Shottendane 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,treatmentand support achieved good outcomes and promoteda good qualityof life, based on best available evidence.

This is the first assessment for this newly registered service. This key question has been ratedgood.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (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.

Assessing people’s needs and choices; delivering care in line with standards, guidance and the law. Qualified and competent staff completed assessment of people’s needs before people were accepted to use the service or when there were changes to their situations.
Assessments of needs covered people’s physical and mental health conditions, personal care needs, social needs, communication, nutritional needs, their behaviours, mobility, and skin integrity. Various nationally recognised assessment tools were used such as the Malnutrition Universal Screening Tool (MUST) to assess people’s nutritional needs.
People’s needs were reviewed on an ongoing basis and care plans updated to reflect changes and new information gathered about them.

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 contained information about people’s needs, their background, likes and dislikes and what was important to them. People’s care plans documented their nutritional and hydration needs, and the support they required to eat and drink enough to maintain a balanced diet. Staff assisted people who required assistance to cut up their food. Staff sat with people who required support to eat and encouraged them to eat sufficient amounts. Where people had been assessed as requiring special dietary needs or support to meet their nutritional needs, staff supported them. People had fortified diets and drinks and where people required soft diets, they got this. People were offered drinks and fruits throughout the day.

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 worked jointly with other services and professionals to ensure people received effective and timely care. Staff told us they gave people a copy of their personal profile sheet which contained important information such as their medical history, medication list, GP and next of kin details which people took along when they went to hospital for admission or moved between services. Staff also gave handover and shared relevant information about people with staff of services people were moving onto, to ensure a smooth transition.

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 had access to healthcare services they needed to maintain good health. We saw, and records showed, that a range of professionals were involved in the care and treatment of people. This included GPs, occupational therapists (OT), physiotherapist, chiropodist and community nurses. Staff made referrals for services and involved other professionals as needed. We saw staff followed the recommendations of the GP in managing people’s conditions. A dietician was involved in managing an individual’s risk of malnutrition.

The provider did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure that outcomes were positive and

consistent, or that they met both clinical expectations and the expectations of people themselves.

Staff maintained records to help monitor the outcome of the care and treatment people received. We saw records of people’s weights, bowel movement, food and fluid intake and skin conditions were maintained. However, appropriate actions were not always taken where intended outcomes were not achieved. For example, where bowel movement charts showed people had not opened their bowels within a given period, staff had not identified this concern promptly so that timely intervention could be provided.

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

People, and their relatives where appropriate, gave their consent to the care they received, and people’s liberty was promoted in line with legal guidance. One person told us, “They always check with me, and I give my consent.” A relative said, “I have power of attorney. They discuss their care with me, and we have regular meetings.” Staff had completed training in the MCA and DoLS and understood their responsibilities to obtain consent from people in line with the MCA. One staff member told us, “It is to not assume they don’t have capacity. Ask them what they want.” We saw best interest decisions made in relation to specific aspects of people’s care. For example, the administration of medication covertly. Covert administration of medication refers to the practice of giving a person medication without their knowledge or consent, usually by disguising it in food or drink.