Springhill Care Home

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• 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 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.

One person told us, “The care is great, I have no complaints, this is my home, and staff support me, and I feel it is based on my needs.” One relative said, “We do discuss my [family member’s] needs and they have input along with me.”

People’s needs were formally assessed using a range of assessment tools. This included levels of risk, monthly reviews and updates of care plans. A second relative commented, “I have lots of discussions with management about my relatives care and they always listen. We don't always agree but my relative is the priority and their care and support has to be the best.”

Diet and fluid management was recorded in the care plans, there was evidence when staff delivered care, and this was monitored during the shift by the nurses on duty. Communication methods were documented within care plans to enable effective communication.

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 were supported by appropriate health and social care professionals if the need arose. One person said, “I have seen my own GP here twice, and the district nurse has been to take some bloods. I have a chiropodist and I’ve had my ears checked.” A second person commented, “I get a doctor if I need one. Nurses do call all the time. I did need a new pair of glasses and the home dealt with an appointment for me here at the home.”

Staff were aware of specific dietary needs and how to meet them, for example people who had diabetes or pureed meals. Kitchen staff prepared pureed foods in the exact shape and colours of everyday foods. This helped maintain the dignity and appetite of people with swallowing difficulties. One person told us, “I am only just getting back to eating again and the home are really trying to tempt me and give me encouragement. The cooks make suggestions all the time.” A second person said, “Oh gosh, the food is good and the cooks do cater for my special dietary needs. I like vegetables and fish, and I get a really good selection.”

Regular reviews took place, to provide effective support and keep people safe. Staff understood the needs of the people they supported, and the help they required.

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 shared information with other health and social care professionals to support care planning and delivery. Records of agreed actions and treatment plans were documented to enable consistency of care. Health professionals told us the service worked well with them and supported people to work towards their goals.

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.

People experienced positive outcomes related to their health and wellbeing. One relative told us, “Lots of planning was put in place for my relative. I feel that the staff know the person and centre the care on them.” A second relative commented “Since being here [family member’s] health has improved.”

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 supported people to achieve positive outcomes to their health and quality of life. One relative said, “Because of the attention to detail by the home and knowing what matters to the person, their quality of life is as good as it can be.”

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

The management team worked in partnership with people, their families, advocates and representatives in line with The Mental Capacity Act 2005 (MCA). Staff completed training in MCA and understood the concept of consent.

We observed staff gain consent from people before completing any tasks. We saw consent for care and treatment was obtained in people’s care plans and records. The provider made applications to the local authority if people were at risk of being deprived of their liberty. One staff member told us, “It’s their life, their way.” A second staff member commented, “We have to give someone every opportunity and help to make a decision.”