The Stables Residential Care 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.

The provider spent time getting to know people, their needs, wishes and preferences prior to admission. This ensured people’s needs could be met.

People’s care records were personalised, detailed and up to date.

People and relatives were involved in planning and reviewing their care. One relative described communication as ‘very good.’ They added, “We are kept up to date about everything.”

Staff had the information they needed to provide safe care. One staff member told us “Before a resident is admitted we have the family fill in an information sheet to help us for the first couple of days whilst we are getting to know the resident. [Care manager] does the care plans and puts it all on CareDocs (electronic recording system). We talk about things and share information from the time we have spent with the resident.”

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.

People’s nutritional needs were met through personalised meal planning. One relative told us, “Every meal is catered for each individual every day, not just once a day but for every meal.”

Staff demonstrated they knew people’s dietary preferences and needs. Information was shared with staff at the start of each shift if people needed to be encouraged to eat and drink more to maintain their health.

The provider used recognised tools to assess and identify risks to providing people’s care and support, including to assess the risk of skin damage and malnutrition.

The service worked closely with health and social care professionals to ensure they delivered care safely. Care records incorporated professional guidance for staff to follow to ensure people’s care was delivered as directed and in line with evidence-based practice. For example, support with people’s skin integrity.

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.

Relatives told us they were kept informed if there were any changes to their family member’s needs. One relative said, “We are fully informed. If anything happens and we are not here we get a phone call straight away.”

Care records detailed when healthcare professionals had been contacted to discuss a person’s care and the outcome of these discussions. For example, recommendations on the usage of a pressure relieving mattress. A healthcare professional who regularly visited the home told us, “They [staff] are always open to recommendations and take our advice on board.”

We observed the provider and a district nurse having a detailed discussion about the outcome of the district nurses visit to a person.

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.

Staff monitored and were kept updated about any changes in people’s needs. Staff told us, “We have the comms book where anything that happens is recorded. We have a handover at every shift, and we have a diary with all the appointments, if anyone seems a bit down or off colour we report it straight away.”

Staff worked with healthcare professionals to ensure positive outcomes for people. One staff member told us “We follow what the nurse asks us to do. That helps the residents.”

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.

Relatives were very pleased with how the management and staff team worked with other professionals to improve people’s health and quality of life. One relative described how staff were working closely with a physiotherapist to assist their family member to regain their independence.

Staff monitored people’s health and well-being and escalated any concerns to other health and social care professionals. One health care professional told us “I know if they are worried about anything, any new areas of redness, for example, they will ask us to have a look”.

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

People were supported to make decisions. One person told us “They ask me when I want to get up, it’s up to me. I do like a lie in now and again”

Staff understood and promoted people’s rights. One staff member told us “The residents make their own decisions. We ask if they would like to get up and if they want a lie in, we go back later and ask if they are ready for help” Our observations confirmed staff sought people’s consent before providing care and support

Care records outlined whether people had the capacity to make everyday decisions. Where people lacked capacity care plans detailed guidance on how best to support the person.