Safe Harbour Dementia Care 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 assessment the rating has remained 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.

Staff made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.
Care records contained detailed information about people's physical health, emotional wellbeing, communication needs, mobility, nutrition, hydration and long-term medical conditions. Assessments identified risks and support needs relating to dementia, falls, skin integrity, diabetes, respiratory conditions and nutritional needs.
 

Staff 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 at risk of malnutrition or dehydration were assessed and monitored using recognised tools, such as Malnutrition Universal Screening Tool [MUST] and professional input. Records evidenced involvement from speech and language therapists who assessed swallowing difficulties and provided recommendations regarding food textures and fluid consistency. Staff followed specialist guidance and supported people to make informed decisions, where they had capacity to do so, about the care provided.
 

Staff 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.
People benefited from coordinated care involving a range of health and social care professionals. Records evidenced positive partnership working with GPs, district nurses, speech and language therapists, diabetic nurses, physiotherapists, falls teams, pharmacists and opticians. Staff sought professional advice when people's needs changed and care plans reflected recommendations made by external specialists.
The management team used daily huddles, staff debriefs, handovers and team meetings to share information and promote continuity of care.
 

Staff supported people to manage their health and wellbeing to maximise their independence, choice and control. They supported people to live healthier lives and where possible, reduce their future needs for care and support.
People received support to access healthcare services and maintain their health and wellbeing. Records showed staff monitored people's health closely and sought timely advice from healthcare professionals when concerns were identified.
 

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.
People's nutritional and hydration needs were assessed and monitored. Care plans contained guidance relating to food preferences, nutritional risks and specialist dietary requirements. Staff followed advice from speech and language therapists where people experienced swallowing difficulties and ensured people received support appropriate to their needs. During our visit we observed people being supported with eating and drinking in a calm and dignified manner and feedback about food was generally positive.
 

Staff told people about their rights around consent and respected these when delivering person-centred care and treatment.
Care plans contained guidance for staff about promoting choice and involving people in decisions. Records considered people's rights, preferences and individual communication needs. Best interest decisions were documented when required and there was evidence that restrictions such as bed rails, sensor mats and DoLS authorisations were considered and reviewed appropriately.
Staff demonstrated an understanding of consent, safeguarding and capacity issues and told us they would seek advice when required.