Saivi House

On this page

• Overview
• Kindness, compassion and dignity
• Treating people as individuals
• Independence, choice and control
• Responding to people’s immediate needs
• Workforce wellbeing and enablement

Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect.

At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people were supported and treated with dignity and respect; and involved as partners in their care.

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 always treated people with kindness, empathy and compassion and respected their privacy and dignity.

Care staff treated people with kindness and compassion. We saw that people had diverse needs and staff worked with them in different ways. Staff engaged with people in a kind and supportive way and ensured that where appropriate extra help was provided. We saw staff actively tried to engage with a withdrawn person, through offering different sorts of food specific to what they liked and in different forms such as animal shapes.

People were offered options for activities, and we saw staff actively encourage people to participate. People were offered different foods and, where necessary, were supported to eat in a respectful way. Staff engaged with people and offered stimulation at appropriate levels dependant on people’s ability. We saw staff support people’s dignity by sensitively adjusting clothing to preserve dignity. People’s clothing was clean and tidy and well fitting.

The provider treated people as individuals and made sure people’s care, support and treatment met people’s needs and preferences.

Staff knew people well and understood their individual needs and preferences. This was reflected in people’s care, treatment and support, including care plans and observed interactions between people and staff. People had choice in what they wanted to eat each day. As the home was small, they completed shopping at regular interval during the week. The registered manager told us, “We do menus but they [people] change it every day as they want something else! We cook what people want on the day.” We aw people having breakfast in the morning and being provided with a choice of different foods. People had choices of where they ate, whether that was in their rooms, at the dining table or sat on sofas in the lounge. We observed staff engaging with a person around a subject they loved. The person animatedly showed staff items and smiled at staff. Staff told us they knew this subject made the person happy and liked encouraging them. Staff treated people as individuals. They used names people liked to be called, and people were treated respectfully.

The provider and staff promoted independence choice and control. People were encouraged to engage in activities they enjoyed.

We observed 1 person was provided individual staff support and encouraged to actively engage in an activity. Staff knew the person’s needs and told us what they enjoyed. We saw staff offer different external activity options to a person and accompanied that person to their preferred option. We noted that due to people’s diverse needs, staff frequently supported them to engage in individual activities. People were given choices of which activities they took part in. We saw charts for each person that showed a variety of different activities that were suitable for each person. Each chart was individual and specific to the person. We saw an activity sheet for a person who we had seen engaged in active conversation with staff regarding football and noted some activities were watching a sports channel and playing sport. There were photos on the wall of the lounge showing different pictures of people involved in different activities.

The provider listened to and understood people’s needs, views and wishes. Staff responded to people’s needs in the moment and acted to minimise any discomfort, concern or distress.

Staff knew people well and understood when they were feeling unwell or may be becoming anxious and distressed.People’s care plans documented triggers for people and what could cause them distress. Staff had clear guidance about each person and how to help them. This included, talking, diversion and allowing people space to calm down. Where a person was becoming physically unwell, staff respond immediately and contacted the GP. Staff also used the local authority Care Homes Assessment Team (CHAT). CHAT has a network of healthcare professionals who work closely with homes in Enfield and can make referrals, monitor people in the community to help maintain people’s wellbeing.

The registered manager cared about and promoted the wellbeing of their staff and supported and enabled staff to always deliver person-centred care.

The registered manager told us they felt staff support was important as good staff wellbeing encouraged staff to deliver good quality care. The provider had a staff wellbeing policy which staff were aware of. Staff wellbeing was also discussed during staff meetings. Staff told us they felt their wellbeing had improved since the addition of an extra member of staff daily.