Myford House Nursing & 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 inspection we rated this key question good. At this inspection the rating has changed to outstanding. This meant people’s outcomes were consistently better than expected compared to similar services. People’s feedback described it as exceptional and distinctive.

This service scored 88 (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 made sure people’s care and treatment was effective by thoroughly assessing and reviewing their health, care, wellbeing and communication needs with them. Everyone had comprehensive assessments of needs, which were reviewed regularly or if there was a change of circumstance. These assessments of care included, but were not limited to, health, care, wellbeing, and communication needs. When people presented with complex health needs the provider engaged the person and a multi-disciplinary team to assess and plan the care response. The provider ensured the person was an essential part of the decision-making team, keeping their needs and wishes at the forefront of all decisions. These assessments resulted in detailed step by step instructions for staff to follow ensuring continuity of care. We saw many examples where this had had a positive impact on the person, often resulting in the person being able to return to their own home following a short stay at Myford House Nursing Residential Home. One person had a significantly impaired skin condition on admission. Staff used best practice tools to assess the needs of the person, and completed a detailed plan of intervention. This resulted in a significant improvement, and their skin had effectively healed. A healthcare partner told us the provider was supporting a person with some very complex health care needs. The management team and staff worked with healthcare partners to comprehensively assess the person’s needs, coordinate the provision of specialist equipment, detail specific instructions on how to motivate the person and for staff to provide coordinated support. The healthcare partner stated this person’s health and welfare needs improved to such an extent, they regained their independence. They told us the staff ensured a person’s journey through enablement was smooth and the most effective for each individual, paying particular attention to their specific needs.

The provider always 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, recognised national standards and evidence-based good practice guidance. The provider worked to develop evidence-based good practice and standards. When people’s needs were complex, the provider sought additional support and guidance. We saw an instance when there was very little clinical guidance available nationally to support the person with their needs. The provider researched clinical guidance documents and engaged a multi-disciplinary team to develop a bespoke care plan for the person, which was adapted to meet their specific needs. We saw this person’s clinical needs reduced, resulting in them requiring less healthcare interventions and a greater level of independence.

People’s care and support was planned with them using recognised best practice tools which were completed by a skilled and competent staff team. These assessments were used to plan the clinical response to people’s needs. These individual care plans included accurate assessments of needs, including but not limited to, skin integrity, mobility, diet and nutrition. These assessments accurately recorded people’s needs and wishes for support, and were reviewed regularly or if there was a change in personal circumstances. One person told us about a change in their skin which had been identified by the staff, and a review of their care plan was completed on the same day. They were referred on for more specialist support immediately. People and relatives found the proactive support afforded to them by staff at Myford House Nursing Residential Home reassuring. One healthcare partner told us, “We can tell they are extremely passionate around the service they provide.” They went on to say they believed the coordinated approach toward delivering high quality evidence-based care and treatment greatly improved the outcomes for people and directly impacted their lives in a postive way.

The provider always worked well across teams and services to support people. They shared thorough assessments of people’s needs when they moved between different services, so people only needed to tell their story once. People told us the staff worked well with other health care providers to ensure they received a positive outcome. One person said, “They [staff] are good at talking to the GP for me. I have complete trust they tell them all about me and how I am getting on.” One visiting healthcare partner told us they had the utmost faith in all the staff and their approach towards coordinated care and information sharing. They said every clinical instruction or recommendation was carried out with the highest competency. If the clinical staff did not agree with a specific instruction, they challenged it to ensure the best possible outcomes for the person. We attended a multidisciplinary meeting along with staff. During this meeting staff supported the coordinated clinical response to people’s needs. We saw multiple instances where staff appropriately questioned the decisions made and suggested alternative courses of action based on evidence and best practice. This appropriate challenge and coordinated team response ensured people received the best possible outcomes. One visiting healthcare partner told us they specifically requested to work with staff and the provider because of the strong partnership working ethos which had a direct impact on improved recovery for people. This partnership working ensured people had accurate records, which were current and reflected their needs, which could be easily shared when it was appropriate and safe to do so, with those with authority to access them. This supported people to receive safe and continuous care.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. People were supported to live healthier lives through regular access to health care professionals such as their GP's. All those we spoke with told us they were referred for additional support without any delays if they needed it. One relative told us their family member required specialist medical support. The staff ensured these appointments were kept and they passed current information to this team so they could advise and guide staff appropriately. Staff held regular multi-disciplinary meetings with healthcare partners where they were able to discuss, and if appropriate challenge, clinical decisions to ensure people had care which met their individual needs.

The service 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. When it was required, the service monitored people’s individual health changes to identify if any additional support was required. For example, 1 person’s skin integrity changed. They were referred for specialist advice and guidance without any delay, and the guidance formed the revised care plan and was then passed to staff providing the care intervention. This joined up care ensured people received effective care outcomes.

People were informed about their rights around consent and staff respected these when delivering person-centred care and treatment. Everyone we spoke with told us they agreed for the care and support they received. Where necessary the provider had procedures in place to engage people with legal authority or responsibility to make decisions within the requirements of the Mental Capacity Act 2005. This included the duty to consult others such as carers, families and/or advocates, where appropriate.