Prestige Nursing Sleaford

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 83 (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.

When people joined the service, the registered manager completed an assessment at people’s homes. This included getting to know the person, understanding their care needs, and planning care in accordance with their wishes. The registered manager used this information to draft a care plan. One person told us, “When I first started with Prestige Nursing, we had a meeting and discussed my needs, and we agreed what support was required and I expressed how wanted it to work.”

Where people had specific health diagnosis, or received support from medical professionals, this information was used to inform the care provided. For example, 1 person had Chronic Obstructive Pulmonary Disease (COPD). Reference was made within their care indicating they often experienced breathlessness.

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.

Nationally recognised assessment tools were used to understand people’s needs. For example, the Waterlow assessment tool was used to assess people’s risk of skin integrity breakdown where required.

People’s nutritional and hydration needs were met in line with current standards and evidence-based guidance. People were supported to have enough to eat and drink to prevent malnutrition or dehydration.

Where people needed extra support around food, staff provided support and encouragement. One relative told us, “They [staff] are extremely good at motivating and encouraging, especially around food. They [staff] will sit with them and encourage them to eat.”

The provider worked well across teams and services to support people. They made sure information about people was shared effectively across services.

Staff worked together with people to effectively deliver coordinated, timely and consistent person-centred care. The service kept people informed of any changes and ensured care was well organised. One person said, “Communication is excellent.” Another person told us, “I am really pleased with Prestige Nursing, communication is excellent and I am confident they do everything they can to provide a good service.”

Staff were proactive in working with other services when multidisciplinary involvement was required, and any actions were followed up on as needed.

Care staff coordinated with health professionals through effective information sharing to ensure people received timely and effective treatment. One staff member described how they shared information with 1 person’s GP to ensure the root cause of their ailment was properly diagnosed.

All relevant staff at the service could access the information they needed to understand people’s needs and appropriately assess, plan and deliver their care. Staff had access to people’s care records and organisational policies.

The provider always supported people to manage their health and wellbeing to fully 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 were supported to live healthier lives through positive encouragement and compassion led care. One person had become increasingly isolated due to low levels of motivation and poor mental health. Care staff worked in partnership with the person to increase time spent outside the home participating in safe meaningful activities to build confidence and engage with their local community. Staff described how they provided a calm supportive presence and adapted their level of engagement when the person became anxious. Reliance on support decreased as the person became more confident, and over time they became more comfortable attending larger group activities.

The care and support provided by the service enabled people to live the way they chose and remain in their own homes. One person told us, “Without the carers support I wouldn’t be able to remain at home.”

The service worked with healthcare professionals to ensure people had access to timely care and treatment. They respected people’s wishes to remain independent and promoted self- empowerment.

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.

There was a robust approach to monitoring the effectiveness of people’s care and support. Staff completed daily records and monitoring charts where required. Action was taken to continuously improve the care people received through quality audits, care reviews, and feedback mechanisms.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The provider worked in accordance with the principles of the mental capacity act. People were involved in consent decisions as much as possible. Staff took all practicable steps to help people make their own decisions. People were given the appropriate information, support and time they need to make an informed decision.