Stronvar Rest 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 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 were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs.

Peoples care plans identified their needs and how staff should support them in line with the preferences, goals and interests, breaking down the steps to good support and who else outside the immediate care team should be involved. Staff were easily able to navigate these on their electronic devices.

The registered manager and team leader updated care plans on a regular basis or when needs changed whichhelped ensure care remained accurate, person‑centred and responsive to people’s current needs.

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.

Health professionals told us that this was an area that the service excelled in. One said, “Stronvar routinely escalate concerns,” and “… we make appropriate onward referrals; however, these have often been done pre-emptively by senior cares or the manager. For example, they have noticed a patient has a downward trend in weight and refer to dietetics, or notice patient appears to have increased pain and will request GP/ANP assessment for pain review.” Thisenabled joined‑up, flexible care that supported choice, continuity and positive outcomes.

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs.

Relatives were kept up to date with changes in the service. People were consulted about changes to the environment in a way that met their communication needs. This included ensuring that hearing and visual aids were in good repair, and that people were presented with information in language they understood.

The registered manager had various information displayed in the entrance of the service, including use of CCTV in communal areas which helped ensure people, visitors and staff were informed and supported transparency.
 

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.

Relatives and people told us they felt able to raise concerns and these would be reviewed. The service had not undertaken formal relative and resident meetings for some time, instead engaging people in changes to the service on a more informal basis due to the small size of the service.
 

The provider made sure that people could access the care, support and treatment they needed when they needed it.

The registered manager ensured that where people required dentist support and hospital visits for routine appointments were supported to do so, if a relative or loved one was unable to.

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.

People living in the service had a range of needs that might prevent them from accessing the support they needed, such as dementia diagnosis. Staff worked closely with professionals, relatives and other community organisations to address barriers to access care.

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.
Staff had documented people’s preferences and wishes and had experience of supporting people with end-of-life care. Relatives told us that they were included in discussions where appropriate during admission and through a person stay. Staff knew people incredibly well and were able to anticipate people’s needs.

The registered manager worked closely with external health and social care professionals to plan future care. They ensured there were anticipatory medications associated with end of life care that might be needed, these had been ordered and stored to ensure timely access to health professionals who would administer them.