New Forest 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.

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 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

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.

The service used nationally recognised assessment tools to assess risks relating to nutrition, pressure damage, and skin integrity. Speech and Language Therapists (SALT) were involved in assessing people with swallowing difficulties. Staff told us their training provided them with the right skills to support people.

Staff we spoke with were able to tell us in detail about people’s needs, knew to report to a senior member of staff if people’s needs changed and told us they were informed of any changes to care plans.

Staff worked closely with healthcare professionals to ensure timely interventions, such as GP visits and medication reviews.

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 told us they felt communication was good and they were well informed. One staff member said, “Communication here is good. We have a [messaging platform] which we use to communicate. During work hours we have walkie talkies. Before the walkie talkies it was difficult to find people. If there is anything major going on that would be put in the [messaging platform], so I keep an eye on it. Even if I’m off I can see what’s going on. Each day in handover, for example if someone is now on repositioning, they will let us know.” We fed back to the management team that at times the volume on the walkie talkies was sometimes a little loud, which meant people and any visitors could easily hear conversations taking place. The management team told us they would discuss this with staff.

The service had a good relationship with external health professionals. Records showed that timely referrals for support and advice were made. When people were reviewed by health professionals, records of the discussions and any outcome were in place.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider did not always routinely monitor people’s care and treatment to continuously improve it.

At the last inspection, we noted that wounds were not always being assessed in line with the provider’s policy because wounds were not being photographed weekly and were not routinely being measured. At this inspection, we saw that these issues remained. Some photographs of wounds we looked at were unclear. Staff had photographed some wounds from different angles on different occasions and wound measuring tools were still inconsistently in use. This meant it would be difficult for staff to easily assess if a wound was improving or deteriorating. We fed this back to the management team who advised us they were aware of this issue and had begun to address it.

There was oversight of people’s needs in place. Clinical governance meetings took place monthly and any wounds and weight loss for example, were monitored and analysed. The manager told us they had asked an external organisation to visit to review some people’s specialist chairs to ensure people were positioned effectively. People’s relatives told us their loved ones were well looked after. One person’s relative said “[Name] hasn’t been unwell since being here. There are some really good nurses here.”

People were provided with enough to eat and drink. People told us they had no concerns about the quality of food. One person said, “No problem at all. I can call them if I want more food.”

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.