Prestige Nursing East Lancs

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 79 (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 care was assessed thoroughly. Support plans were developed collaboratively with a range of professionals and therapists. For example, nursing staff worked alongside respiratory teams to make sure assessments were completed by people with the right knowledge about people’s specific needs.

Assessments focussed on people’s strengths and what goals they wished to achieve, and what was required to do so. People were fully involved and care plans were written from their point of view, 1 person said, “They have a regular plan to help me, and they are doing everything I need at the moment.” A relative said, “[Relative] has a care plan, but the team will review his condition regularly and update his care as his needs change.”

Care plans contained a high level of detail, considering a wide range of health and social aspects, and were easily accessible within people’s homes. They were renewed every month to make sure staff had up to date information and people’s needs were reviewed regularly. Staff recorded daily notes which the registered manager reviewed to make sure care plans were being followed.

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 provider used nationally recognised assessment tools to consider risks to people’s health and wellbeing, such as risk of weight loss and malnutrition, and risk to skin health. There was clear guidance about how to meet people’s nutritional needs and staff had the knowledge and skills to understand how to make sure people had the right food and drink. Policies reflected legislation and up to date guidance.

The provider always worked well across teams and services to support people. They shared thorough assessments of people’s needs when they moved between different services, so people only needed to tell their story once.

Where people received weekly input such as occupational therapy and speech and language therapy, sessions were delivered by the therapists alongside Prestige Nursing East Lancs staff to ensure consistency of approach, and to achieve agreed therapeutic goals. Staff were trained by the same professionals and then deemed competent to provide ongoing therapy. Staff had easy access to the agreed strategies via electronic devices. An example of ongoing therapy was provision of hydrotherapy for an individual. Staff knew how to support the person correctly due to the collaborative approach, and this produced positive outcomes such as improving the person’s muscle flexibility, and overall physical comfort. It also enabled continued progress towards physiotherapy goals as identified by the wider therapy team.

Staff built up effective working relationships, and regularly liaised with health professionals such as ventilation teams, learning disability specialists and mental health teams. During the interim period of transition between children’s and adult’s services, staff arranged wider health reviews so that information was accurate, detailed and up to date, and the transition was as smooth as possible. A registered nurse employed by the provider said, “When I started my job, I arranged to meet all the members of the multi-disciplinary team to introduce myself, I found this meant professions were more likely to keep me updated.” Staff told us about joint visits, such as with speech and language therapists and dieticians.

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 supported people to maintain healthy eating habits and made sure dietary care plans were adhered to where people had specific needs around nutrition. Staff supported people to exercise, for example, people attended the gym, swimming and hydrotherapy sessions with staff support. Staff knew people well and could identify when someone was at risk of their health deteriorating, could take timely action to minimise this, and produce better health outcomes.

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.

Staff monitored people’s health and wellbeing, for example they observed whether people were losing too much weight and took action to address. Staff documented how much food and fluid people took on and this was considered against their care plans. Staff monitored other areas of health conditions, such as seizure activity and bowel health, which was clearly documented for managers and other health professionals to review.

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

Staff understood the concept of consent, and records and observations showed they talked to people throughout their caring interventions to explain what they were doing. Staff completed Mental Capacity Act (2005) assessments, and best interest decisions were recorded in people’s care plans. People signed to say they consented to receive support for different aspects of their care.

The provider had an appropriate policy around consent and staff completed relevant training.