Stoneyford Care 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 requires improvement. At this assessment, the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

Improvements had been made to care records and daily notes including those relating to pressure care, falls and observations. These records now accurately reflected the care delivered and evidenced required welfare checks where needed. People were supported with nutritional and fluid needs appropriately and staff were knowledgeable about peoples dietary requirements. Staff confirmed they had received refresher training since our last assessment. This included competency checks to ensure staff performance was safe and effective.

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. Since our last assessment, the registered manager had ensured quality monitoring audits including pressure care and accidents and incidents were reviewed daily. Staff we spoke with were knowledgeable about people and their needs. For example, one staff member was able to describe how often someone needed to be repositioned and how to support the person to do this. The staff member knew when the person had last been supported and the time support would be needed again. This matched what we observed in the daily notes for the person. This meant the person was safe from the risk of pressure damage and supported consistently in line with their care plan. Staff used daily flash meeting and handover records to ensure identified risk and needs were communicated effectively.

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 records now accurately reflected the care people received daily. Since our last assessment, the registered manager had upskilled staffs’ knowledge and understanding of these records. We observed staff on the day of assessment and then reviewed the care notes remotely. We found the records accurately reflected the support staff provided. Care plans contained clear guidance for staff on any professional recommendations, such as advice from district nurses. This ensured people received care in line with their care plan and improved their outcomes in a timely manner.

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. Where needed referrals to other professional such as GPs and hospital specialists were done effectively. One person we spoke with said, “Staff are very good, they know when all my appointments are and make sure I get there.”

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. For example, we observed people participating in exercise activities both in group settings and on an individual basis. Staff now recorded people’s progress and improvements from these activities. This meant the management team could identify positive outcomes for people or offer them further support where needed to meet their goals.

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. Since our last assessment, a person had been supported with new equipment for moving around the home. This meant they were now able to sit at the dining room table during meals time and participate in the social experience which had improved their wellbeing. Everyone we spoke with told us they had access to a GP and other professionals such as opticians and dentists when needed.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People told us they were included in their care planning. While people said they had not seen their care plan everyone we spoke with said they did not wish to see it and trusted staff to support them. One person said, “They [staff] talk to me about my care all the time and they ask my permission to do anything.” Our observations during the assessment supported people’s feedback. We saw staff asked people for consent prior to supporting them and taking time to explain people’s choices where needed.