Stretton Hall 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.

This is the first assessment for this service with the new provider. Previously with the old provider effective was rated good. At this assessment the service continues to be rated good for effective. 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. People received a pre-admission assessment prior to moving into the home considering people’s preferences, needs and identified risks. Personalised care plans and risk assessments were created from these assessments. Some people told us they were involved in all aspects of their care plan. One person told us, “Staff always ask and involve me in my care, I consent to the care plan”. Staff understood people’s risks and were aware of people’s individual care plans.

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. Activities were planned throughout the day, which included a varied selection to include everyone. Activities included book clubs, movie nights and celebration of themed events such as Halloween. We raised with the manager how staff needed to be mindful of people with a diagnosis of dementia. For example, how people with dementia may be negatively impacted by staff dressing up for Halloween. The home had designated activities coordinators who gained feedback regularly from people to see whether the activities were working or not. One person told us, “I get involved in all the activities, I love them. I attend the residents’ meetings, they have been quite useful, I like to get involved. I run a once a fortnight keep fit class, I am the keep fit resident, we sit in chairs and do the exercises”.

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. The Operations Manager and Quality Director told us the home had gone through challenges and changes over the past few months since the new home manager came into post. This included resolving some closed culture concerns within the staff team. At this inspection, we did not observe or identify any closed cultures. Staff worked well together and showed care and empathy towards people. Staff shared with us they had recently had a sudden bereavement of a very valued member of staff, which had brought a lot of sadness to the team. The manager and Operations Director held a memorial for staff and people to attend and remember special times with the staff member. One staff member told us, “It was special and helped us a lot”.

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 received meal choices, and a daily menu was created for the day. The menu was in picture format and large print to meet people’s communication needs. Food was home cooked and had nutritional value. 1 person told us, “The food is good, with plenty of choice”. People did not always choose who they sat with at the dining table and were placed together which we saw caused some distress to people. Measures were in place to monitor people’s food intake and fluid intake. These were reviewed daily by staff and the manager who completed an audit to ensure people were meeting set targets put in place by health professionals.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves. People’s care plans provided details of outcomes people wished to achieve. A ‘service user of the day’ was used to review people’s care. This is where a selected person would have their care plans, risk assessments, outcomes and any future actions or tasks requiring future action reviewed. The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves. People’s care plans provided details of outcomes people wished to achieve. A ‘service user of the day’ was used to review people’s care. This is where a selected person would have their care plans, risk assessments, outcomes and any future actions or tasks requiring future action reviewed.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People’s care plans recorded their consent to care. Where people did not have the capacity to consent to their care, we saw best interests decisions were made with appropriate representatives included as part of the meeting. People had Deprivation of Liberty Safeguards (DoLS) in place where required. The manager had a DoLS matrix in place to monitor the dates of people’s authorisations. Reviews of people’s care were completed regularly and involved people.