St Marks 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 – 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 67 (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 to identify their care needs and preferences, including any religious or cultural needs. This information was used to develop peoples care plans.

People’s experiences were positive. One person told us, “The staff know me well, as soon as I came in here, I knew this place was right.”

The provider did not always plan and deliver people’s care and treatment with them, including what was important and mattered to them.

Where people required their nutritional and fluid intake to be monitored, the provider did not keep accurate records. This potentially people at risk from malnutrition and dehydration. The provider had already taken action with this and staff were in the process of receiving additional training. People gave mixed feedback about meals. One person said the food was “nice,” while another said it was “a bit up and down”.

Staff worked closely with a range of health professionals, including the GP, Community Nurse Practitioner and Pharmacist, to ensure people’s needs were assessed and reviewed appropriately.

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.

The service worked with a wide range of partners, including GPs, nurses and mental health teams. One professional told us, “Staff provide safe, effective, person centred well-coordinated care”. Staff shared information effectively. One professional told us, “I can ask any member of staff, and they can answer in relation to the residents’ needs and health.”

Daily meetings were held to help coordinate care across the different teams. People were positive about teamwork. One person said, “They (staff) are a great team.”

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 healthcare services, including dieticians and specialist nurses to manage their health and wellbeing. People could access activities, such as gardening, painting and planned to support their wellbeing.

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 they received care that met their needs and they achieved positive outcomes from living at the home. One person told us, “If there’s better care out there, I’d like to know about it because I can’t fault this place. Although I can’t give anything they give me everything in return”.

The provider did not always tell people about their rights around consent and did not always respect their rights when delivering care and treatment.

Mental Capacity Assessments (MCA) did not consistently record the views of people, or those important to them, as part of the decision-making process. The provider has already started work on addressing this.

Where people had capacity, they confirmed staff asked for consent. One person said, “The staff talk to me about my care”.