Nimrod House Supported Living

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the provider met people’s needs.At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s needs were met through good organisation and delivery.

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 were at the centre of their care and treatment choices, and they decided, in partnership with people, how to respond to any relevant changes in people’s needs.

Throughout our assessment visit, we saw evidence of a strong person-centred culture. People were being supported to lead their own lives, and care was tailored to their needs and wishes. Although people had routines they followed, there was flexibility in the support they received which meant they had the freedom to change their minds about what they wanted to do at any given time.

The service encouraged people to pursue their interests and hobbies. For example, a person collected music CD’s, developing an impressive collection which was something they were passionate about and very proud of.

A professional told us, “Care is person centred, the staff make sure people’s personal preferences are followed and that people get to do the things they choose to do.”

The provider understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity. People were actively encouraged and supported to be part of their local communities. They accessed a range of community amenities, including shops and public transport. This enabled them to develop their independence and maintain community connections. The registered manager told us how they planned to review people’s daytime activities with them to explore further opportunities and options for people to participate in. A family member told us, “Everything is going well but if there was one thing I would ask for is for [person] to be doing more activities, especially as a way of keeping them healthy.”

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs. People used a number of aids to meet their communication needs. This included the use of pictures and symbols as a way of involving people in decision making as well as informing them about upcoming events.

The diversity of the staff team meant they were able to speak a wide range of different languages so could communicate with people and their families in their preferred languages for ease.

The provider produced information in easy read format for people in such things as their complaints policy and how to report events if they felt unsafe.

The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. Staff involved people in decisions about their care and told them what had changed as a result.

People often came together in a communal area within the service as a way of talking to one another and to create an opportunity to talk about things important to them.

The service held coffee mornings for families to come together to talk about their loved ones and put forward ideas they had for the service in ways to develop and improve the care and support. A family member told us, “They tell me everything that is going on, I can call them whenever I want to and they will call me for my advice if they need to.”

The provider made sure that people could access the care, support and treatment they needed when they needed it. The provider was proactive in understanding people’s right to be part of their community and to have equitable access to services within it. Management and staff had a good understanding of local services and encouraged people to access what they needed. Staff were experienced in using advocacy skills to ensure people received fair access to services. For example, the registered manager told us about the value of the support they received from the community-based health professional team. They also told us about the ease of access when people required GP and local hospital services.

Staff and leaders actively listened to information about people who are most likely to experience inequality in experience or outcomes and tailored their care, support and treatment in response to this.

People’s care plans detailed positive outcomes for people with a mixture of learning new skills as well as pursuing leisure interests. Regular reviews were held to monitor the progress and achievements people made. Staff told us how the tailored support they provided to people enabled them to focus on developing people’s skills to achieve greater independence.

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life.There were regular reviews held to discuss people’s immediate care needs and to ensure the right support was in place for this to be maintained.The provider acknowledged the need to record people’s end of life wishes and worked sensitively to have those discussions with people and their families.