Archived: Stanholm Residential Care Home for the Elderly

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

The key question of Effective was rated good at our last inspection. At this assessment the quality statements assessed did not meet the standard of good and the rating has deteriorated to requires improvement.

This service scored 62 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

There were no effective systems in place to assess and review people's needs. Care plans did not include person centred information and guidance to meet people's needs.

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.

There were no oversight by the registered manager to make sure the guidance given by healthcare professionals was followed. Care plans did not include the guidance given and there was no oversight to make sure all healthcare professionals are aware of people's needs.

Healthcare professionals told us staff were not following best practice guidance to mitigate risk. The district nurse told us on the day of the onsite assessment , a person did not have the correct pressure relieving aids in place to protect their skin. They did not have a pressure relieving mattress and they only had one protective boot when they required two as explained by the district nurse. This left the person's skin at risk of deteriorating further. Other health professionals told us that during ward rounds and visits, notes were not taken by staff and actions they had requested were not always followed up.

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.

There was no oversight to make sure people's needs were monitored and there was no action taken to make improvements to people's treatment. For example, when people's weight had decreased significantly this had not been identified. People had not been referred to healthcare professionals or given a fortified diet to increase their weight.

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.