Denville Hall

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.

The last rating for this key question was 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 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 registered manager assessed people’s needs and choices. Staff created care plans based on the assessments. Information was personalised and clear. Assessments were regularly reviewed and updated. Staff were given information on how to meet people’s needs. Staff worked in partnership with other professionals to ensure people’s needs were met. People and their relatives told us they were consulted about their care and involved in reviews.

Staff provided evidence-based care and support. They undertook a range of training to help them understand about people’s needs. The registered manager shared information with staff about best practice and legislation. Staff told us training was helpful. Staff had recently completed a workshop to understand how to manage difficult situations. They told us this had provided them with skills to deescalate situations and to understand the different ways people communicated and expressed themselves.

Staff worked together to share information and make sure people’s needs were met. There were clear roles for different staff. Staff told us there was good communication and teamwork. This included regular meetings, handovers between shifts and written communication. Staff told us they were able to ask senior staff and managers for advice or support.

The provider had good relationships with external professionals. The service was supported by a community matron who regularly contacted the staff to discuss people’s health and wellbeing. Doctors and other professionals, visited the service. On the day of our visit, 2 doctors met with the nurses on duty and had consultations with people using the service. We heard the nurses giving clear and detailed information and sharing ideas about how best to care for people. External professionals told us staff were good at communicating with them. Their comments included, “I am very happy with the working relationship we have with staff. They are very efficient” and “The staff have a good approach. They are knowledgeable about [people using the service].”

Staff supported people to stay healthy. They assessed and planned for their healthcare needs. Staff worked closely with doctors and other professionals to monitor these. People had access to treatments they needed. Staff made timely referrals when people needed additional help or support. Comments from external professionals included, “Staff know when [people] are unwell. They check people’s health and are very attentive” and “The nurses are competent. They react fast when there is a change in someone’s health. They always contact us and are good at following management plans.”

People told us they had regular healthcare appointments.

Staff supported people to have nutritious meals and stay hydrated. They monitored people’s weight, food and fluid intake. People were able to make choices about what they ate. Staff offered regular drinks and snacks. People told us they were happy with meals and were always able to ask for extra food if needed.

Staff encouraged people to take part in regular exercise classes and keep fit.

Staff monitored people’s health and wellbeing. They discussed any concerns with nurses and the management team. Staff recorded information about changes in people’s needs or skin conditions. We saw appropriate action was taken. People were supported to improve when they became unwell.

Staff helped people plan outcomes and objectives for their care. These were regularly reviewed to make sure people were receiving the care they wanted and needed.

People consented to their care and treatment. They told us they were given choices and were able to make decisions about their care. People’s views and agreement were recorded in care plans and reviews. Some people lacked the mental capacity to make certain decisions. Staff worked with their representatives to help make decisions in their best interests. These were regularly reviewed to make sure they were appropriate.