Stanbrook 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.This is the first assessment for this newly registered service. This key question has been rated 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 individual care and support needs were assessed and planned for, and guidance for staff was regularly reviewed. People and their relatives were engaged in discussions about assessments and care plans. Staff understood peoples needs and were observed following the guidance in care plans when supporting people to meet their needs. Care plans included detailed guidance for staff about individual needs, and included information on how people communicated and preferred support in line with their protected characteristics. Care plans were reviewed monthly and were updated when needed. We saw staff followed care plans to ensure people received individualised care and support in line with their assessed needs and preferences.

The provider involved people in the planning and delivery of their care and treatment needs, 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 nutrition and hydration needs, including their preferences had been assessed and planned for.People and their relatives told us staff supported them to meet their nutrition and hydration needs. One relative said, “The food is amazing here. They get choices. [Person’s name] has put on weight in the 2 months they have been here. In a good way.” Nutrition and Hydration risks were assessed, and plans were in place to guide staff. Staff were observed offering choices and following the guidance and ensuring people’s nutrition and hydration needs were met. The provider had systems and tools in place to support evidence-based practice. There were a range of risk assessments in place, including tools such as personal emergency evacuation plans and pain assessment tools. Staff were aware of these tools and used the available guidance to meet people’s needs. Care plans were in place for individual diagnosed health conditions which were based on best practice and captured individual needs. Staff were observed following the plans to ensure people’s needs were met.

The provider worked well across teams and services to support people. The provider made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. The provider told us they had systems in place to ensure people received coordinated and joined up care. There was an electronic records system which held peoples care plans and enabled staff to record the care people had received. These records were checked throughout the day to ensure people had received the required care at the right time. Staff told us this also included information from other health professionals which guided how they should support people. There was a handover process in place where important information and changes to people’s care needs could be shared with staff. We saw staff had engaged with a range of different health professionals to ensure people received support to meet their needs. Partners confirmed the provider and staff supported people effectively and worked with other agencies as required.

The provider supported people to manage their health and wellbeing and live healthier lives.People and their relatives were positive about how staff supported people to maintain a healthy lifestyle and meet their individual health needs. A relative told us, “[Person’s name] has a specific health condition, and they make sure they get all the medicines and care they need for this condition.” The manager told us, “We have good relationships, with the doctors and we have case management rounds every Friday. We also have good support from local district nurses who visit when needed.” Staff were aware of how they needed to support people to maintain their health and wellbeing and sought advice from doctors and other health professionals when needed. A staff member told us, “We do an eConsult and get health needs addressed through this system. Its good and quick there is also a weekly ward round.” The provider had systems in place to document people’s health needs in care plans and ensure people had the care they needed to maintain their health and wellbeing.

The provider routinely monitored risk assessments and care plans to make changes and ensure people received care and treatment which met their needs. The manager told us they reviewed people’s risk assessments and care plans every month and when their needs changed. Records we saw confirmed this. Reviews took account of any incidents or accidents, and this was considered and used to inform changes to care plans. Staff told us people using the service had improved since their admission and could give examples. Staff described how one person was at risk of falls. Reviews of the risk assessment and changes to the care plan had ensured the person had a reduced risk of falls. This was evidenced by how long it had been since they had experienced one, records we saw confirmed this.

The provider ensured people understood their rights, sought consent, and respected them when delivering person-centred care and treatment. People told us staff sought consent before they had their care and support needs met. Staff were observed seeking consent from people before supporting them. Staff understood the principles of the Mental Capacity Act and could describe how they supported decision making in people’s best interests. A staff member told us, “We always seek consent from people before they have their needs met. We have to make decisions for people sometimes, in their best interests.” The manager told us there were systems in place to ensure people had mental capacity assessments and decisions taken in their best interests were documented, and the records we saw supported this.