Highbury House 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 Requires Improvement. At this assessment 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 provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Previous areas requiring improvement identified at the last inspection had been met in respect to the detail of information recorded in people’s care plans. People and their relatives told us they were involved in the planning and reviewing of their care. A relative told us how their loved one’s assessment and care plan was drawn up before they left hospital to live at the service. Care plans we looked at showed that a comprehensive assessment had taken place to ensure people’s needs could be met. The care plans were informative and clear.
People were assessed prior to moving to the service to ensure their needs could be met. The registered manager told us, “We liaise with family, the person and any professionals. Basically, anyone who is involved in their care.”

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.

We could not get direct feedback from people in relation to delivering evidence-based care and treatment. However, we received feedback from staff and managers which demonstrated that people were supported in line with their needs, including their nutrition and hydration needs. A member of staff told us, “The Nourish [care planning] system has all the information we need on it, and we can access it at any time. It updates regularly as well.” Staff told us people's care plans were kept up to date to include their current needs, how these were to be met and desired outcomes. Staff told us they assisted people to access the support they needed from other professionals and services.

Processes were in place which showed people’s needs had been identified and continued to be reviewed and amended. Where people had specific nutritional requirements, staff were aware of these and supported people accordingly. Nationally recognised assessment tools were used. Concerns were escalated quickly and acted on. Support from specialist teams was sought when required.
 

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.

Previous areas requiring improvement identified at the last inspection had been met in respect to communication between the service and professionals. We received positive feedback from people and professionals. A health professional told us, “Yes, the staff are always helpful when we attend for visits. They are knowledgeable regarding their residents and are competent with regards to the manual handling and wound care I have observed. They are confident in their abilities and ask questions regarding wound care when there are aspects they either do not know or require clarification on.”

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 told us they received support to access healthcare, inside and outside of the service. A relative told us, “They have recognised several times when [my relative] was unwell and called the doctor. He does regular rounds with the residents.” A member of staff told us, “We care for people really well and the nurses are on hand 24 hours a day.”

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.

People experienced positive outcomes and had planned goals for the future. Feedback from staff confirmed people’s care and progress were monitored. Staff were knowledgeable and supportive of people's goals and wishes. One member of staff told us, “We encourage people to do all they can, and have the best life they can.” Processes were in place to ensure people’s outcomes were monitored, and any changes were implemented. This was evidenced in people’s care plan reviews. Care plans were audited to ensure regular reviews took place and any actions were followed up.

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

People had been assessed for their capacity to consent to aspects of their care. When people were assessed as lacking capacity to make specific decisions, best interest decisions were carried out. These were documented and showed who was involved in the decision-making process and how the decision had been reached. A relative told us, “If in the morning [my relative] wants breakfast in bed, then they will let him. He can make some of his own decisions about what he does. There are no set times for things, it is quite relaxed.”

Staff knew about consent and had received appropriate training. One member of staff told us, “I’ve done training around capacity and consent. You always assume people have capacity.”