Water Royd Nursing 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 79 (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 had recently introduced a more robust and person-centred digital software system, which recorded peoples care needs, risks and preferences. Staff recorded care via a handheld device and staff told us this had improved their recording systems. Care plans were individualised, and contained detail about peoples wishes, cultural needs and what was important to them. 'All about me' booklets were in place, which detailed information about what was important to people, their likes and dislikes. A relative said, “I like that we can visit here at any time. We have never had any issues with the home.”

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. Various professionals visited the service to provide support to people, including a chiropodist and opticians. Care plans were detailed and included advice from professionals, such as speech and language therapy (SALT) assessments.

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. Staff told us the team worked very well together and there was a positive morale and culture amongst the team. A staff member said, “The staff team are amazing, always there for each other, the morale is great.” Partners told us staff worked well with them, and followed their advice, to provide good support and care to people. A professional said, “The service is great, there are always staff around to help. They take on board what I say, and communication is good.” The service had a dedicated staff member, who was responsible for ensuring people admitted into the service were settling in and could express their wishes and preferences. Family members were also involved in this process.

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 offered a varied and nutritional diet, including fresh fruit and vegetables. People were offered opportunities to partake in exercise, this included badminton and volleyball. A staff member delivered training about dementia, and how staff supported people living with dementia, they also planned to deliver a session to relatives, to enable relatives to gain knowledge and support strategies.

The provider monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves. Staff were dedicated to ensuring people had good outcomes. A 'you said, we did board' was in place, which evidenced what action the service had taken in response to people’s feedback. For example, the service had recently moved the main mealtime, for most people, who had requested this. This had had a positive impact on people and had reduced some accidents and incidents. People had access to a hairdresser, who visited the service weekly. People also had access to books and sensory equipment. Staff recorded when people had received positive outcomes and the impact this had on them. For example, 1 person was supported to order a gluten free take-away and another person was supported to have a positive hospital appointment experience, to reduce their anxieties around attending hospital.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People had consented to their care and treatment. Staff worked in line with the principles of the MCA. Where people lacked capacity, assessments were in place, and the appropriate authorisations were sought.