Woodville House

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 needs were assessed before they started to use the service to determine if the service was suitable to meet their needs safely and effectively.

One staff member told us, “Before a resident comes [Registered manager] gathers information to check its safe for them to come here and we can we meet their needs.” Staff said they completed regular checks of people to identify any changes in their needs. One staff member said, “We observe, if something is different, we tell the manager and they do checks. They do risk assessments and tell us about them, so we know what to do.”

Records of discussions with people and their families were maintained to help ensure staff provided consistent care to support people’s health and wellbeing.

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 told us the staff knew their needs well. One person said, “I am treated very well, they are very good and know what they are doing.”

The service used recognised good practice tools and systems to help deliver people’s care and treatment effectively. For example, nutritional tools were used to assess people’s needs and identify any issues that could impact on people being able to eat and drink independently. Where people were at risk of poor nutrition, they worked with people to ensure meals provided were suitable and met their needs. Staff monitored and recorded how much food and fluid people consumed to make sure this was sufficient to maintain their health and wellbeing.

Staff told us they followed information in care plans to meet people’s needs. One staff member said, “Information gets put on the portable tablets (electronic care records) and we follow the instructions. The visits from the doctors and district nurses are added so we know what to do to make the resident better.”

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 communication between them and the registered manager was effective. One staff member told us, “Communication with the manager and other staff is good. It works. Like in handover, information is transferred from 1 shift to another. Sharing information is important for the safety and well-being of the residents so we understand what to do.” Another staff member said, “We do work closely together and help each other.”

Arrangements were in place to ensure when people moved between services such as an admission to a hospital, care plan and assessment information was shared with other health and social are professionals. This helped to ensure people received consistent care that met their needs.

When people’s health changed staff ensured the relevant health professionals were contacted where appropriate to ensure people received the support they needed.

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 health professionals such as the GP, district nurse, speech and language team and dentist to help maintain their health and wellbeing. This included a ‘virtual’ GP appointment system whereby staff used a computer screen to involve people in their appointments and share information about their healthcare needs with the GP.

Staff told us how 1 person had been supported to see a dietician in relation to their nutritional needs. They told us, “[Name] doesn’t eat much and lost weight. The dietician came in and trained us how to make food richer and how to get the right nutrients. It was very good. [Name] is gaining weight now.”

The service had an activity organiser who worked at the home 4 days a week. They told us they worked with people to ensure activities provided were accessible and of interest to them. They explained how they tailored their activities to ensure those people who stayed in their rooms or had dementia could also participate. For example, one to one activities and the use of cards to prompt conversation.

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 told us staff knew their needs and sought advice from health professionals when needed to ensure their health was maintained. One person told us, “District nurses come to change my dressing. The staff arrange it all.”

Staff told us they shared good relationships with health professionals. One told us, “Relationships with our GP’s and district nurse is very good. They are supportive and respond quickly when we contact them. If they give advice or tell you, ‘We need to do something’ the manager puts it in the resident’s plan.”

Systems were in place to monitor people’s care and ensure people received the care they needed. Staff knew people well and recognised when there were changes in people’s health that may need escalating.

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

Staff understood the importance of gaining people’s consent before providing care. One staff member told us, “In training you are told to start by asking the resident if you can help them. If they say no, you leave and try again later.”

People told us staff asked them for consent before providing care. For example, 1 person told us how staff would ask them if they wanted to have a shower rather than assume and would ask if they wanted to have their hair washed.

Our observations showed people were asked what they wanted to do, where they wanted to sit and what they wanted to eat and drink. We saw staff obtained people’s consent before assisting them with a hoist and stand aid to transfer which demonstrated people’s consent was sought and people’s wishes and choices were met.