Ruislip 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 we rated this key question good. At this inspection the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this. People’s needs and choices had been assessed and planned for. The staff worked with other professionals to help make sure people’s healthcare needs were met, and they received good outcomes. Staff had training to understand about best practice. People’s care and outcomes were monitored, and the provider took appropriate action to make sure people stayed safe and well. People had consented to their care and treatment where they were able. When people lacked the mental capacity to make decisions, the provider had assessed this and decisions were made in their best interests involving their representatives.

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’s needs and choices were assessed. People confirmed they were involved in planning and reviewing their care. Their preferences were recorded within assessments and care plans. The provider used recognised good practice tools and assessment templates to help make sure their assessments were detailed enough to develop person-centred plans. This meant the staff had the information they needed to care for people and meet their needs.

People received evidence-based care and treatment. The staff took part in training and had information to help them understand people’s different needs and the best way to meet these. The management team carried out group supervisions and discussions to help inform staff and make sure they understood about guidance and legislation. The registered manager told us they had organised ‘experience training’ about dementia. This allowed staff to physically experience some symptoms and what it felt like to be cared for. Staff learning had been incorporated into care plans. People felt their needs were met and we observed staff providing appropriate support to people.

The staff at the service worked with each other and external professionals to make sure people received continuity of care. The staff made referrals when people needed additional support. Guidance from healthcare professionals was incorporated into care plans. The external professionals who we spoke with told us there was good partnership working. Their comments included, ‘’The staff are responsive and keen to provide the best care possible’’ and ‘’Staff reach out if they need support.’’

People were supported with their healthcare needs. They had access to other healthcare services and were supported to attend appointments. People confirmed this. A community matron visited or contacted the service each day and discussed the needs of people living there with the nurses on duty. Any concerns about people’s healthcare needs were identified and responded to quickly. Care plans included detailed information about people’s healthcare conditions and any support they required.

People’s care, treatment and outcomes were monitored to ensure the staff to provide care which reflected their needs. The staff kept records of care interventions, people’s food and fluid intake and their health and wellbeing. The care planning system identified and alerted staff of any adverse data – such as low fluid intake. The staff then discussed this and adjusted the care provided, to make sure the person’s needs were being met. Other professionals were also contacted when needed. The management team carried out spot checks on staff to observe how they cared for people and assess their knowledge. They also monitored call bell response times, people’s experience of mealtimes and gathered feedback from people and their families to make sure they were happy with their care.

People consented to their care and treatment. The provider assessed people’s mental capacity to make decisions. They consulted others to help make decisions in people’s best interests when needed. The provider had information about people’s communication needs, which highlighted any barriers to their understanding. Staff provided information in ways people could understand, so they could make meaningful choices as well as give their consent. The staff undertook training about the Mental Capacity Act 2005 and were able to tell us about their responsibilities.