Roebuck 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

People’s needs were assessed via a thorough process, with all aspects of their care recorded within their care plans. Guidance from partner agencies, including health professionals, was included and followed in the delivery of people’s care. People’s choices and decisions were respected. Where people’s capacity required assessment, clear processes were followed to ensure all decision being made were in people’s best interests. Strong relationships had developed between the service and partner agencies and there were clear examples of how working together had resulted in positive outcomes for people. People’s health and wellbeing were a priority and outcomes for people were positive. They had access to support from a range of health professionals and services, routinely and when they were experiencing changes to their health.

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.

People told us that their needs were assessed before moving to the service. They felt confident the team were able to meet their needs.

Staff told us people’s needs were consistently reviewed and outcomes or changes from any reviews were shared. A staff member said, “I will hand over to my colleagues about the changes in the resident’s care needs and document all changes and outcomes.”

Care plans seen had a pre-admission assessment included. This then helped develop the main body of the plan and any associated risk assessments. We saw ongoing reviews were then completed and amendments made for any change in care needs. Recognised tools were used to assess people’s level of risk in relation to aspects of their health such as Waterlow, for skin integrity, and MUST, for nutrition.

People told us they had enough to eat and drink and enjoyed a variety of choices, which included outside of mealtimes. A person said, “Lunch choices are done the night before, but they are very accommodating so can change your mind.”

Staff were able to tell us about people’s individual health and care needs. This included any dietary needs. Staff told us that they were kept up to date with good practice and current standards via regular training, updates shared at team meetings and information received from partner agencies and visiting health professionals.

Care plans included information about how to ensure people received the right care and treatment. Dietary information was displayed in the kitchenettes to ensure staff were clear on what support was needed. The provider had a system in place to ensure policies and guidance were kept up to date and shared with staff.

People told us staff knew them well. We saw good relationships between people and staff. Conversations flowed and staff were able to anticipate people’s needs due to their knowledge of their needs and preferences.

Staff told us they worked with health and social care professionals to ensure people had the right care and support. This included mental health teams, occupational therapists, physiotherapists, and GPs.

Feedback from partners was positive. They told us that staff were attentive to people’s needs and ensured that all professionals involved in a person’s care were kept informed.

People’s care plans included a record of information obtained on their admission to the service. This was transferred into and fed the care plan. We saw that advice, guidance and direction from all partners was included in the records we reviewed.

People told us they could see a health or social care professional when needed. We observed a professional in the service on the day of the visit.

Staff knew how to respond if there were changes in a person’s health. A staff member said, “If we notice any changes in a person, we will report them to our RGN and document it. Then the nurse will assess the resident and refer them to the GP. To avoid pressure sore on a resident, we regularly check their skin condition, report and document it and reposition that resident properly.” Staff encouraged people to do things for themselves and to get up from their beds. People were not left sitting in wheelchairs, they were transferred to different seating to improve wellbeing and comfort. People were being encouraged to join in with activities to help encourage movement and socialisation.

Regular meetings were held amongst all staff members to share information and enable oversight of people’s health and wellbeing. Care plans included a record of information relating to health and social care support provided by professionals.

People’s plans of care were routinely reviewed regularly, and when needs changed.

Staff were able to explain how they monitored people’s health and wellbeing. They were aware of what action to take if needed.

People’s care plans detailed all aspects of people’s care and treatment and described the ways in which monitoring occurred. Daily notes accurately reflected people’s experiences and were reviewed and analysed to identify any changes needed. There were systems in place to have overview of wounds and infections, for example, and this included progress updates.

People told us they were able to make their own choices, and these were respected. A person said, “I choose how I spend my day, there are no restrictions.”

Staff had a good understanding of the Mental Capacity Act (MCA) and were able to explain how they ensured people’s consent was sought and where needed, best interest decisions were made. A staff member said, “I always ask my residents and always presume they have capacity, example what breakfast meals and drinks they prefer, clothes to wear always explaining and asking their choice and others. Nurses apply DoLS as well if residents have no capacity. We respect people’s choices. We also respect if they refuse and log it and report to the nurses.”

People’s care plans included capacity assessments which detailed how their capacity for the decision was assessed. Where needed, best interest decisions were made, and also Deprivation of Liberty Safeguards (DoLS) were requested or in place.