Malvern 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.

This is the first assessment for this newly registered service. This key question has been rated 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 assessments considered the person’s health, care, wellbeing and communication needs. This ensured care planning was person-centred and aimed at achieving the best possible outcomes. People’s care and treatment plans were regularly reviewed and updated to reflect any changes in people’s needs. Where additional support was required, timely and appropriate referrals were made to healthcare professionals.

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 plans were comprehensive, reflecting detailed input from relevant professionals including GPs and other healthcare professionals. Care plans clearly outlined individual’s preferences, ensuring care was tailored appropriately. People were supported to maintain a healthy weight through the provision of balanced and nutritious meals. Staff demonstrated awareness of the importance of hydration and nutrition in preventing malnutrition and promoting overall 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.

Staff handovers were structured and effective, enabling important information about people’s wellbeing, care needs, and any changes in their condition was shared promptly. We reviewed care records and found clear evidence of involvement from other professionals, including doctors and district nurses. Staff worked collaboratively with external healthcare professionals to ensure people received appropriate interventions and support. Communication between teams was proactive, and referrals were made when necessary to maintain people’s health and wellbeing.

Relatives gave positive feedback about the care their family members had received and about the staff working at the service.

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 service focussed on identifying risks to people’s health and wellbeing early and on how to support people to prevent deterioration. People were empowered and supported to manage their own health, care and wellbeing needs by staff who understood their needs and preferences. People were offered a wide choice of food and drink throughout the day, including healthy options. A hydration station was available with a self-serve juice dispenser, ensuring people had easy access to fluids to maintain good hydration. We observed people appeared relaxed and satisfied during mealtimes, and records confirmed people’s dietary needs and preferences were respected.

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 were committed to delivering high-quality, person-centred care and worked hard to ensure people achieved positive outcomes. Records showed effective approaches to monitor people’s care and treatment and their outcome.

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

Care plans included clear documentation in relation to consent, and staff demonstrated an understanding of the principles of the Mental Capacity Act. Where people lacked capacity, appropriate best interest decisions were recorded, and involvement from family members or advocates was sought. We observed staff explaining what they were about to do before providing support, giving people time to agree or decline.