Tollesby Hall 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

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 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 moved into the service to make sure staff could provide the care and support they needed. This assessment considered how people wanted to be supported and any needs in relation to culture, religion or ethnicity. Care and support were reviewed on a regular basis.

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. They worked to develop evidence-based good practice and standards.

Care records were person-centred. Where people could not share their preferences themselves, family or advocates and other health and social care professionals were included in decisions.

Staff were aware of people’s specific dietary needs and how to meet them, for example people who were at risk of choking and needed a different consistency of food and thickened drinks in line with their assessed need.

Staff demonstrated an understanding of national tools and what they were used for and their purpose. This included screening people for, obesity, or the risk of malnutrition.

The manager and staff worked well together with other health and social care professionals and acted on their guidance and advice.

Relevant staff could access care plan records and other information they needed to understand people’s needs to appropriately assess, plan and deliver the care and support needed. A visiting professional wrote and told us, “I am confident that when I visit Tollesby Hall to see a specific resident that my recommendations will be followed, and a collaborative approach is utilised with nursing staff too.”

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.

Staff told us the management team were approachable. We observed staff working well as a team, supporting each other. Health and social care partners raised no concerns about how staff worked with them. A staff member told us, “We have checks that need to be done to make sure [people] are getting the proper fluid and nutrition. Supplements are given if needed.”

People told us they enjoyed the food provided. One person said, “The food’s lovely, if you don’t like something the kitchen will do something different.”

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.

Care records were reviewed regularly. Where people were at risk of losing too much weight, their weight was regularly monitored and action taken if needed. Care plans were person centred and supported staff to provide the right care to people.

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

People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In [care homes/hospitals], this can be done through a procedure called the Deprivation of Liberty Safeguards (DoLS), which is part of the Mental Capacity Act 2005 (MCA). We checked whether the service was working within the principles of the MCA and how they managed DoLS within the service

We found people were involved in decisions about their care, and where they lacked capacity to make these, relatives and those close to them helped staff make best interest decisions on their behalf.

Staff told us they had received training on the Mental Capacity Act (MCA). A staff member said, “The MCA allows us to make best interest decisions for individuals that lack capacity.”