SeeAbility - Heather 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 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.

People participated in their assessments and reviews. People had communication care plans in place and documents to take to hospital with them when required.

Staff and those who knew people well were also involved in people’s assessments to ensure their views and opinions were captured. Staff told us people’s views were sought during daily support and in key worker meetings with them.

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.

Comprehensive assessments captured people’s physical, emotional, and cognitive needs. These were reviewed regularly to reflect any changes in a person’s condition or preferences.

Staff followed recognised best‑practice guidance, including approaches tailored for people living with epilepsy, contractures and other complex health conditions. This ensured care plans were informed by up‑to‑date clinical knowledge, promoted wellbeing, and supported people to maintain independence. Staff ensured people had enough to eat and drink and where there was a concern in this area, staff had completed a referral to the relevant health professionals requesting additional support. This prevented people’s health deteriorating.

People were supported to maintain relationships with friends and family through physical visits and video calls, this enhanced people’s social skills and maintained their wellbeing.

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 provider had processes in place to ensure care and support was coordinated in the best interests of people using the service which included collaboration with professionals and information sharing.

Professionals told us the provider kept them informed and sought their advice. 1 professional told us, “They have worked very well with me, a visiting health professional, and have the understanding and knowledge to make collaborative decisions to keep the people as safe as possible. For example, collaborative discussion between myself, the senior leadership team, staff, nurses, physiotherapists are very common and easy to maintain.”

People’s goals, dreams, and aspirations were documented in personalised plans and always communicated so a consistent approach was maintained between services. principles.

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.

Care records captured the support people required with their health needs and what action staff should take when there was any deterioration to an individual’s health. This meant there was early detection when people becoming unwell.

A relative told us, “The cook is brilliant, they understand all about diet and so on. The cook does a 4 weekly rotational planner, but it is changed regularly. Always with added pulses for the fibre. Staff weigh [Relatives name] regularly.”

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.

Staff worked collaboratively to plan and deliver people’s care, reduce risks, and achieve best outcomes for people.

Relatives told us about the many activities their family members were supported to take part in each week. One relative told us, “They support [relatives name] to go out for trips, they go out every day. They go for walks, [relatives name] loves that. [Relatives name] participates in arts and crafts, and they do cooking. There’s a whole team of Physiotherapist who support [relatives name].

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

Where necessary, mental capacity assessments (MCA) were completed in line with the Mental Capacity Act 2005 and Best Interest (BI) meetings were held, following the MCA. These assessments also took into account where people’s capacity fluctuated, for example, during times of distress.

A DoLS tracker was in place to ensure the provider knew when these needed to be reapplied for.

We reviewed evidence and observed staff gained people’s consent. Staff told us they always sought consent from people and explained what they needed to do to support the individual safely.