Northfield House Residential Home

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• 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 as good. At this assessment the rating has remained as good. This meant people’s needs were met through good organisation and delivery.

This service scored 68 (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 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.

The provider was in the process of transcribing all care plans and records onto a digital platform. Staff were using this platform to complete daily notes and record care provided to people.. Although we observed staff providing personalised care, we found daily care notes were task orientated and did not provide sufficient oversight of people’s emotional wellbeing. Records did not evidence personalised care was being provided. We raised this with the registered manager who acknowledged and attributed it to how the digital platform was being used. They told us they would make improvements to address these concerns.

We found some people’s care plans did not always include personalised details to reflect their preferences and lacked person centred information around peoples preferred routines. Additionally, some people who were using the service for short-term assessments, felt they were assisted to get up earlier than they would have preferred. They told us they had not raised this as a concern because they were satisfied with the choice and flexibility they had around when they went to bed.

We did not look at Care provision, Integration and continuity during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Providing Information during this assessment. The score for this quality statement is based on the previous rating for Responsive.

The provider had systems in place or people to share feedback and ideas, or raise complaints about their care, treatment and support. People and relatives told us they were confident to complain to staff or the manager if they needed to.

However, some people who were on short term assessment placements told us they did not want to get up so early or were not entirely happy with the menu choices. They told us they had not mentioned this to the registered manager as they were not staying for long. A person also identified the care call alarm was very loud outside their room but again had not raised this. This meant the provider’s existing systems had not always encouraged or enabled people staying for shorter periods to share their views about their day to day experience. We discussed this with the registered manager so they could improve out they captured and acted on people’s feedback regardless of the length of their stay at the service.

We did not look at Equity in access during this assessment. The score for this quality statement is based on the previous rating for Responsive.

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.

We did not look at Planning for the future during this assessment. The score for this quality statement is based on the previous rating for Responsive.