St Josephs Nursing Home

On this page

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

This service scored 71 (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.
While people were treated as individuals and had choice in their day-to-day care, they were not always involved in the planning of the care, or included in discussions about changes needed in their care. The registered manager told us they were aware this needed improvement and had begun using guided questions with people to assess their needs.
People were accepting of the care they received, and were content to accept care as it was offered, but they were not actively involved in day-to-day choices. A person told us, “I have a wash every day and shower whenever they come to take me into the shower. I just do whatever they want me to do.”
 

The provider understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity.
Staff and the registered manager knew people well and were able to support them to see other health care professionals or access the local community as they wished.
People were aware of their rights and were supported in choices. Staff followed guidance from other health care professionals and information was shared in people’s care plans. For example, a visiting nurse had reviewed and given guidance on management of a person’s dementia.
 

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs.
The home had a recently updated its Statement of Purpose and people were given a copy on admission. This document reminded people of their rights, including their rights to choice, and how they could raise a concern or a complaint. The registered manager had ensured people and relatives could provide feedback using a survey as a prompt. Where people might need information in other formats than print, the registered manager would happily accommodate that. The registered manager told us talking books were available if people needed them.
 

The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. Staff involved people in decisions about their care and told them what had changed as a result.
People knew who to speak to if they had a concern and everyone had a copy of the Statement of Purpose for the home which had information on the homes complaints policy. The registered manager had recently sent out surveys to staff, people at the home and relatives to obtain feedback and ensure changes were led by people who used the service.
A person told us they could not remember being specifically asked about menus at the home, but they said staff talked to them and acted on their choices. “I don't think I have been involved in menu planning. But if you say I've never had so and so, a couple weeks later it's on the table.”
 

The provider made sure that people could access the care, support and treatment they needed when they needed it.
People could access care and treatment when they needed it in ways that worked for them.
The registered manager ensured people had access to dental care and opticians, and were able to see GPs and other health care professionals as necessary. Staff supported people to attend appointments.
 

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.
Staff underwent equalities and diversity training and understood the importance of promoting equality and ensuring people had equity in care. The ethos of the home was religious, but the registered manager emphasised the need to support everyone regardless of faith. The registered manager explained how the RESPECT forms are completed to ensure any religious needs can be met when a person dies. They told us they could contact leaders of various faiths for people if needed.
People appreciated the care given and felt listened to.
 

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life.
People’s plans around the end of their lives were discussed and information completed in the RESPECT form. The registered manager was aware that different religions required different burial timelines and ensured this was recorded so people’s wishes could be carried out.
People’s care plans and RESPECT forms clearly stated how they wished to be treated, for example, we saw a plan which conformed a person did not want to be admitted to hospital, but would prefer to stay at the home and be in the company of staff they knew at the end of their life.