St Annes 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 inspection we rated this key question requires improvement. At this inspection the rating has changed to 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 service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People’s care and support needs were assessed before they moved into the service, information was reviewed to ensure the service could meet the persons individual and clinical needs. People and their relatives told us they could be involved in their care plans. A relative told us, “We have care review meeting every 6 months, the staff are well aware of my loved ones needs and will always discuss any health problems.” Staff had access to information about people, through the providers electronic care planning system, which was updated as required. Staff told us they had enough information about people to ensure their safety and wellbeing. People’s care and support needs were assessed, reviewed, and updated as required. Records were accurate and reflected the care people had received. A health and social care professional told us, “St Annes Nursing Home have always dealt with the referrals very professionally and very quickly. They will come into the hospital or visit potential clients at home and conduct a thorough assessment in a timely manner.”

The service 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.

People were at the centre of their care and support; the manager told us they were passionate about taking the lead from people. Staff told us they worked with people to follow good practice guidance; this had included working to support people’s mobility and medical conditions. Evidence-based care and good practice guidance underpinned the policies, procedures and ways of working within the service.

The service 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.

People and their relatives told us their information was shared appropriately, for example with the GP or nurse. Staff kept detailed records of people’s care and support, these were shared when needed. External professionals were complimentary about working with the service. A health and social care professional said, “The staff appear to know people very well, they can give good information about the person and the current situation. They always come across as kind and caring and wanting to do what is best for the person.”The manager had oversight of records and could access details of care as required to share them with external professionals. These actions supported and enhanced continuity of care. Staff worked well together, a staff member told us, “We have a very good team.”

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were supported to live well and have a healthy lifestyle. Care plans and risk assessments were detailed and people’s needs were accessible to the kitchen staff. Where people were supported with food and drink there were clear instructions in place, this included when a person may have difficulty swallowing or required a special diet. People had access to a wide range of food and drinks this had included outside of normal mealtimes. Information about people’s dietary and health needs was shared efficiently as records were electronic, clear and comprehensive. People’s nutrition and hydration needs were known to staff, and plans were in place for each person, this included for specific needs such as, fortified foods, intolerances and allergies. Where necessary external specialists had been involved, such as, speech and language therapists who specified safe swallow plans for people. Health and social care professionals were complimentary about the commitment to people’s wellbeing by the service.

The service 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.

People and their relatives gave us examples of how moving to St Anne’s Nursing Home had enhanced their lives. Staff told us they knew how to support people and ensuring people lived the best life possible was their focus. Staff told us they worked with people to make sure they knew what their wishes and goals were, then working to achieve them. In addition to a strong clinical base, the service had a dedicated staff team working on activities to include people’s hobbies and pastimes. We saw specialised assessments of people’s behaviour, with a focus on reducing emotional distress by understanding triggers and calming techniques. Records showed continual discussion and review of people’s needs, which had a positive outcome. A health and social care professional said, “My opinion is that St Annes Nursing Home is a good home, that provide a high standard of care to their residents. They are knowledgeable and they flag concerns to the appropriate teams when needed.”

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

People told us they were treated with dignity, respect and kindness. Where appropriate, relatives had been involved in decisions made on the persons behalf. Consent was sought from people and where necessary in accordance with the Mental Capacity Act 2005 (MCA). A clear process was in place to carry out MCA assessments where required. Care was planned in the persons best interest in the least restrictive way and in consultation with others. Care plans detailed all the options explored, including how the person was supported to contribute to the decision. Signage indicated people’s gender preference of staff and specific communication needs, to promote respect. Staff had received training in MCA and were clear on the principles to ensure people’s rights were respected.