Oldbury Grange 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 were supported to access healthcare services in accordance with their needs. People's needs were assessed, and care and support were delivered in line with current standards to achieve effective outcomes. Staff worked in accordance with the Mental Capacity Act (MCA) 2005 to ensure people’s rights were respected. The provider ensured the service worked effectively within and across organisations to deliver effective care, support and treatment. People were involved in the care they received and were supported by staff who knew them well.

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 they felt listened to and were involved in planning and reviewing the care they received. One person said, “They [staff] have a chat with me and ask if I am happy with the way I am helped or if there was anything I wanted done differently. They are very good.” A relative told us, “We have been involved in the care plan and any changes. We are kept up to date and involved.”

Staff knew people well and what level of support they required. Staff told us how they involved people and where appropriate, their relatives in the planning and review of the care they received.

Each person had a care plan which was personal to them. Care plans gave staff the information they required to support people in a person-centred way. Care plans were regularly reviewed to ensure they met people’s needs and preferences.

People received care and support which met their needs and preferences. People told us they enjoyed the meals at the home and had plenty to eat and drink. One person said, “The food is good here. I requested a steak supper for myself, and [name of person] and staff did this for us.” The mealtime experience was relaxed and sociable and people were offered a choice of meals. Condiments and a choice of drinks were available. Modified diets such as soft or pureed meals had been attractively presented. Staff were available to support people who required assistance to eat and drink.

Staff knew people well and told us about people’s dietary needs and preferences. Staff understood the importance of good nutritional intake and hydration. A member of staff told us how urinary tract infections had significantly decreased since the introduction of the computerised care planning system as they were able to easily see a person’s fluid intake and take immediate action where concerns were highlighted.

People’s eating and drinking needs were assessed when they moved to the home and monitored through regular reviews. Where risks were identified, a plan of care was in place to manage and mitigate known risks. These included risks associated with choking and weight loss. Records showed prompt referrals had been made to healthcare professionals where concerns were identified. These included GPs and speech and language therapists.

People benefitted from a staff team who worked well together to deliver good outcomes. A relative told us, “Communication is very good and I always get an update after the GP visit. The staff are amazing, and I can’t fault them. They are so supportive to me too.”

Staff told us they had built good relationships with health and social care professionals. A member of staff told us, “We have built up really good relationships with GPs, district nurses and the mental health team. The GP visits every week and the mental health team visit every month. They will also visit when we need them.”

Feedback from health and social care professionals was positive. One told us, “We have a very good working relationships with staff at Oldbury Grange. Staff are responsive to emails and engage in a positive manner during the clinic.” Another visiting professional said, “Communications are very good.”

People’s care plans contained up to date information about their needs and preferences. These enabled staff to deliver care and support in a person-centred way. Staff recorded information about people’s health and well-being which helped when reviewing a plan of care. The outcome of any visits from external professionals had been recorded and care plans were updated where required.

People were supported to see healthcare professionals when they needed. A relative said, “They [staff] are very quick to get the doctor if needed and they always keep me updated.”

The manager and staff told us of the professional positive working relationships they had built with external professionals and services to ensure people received support to meet their individual needs.

Staff attended a handover meeting prior to supporting people to ensure they were informed about and concerns or changes in people’s care or well-being. Care plans were regularly updated to reflect people’s current needs.

People were involved in reviewing the care and support they received.

The manager and staff told us how they ensured people’s needs were regularly assessed and how they involved people, their relatives and external professionals in reviews of people’s needs.

Staff used the systems in place to ensure people’s needs were regularly monitored and reviewed. There were effective processes in place to liaise with health and social care professionals to achieve good outcomes for people.

People told us there were no restrictions on them and staff respected their wishes. One person said, “The staff are very good. I can do as I please and go where I want.” Another person told us, “I decide what I want to eat, wear, what activities to do, or if I want to stay in my room or come to the lounge. I have a shower or a wash with support from staff. I decide which want. I do my own face and staff check with me before doing my back.”

Staff understood the importance of ensuring people’s rights were respected. They understood people’s rights under the Mental Capacity Act (MCA) 2005. A member of staff said, “You always start with residents have capacity. It’s their choice and you can never force anyone to do something. I would speak to the manager or nurses if I was concerned.” Another member of staff told us, “Residents cannot be forced. Talk to them calmly and make sure they are safe, give them some time and come back. Lots of reassurance and chats about interests to help calm them.”

Deprivation of Liberty (DoLS) authorisations were in place for people who required this level of support to keep them safe and meet their needs. Assessments of people’s mental capacity to consent to their care and treatment and to make certain decisions had been completed. Where required discussions had taken place to ensure any decisions were made in the person’s best interests. Staff had been trained in the principles of the MCA and understood the importance of ensuring people's rights were respected.