Regency Nursing Home

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• 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

This was the first assessment of this newly registered service. This assessment considered the following quality statement: How staff teams and services work together. A clear admissions process was in place. This included seeking and sharing of information to promote a smooth transfer. Care plans we reviewed showed input and consultation with range of external health and social care professionals. Although some people and relatives expressed a wish for more involvement in planning their care and support, we found examples of people being involved and of staff working with other professionals to improve people’s health and wellbeing. The provider told us a new clinical lead and director of care had been appointed and they anticipated this would improve communication with people and their relatives/representatives. This assessment did not include sufficient quality statements to provide a rating for the service under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

This service scored 12 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

Most family members felt they were kept up to date about their relatives however, they and people were unaware or had limited knowledge of their care plans. One person told us, “I have not seen a care plan.” Another said, “I do feel staff are kind, but communication needs to be improved.” One relative shared, “I don’t feel staff listen to me and act on my concerns of Mum’s hearing aid despite raising it so many times.” Following our visit, the provider informed us their new director of care would take a lead role in liaising with people and their relatives/representatives regarding their care plans. In our review of care plans, we noted evidence of people being involved in decisions relating to their care and support. For example, one person had agreed to their being referred to the dietician. For another person, staff had worked with a wide range of professionals and organisations to arrange transport and enable them to go out to local events they enjoyed.

Staff said they felt confident to raise any concerns. They told us information was shared effectively between teams and they could handover any outstanding tasks or queries to the next team.

Care plans we reviewed showed input and consultation with range of external health and social care professionals. Feedback we received from professionals who supported people using the service was mostly positive. One professional shared, "I have found admissions/transfers to the home to have been professional and efficient. The staff at the home have shown empathy and consideration to the patients. I have felt that the needs of the individuals were considered." Professionals told us that any issues they raised with the registered manager were addressed. One professional raised concerns about moving and handling practice, similar to the concerns that prompted this assessment. The registered manager participated in meetings with other professionals. This was an opportunity to share challenges and good practice.

A clear admissions process was in place. This included seeking and sharing of information to promote a smooth transfer. We saw that care plans for a person recently admitted to the service were documented on the electronic system. There was a process in place to share information if a person was transferred to hospital in an emergency. A member of the activities team told us they supported people to attend medical appointments, meaning external heath staff should have access to relevant and necessary information.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.