin checks, nutritional monitoring, and clinical observations, helped staff identify risks early and prevent deterioration. One staff member explained, “We try to help people stay as independent and healthy as they can, and we keep an eye out for any small changes.” GP reviews and consultations with specialists ensured timely interventions, and care plans were updated promptly to reflect any changes in health or wellbeing.

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.
The service routinely monitored people’s care and treatment to ensure positive and consistent outcomes. Care plans were regularly reviewed and updated following assessments, hospital discharges, or changes in health. The provider utilised multidisciplinary input from nurses, GPs, physiotherapists, and other healthcare professionals. The provider used digital systems and audits to track key aspects of care, including medication management, skin integrity, nutrition, hydration, and mobility, allowing staff to promptly identify and address any issues. Feedback from people, families, and staff was gathered through surveys, meetings, and daily observations, enabling the service to evaluate the effectiveness of care and make improvements where needed. This approach ensured that people consistently received care that met clinical expectations and their individual needs and preferences.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.
The service ensured people were informed about their rights regarding consent and that these were respected in all care and treatment. Staff consistently sought people’s views and obtained consent before providing care. Mental capacity assessments were thorough, and best interest decisions were made in line with the Mental Capacity Act. DoLS were applied appropriately and recorded in care plans.
People and their representatives were involved in planning, managing, and reviewing care, ensuring decisions reflected their preferences. Staff provided information in ways people could understand and allowed time for decision-making. One relative told us, “They always explain what care is happening and make sure we understand and agree, it’s reassuring.” Staff demonstrated confidence in applying consent principles across all aspects of care.