Salisbury House Residential 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's care needs and choices were assessed. A care plan was developed based on the outcomes of assessments. Staff worked with both people and their families to help achieve the best possible outcomes for people. A relative told us, “When [Name] moved in, I was involved with their care plan and was asked many questions and given paperwork to fill in.”

People’s communication needs were assessed to help ensure people’s choice, autonomy, and involvement in their care was clearly understood by staff.

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.

People received the care and support they required, which was evidenced in daily care records. Care and support provided to people adhered to best practice guidance.

People’s nutritional needs were met in line with both their assessed needs and choice and preferences. Food was home cooked on the premises and wherever possible, locally sourced produce was used.

People told us they enjoyed the food. Comments included, “I like the food, I’m looking forward to my lunch” and “The food is nice, sometimes it’s curry and I love it and it’s fish and chips on Friday.” A relative told us, “The meals are great and it makes me want to move in myself!”

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 demonstrated a commitment to safety, effective working with partnership agencies and open communication, to help ensure people benefited from well-coordinated care and support.

The provider had developed positive working relationships with a variety of external health and social care professionals such as nurses, GP’s, and commissioners, to ensure people received the support they needed, when they required it.

One visiting external health professional commented, “I mainly deal with the senior carers, who are always incredibly professional, caring and well organised with all clinical needs, for us to safely manage the residents acutely and long term. The whole team are professional and always engaging with the residents.”

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.

The provider worked collaboratively across services to better understand and meet people’s needs. The provider used an electronic care recording system, so information could be shared quickly and easily with other external health care professionals.

A relative explained how staff had supported their loved one to regain their independence following an accident. They told us, “They [Staff] got [Name] to walk again and that took some doing.”

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.

Care and support were regularly reviewed and updated to ensure people’s needs were met. Written reviews of care were documented in people’s care and support plans. Any changes in care and support were rationalised and evidenced. A relative explained how staff kept them up to date about their loved one’s care. They told us, “They [Staff] keep me informed about everything and are very supportive of me.”

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

Staff had completed training in the Mental Capacity Act 2005 and had access to information and guidance to help support their practice. They understood people's right to make decisions unless assessed as otherwise.

Information was held in people's care plans detailing decisions made on people's behalf and those involved. Staff obtained people's consent before providing them with any care and support.