Middleton Grove 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 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 and their relatives told us they were involved in the planning and reviewing of their care. A relative told us, “Yes, I was involved in [relative’s] care plan. She was moved in very quickly.” Care plans we looked at showed a comprehensive assessment had taken place to ensure people’s needs could be met. The care plans were informative and clear.

People were assessed prior to moving to the service to ensure their needs could be met. The registered manager told us, “As part of the pre-assessment, we show people around. We involve the family and find out people’s likes and dislikes. We have a thorough discussion with the family, about their needs and to set expectations. We make sure there are no surprises either way.”
 

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 were supported in line with their needs, including their nutrition and hydration needs. A relative told us, “The home got the speech and language team in, as [my relative] was having a problem with swallowing. They feed her now and they provide her with a special kind of food. She is a picky eater and has been great about the change, they have done marvellous with that.” Staff told us people's care plans were kept up to date to include their current needs, how these were to be met and desired outcomes. Staff told us they assisted people to access the support they needed from other professionals and services.

Processes were in place which showed people’s needs had been identified and continued to be reviewed and amended. Where people had specific nutritional requirements, staff were aware of these and supported people accordingly. Nationally recognised assessment tools were used. Concerns were escalated quickly and acted on. Support from specialist teams was sought when required.
 

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.

There was good communication and joint working between the service and professionals. We received positive feedback from people and professionals. A health professional told us, “[Registered managers] and the nurses do very well with taking our advice and support plans concerning the residents. I do feel overall, they maintain the overall safety and care standards with the residents.”

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 told us they received support to access healthcare, inside and outside of the service. A relative told us, “My [relative] would tell them if he wasn’t well. Recently he had to see the doctor as he had a chest infection, so they immediately got him in, and he was put on antibiotics.” The registered manager told us, “I am very confident that the staff recognise when there are changes in people’s health and wellbeing. We work very closely with people and relevant professionals to maintain their health and keep them well.”

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 experienced positive outcomes and had planned goals for the future. Feedback from staff confirmed people’s care and progress were monitored. Staff were knowledgeable and supportive of people's goals and wishes. A relative told us, “[My relative] is being engaged in lots of the activities. He is younger than the other residents and was in his room a lot, but when I queried it, they responded and managed to get him involved.” Processes were in place to ensure people’s outcomes were monitored, and any changes were implemented. This was evidenced in people’s care plan reviews. Care plans were audited to ensure regular reviews took place and any actions were followed up.

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

People had been assessed for their capacity to consent to aspects of their care. When people were assessed as lacking capacity to make specific decisions, best interest decisions were carried out. These were documented and showed who was involved in the decision-making process and how the decision had been reached. A relative told us, “[My relative] likes her routine, she is getting fed and left alone which she wants. We are very pleased, 100%, we couldn’t fault them, no concerns at all.”

Staff knew about consent and had received appropriate training. One member of staff told us, “We’ve had training around consent and capacity, and we can raise any questions about it.”