Hampton 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

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 inspection this key question safe was rated good. At this assessment we did not assess all quality statements within this key question. The overall rating for this key question remains good based on the findings at the last inspection.

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.

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

Staff followed national guidance when providing care to residents, and they had access to up to date policies which provided this information. Prior to our inspection we received concerns about people not receiving appropriate nutrition and hydration. Concerns were raised with us regarding poor hydration and rapid weight loss of a person using the service. During our inspection we observed 4 people who relied on staff to meet their nutrition and hydration needs. We saw that people were regularly assisted by staff and if staff were not around, they always had fluids within the reach of their hands. One person told us, “I drink water, it is always available. I have 2 jugs in my room, they re-fill them.” However, people’s fluid intake was not always recorded by staff. We received mixed but mostly feedback regarding the quality of food provided to people. One person told us, “We get enough food. They always offer you what you want.” However, another person’s relative told us, “The food needs to improve, mum complaints a lot about the food which seems to be a hit and miss. There seems to be an odd mixture of food.” We checked people’s weight monitoring chart and we saw that at the time of the inspection no one experienced rapid weight gain or rapid weight loss. The service used advanced kitchen equipment to provide people with food of appropriate texture and consistency.

Staff interviewed were knowledgeable of people’s conditions and how to recognise signs if people were unwell. A member of staff told us, “I would recognise signs of urinary tract infection. People’s behaviour changes, they become confused and agitated. Other signs would include smelly urine, and for example incontinence different than usual.” People’s care records showed they had regular access to healthcare support, including GPs and specialist health professionals where required. Where needed, staff promptly contacted healthcare professionals such as a speech and language therapist (SALT), or an occupational therapist.

People had their needs assessed using a variety of tools. These tools were used to determine what level of support people needed. They included Malnutrition Universal Screening Tools (MUST) to assess people at risk of malnutrition, and Waterlow assessments which measures risks to people’s skin integrity. People’s care plans detailed their medical histories, health conditions and how these affected the person. Care plans also included signs and symptoms to look for relating to these conditions and specified what staff should do if the person showed any of these. However, records relating to people’s fluid intake did not always reflect people’s intake. We raised this with the provider during our inspection. The provider assured us they were going to communicate this to staff to address the issue of record keeping.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

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.