The Emilie Galloway Home of Rest

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 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.

Pre-assessment checks were undertaken prior to admission, and people visited the home so they could meet staff, see their prospective room and greet other people living there. This was documented in their care plan, and risk assessments were completed on needs that required specific care and management, for example mobility and skin integrity. People and their families were included in this gathering of information, and care plans were reviewed monthly or more often if needed. Staff completed daily notes, and a handover at the start of each shift gave opportunity for updating any changes with people’s care needs or routine.

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.

Care plans identified any specific areas of risk and recognised assessment tools were used to support care management and monitoring, for example the Waterlow Score which identifies people who are at risk of pressure sores. People were supported to have a balanced nutritional intake with a variety of menu options offered on a 4-week menu plan that was regularly reviewed. Any specialist dietary requirements, for example low sugar, were catered for and the chef was familiar with people’s needs and preferences. People told us they enjoyed the food with comments including, “Food is good, always got options” and “Food is excellent, compliments to the chef.” There was a hydration station in the entrance hall and juice available in the communal lounge for anyone to access when thirsty. People’s weights were monitored and regularly reviewed for any variation which could indicate further investigations or support were needed.

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.

Each person had an emergency transfer form which highlighted important information and current care needs. This could be taken with them when they attended a different healthcare setting to ensure continuity of care. We observed a staff member speaking on the phone to the hospital and they were detailing a person’s mobility needs, talking clearly and with confidence showing staff knew people well and did not need to reference notes to know people’s care needs and capabilities. We observed the care team working well together and sharing tasks and duties in a relaxed manner. There was flexibility within the team to support people, and a member of staff told us, “If more staff are on shift, we can take people out to the sea or for coffee.” Staff liaised with District Nursing teams to ensure anyone with poor skin integrity received specialist care and support. Within the home daily handover emails were sent to the senior and management team for accessing on the home’s computers. There was also a handover book, and this allowed for appointments and any other related information to be documented. A verbal handover was given in addition to written notes.

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 encouraged to retain their current levels of independence, and staff promoted people to have choice and control over their daily lives. The atmosphere throughout our visit was calm and relaxed with staff having time to interact with everyone. There was no rush to get through their daily duties, and this reflected in the general ambience of the home. We could see that support had been accessed from specialists such as Joint Community Rehab, and Occupational therapists to help manage people’s changing needs. Health and wellbeing were monitored utilising recognised systems, for example the malnutrition universal screening tool (MUST), which helps to identify people at risk of malnutrition. This enabled any weight or nutritional concerns to be identified quickly, and dietician advice sought. Care plan records showed people had attended regular visits to dentists and opticians. Many were able to manage these appointments themselves, retaining control over their healthcare needs. The care team had thorough handovers in place to ensure any changes in needs were communicated to all who were on shift.

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’s care was continually monitored with staff working day and night to assist people as needed. We could see from care records that medical attention was sought when required and people with specific conditions, for example people with Parkinson’s disease had visits from support workers to assess any mobility needs and provide alternative equipment. Staff used body maps to record when and where creams needed to be applied and risk assessments were in place to highlight any associated risks, for example if a product was flammable, with any improvements from treatment being documented. Staff had access to monitoring equipment such as blood pressure machines, and blood sugar monitors for diabetics.

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

People living at the home had the capacity to give their consent to staff for care and treatment, and to make decisions about how they spent their time. Signed consent forms were in people’s care plans, for both care and treatment, and any extra support they may require such as the use of sensor mats. We saw that people were given the opportunity by staff to make decisions and give their views throughout their daily routine. Staff treated everyone with respect and consideration and allowed time for people to understand any information they were being given. Notices in the communal lounge and hallway displayed information on Advocacy should anyone wish to explore that option.