Sidmouth Nursing 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 82 (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. People and relatives told us they were involved in their care and support. Care records reviewed showed people’s wishes, likes and preferences were outlined for staff to follow. For example, activities were tailored to people’s preferences. Staff knew people well and followed care plans to meet their 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. People were given choices about their care. The provider worked with other professionals in the local community and this enabled people’s care needs to be met in a holistic way.

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs. Staff were provided with guidance on how to communicate effectively with people. Care plans outlined people’s communications needs.

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. Records reviewed showed people had been asked for their input about the service. People and relatives received a survey to complete, and results shared with us showed positive results about the home and care being delivered.

The provider was exceptional at ensuring people could access the care, support and treatment they needed when they needed it.The provider ensured that people had access to health care professionals for example, when people’s needs changed, a referral was sent to the required professional. There were a range of health care professionals involved in people’s care. For example, the home arranged home visits for people with different needs, if a resident had some hearing impairment they can be seen at home by the visiting audiologists. For people who are unable to access the community the home arranged a video consultation with health care professionals such as the GP. The home facilitates assessments such as continuing health care; this is particularly helpful for people or families who struggle with digital or technological difficulties. In addition, the home work closely with the local authority supporting people with advocacy. They also have involved a befriending service for the people living at the home. People can be confident that their needs can be addressed and met with a range of experts if needed.

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. For example, the provider obtained a new digital monitor for diabetes, this helped to reduce people’s health issues associated with this medical condition. Care notes showed people had regular reviews by the GP.

People were given exceptional support to plan for important life changes, so they could make informed decisions about their future, including at the end of their life.Care records showed that people were supported to plan important life events. We reviewed records for people who were in receipt of end-of-life care. Feedback from relatives was overwhelmingly positive about how staff were very compassionate and sensitive during this time. The provider had obtained a nationally recognised qualification for supporting people at the end of their life. We saw several examples of care plans and case studies which outlined in detail what support was needed and how this was to be delivered. The team provided reassurance, emotional support and symptom management to people/families at the end of their life, this was a level of care previously provided primarily by hospice teams.

The provider used tools for example a needs support matrix, to help identify what kind of support was needed when people were reaching the end of their life. This tool had a checklist and used trigger actions and appropriate on-going monitoring. Staff had enhanced training to use these end-of-life tools. Codes were used to show what stage people were at in terms of their conditions for example, on admission a person maybe coded in blue, this would then go to green as their condition deteriorated and then to red in their final days. Each code meant different levels of monitoring for example, weekly checks and regular contact with the GP to agree the next stages. Staff understood the whole process around end-of-life care.