Newnton House 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.

People’s needs were assessed before they began to receive care. Records confirmed a pre assessment took place which involved people, their relatives and members of their healthcare team. The deputy manager said, “We will go and assess people where they are, speak to them see how they are and visit the ward.”

Records viewed showed there was an ongoing assessment of needs while people lived at the home. A member of staff said, “We always speak to [person] to see how they are, we also read the notes and get a handover from staff when we start our shift to know what is going on."

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. Relatives were assured staff knew how to provide support to their family member in line with their assessed needs as they said they could see they had the necessary skills to do the role.

Records confirmed people were offered culturally specific meals. A relative said, “Yes, [person] is offered Caribbean food and jollof rice.” A variety of meals were offered and people were encouraged to make healthy choices where they had diabetes with support from diabetic clinic and dietician. A member of staff said, “It was [person’s] birthday yesterday and we made sandwiches. We give a treat but balance it out."

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. Records showed the registered manager and deputy manager had built good working relationships with external health professionals. Regular communication with people’s health teams was evident showing how they supported people, for example, meetings were promptly organised where medical intervention was required and the planned steps to take were documented to make informed decisions.

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 were supported to attend routine health appointments to maintain their health and encouraged to do this for their benefit. For example, physiotherapy appointments were arranged to support people to improve their mobility.

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. Records showed care was reviewed and staff providing care and support were to monitor and update the management team if there were any changes in people’s health needs. A relative said, “They’ve been on the ball with communication, whenever [person] goes to hospital and if they are unwell they let me know.”

Staff told us the care plans in place helped them understand people’s health needs and when to identify the need for intervention and extra support. For example, where people’s mental health deteriorated staff knew what to look for and who to contact to support people promptly.

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

Records confirmed consent was requested before delivering care. Staff told us they asked people for their consent before delivering care and support and did not rush people to do things when they were not ready. Choices were offered to people to ensure they were fully involved in the process of agreeing to care. A member of staff said, “We ask [person] if they are ready for personal care, depending on [person’s] mood we may have to wait a bit.”

A relative said they were kept informed about proposed treatment so that they were aware of the plans especially where extra interventions were required to ensure the treatment could go ahead. A relative said, “They let me know if [person] needs an injection and they let me know the side effects so I am fully aware.”

The team kept clear records of the decision making process, especially when medical treatment was required and people lacked capacity. Best interest meetings were held and involved health professionals and relatives.