Lynhales Hall 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 - we rated this key question as good. The service worked to ensure people were at the centre of care. Leaders demonstrated a culture of improvement, where areas of concern were identified, and actions were taken to enhance the outcomes for people in the service.

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 had detailed care plans which were regularly reviewed. Some people felt more could be done by staff to understand their needs, for example one person told us, "They (staff) don't know me and don't try to get to know me. If they would just make the effort but they never do." Where people needed adapted communication like pictures and objects of reference this was in place, however some of these tools were not always readily available for staff to use. One relative told us how the service had acquired a more suitable wheelchair for one person. Where needed people had access to other health professionals to ensure that assessments and care plans reflected their needs. Following feedback to the service, the manager addressed how staff were used during their shifts which included the implementation of structured time to engage with people. This had started to improve people's experiences of care in the service, which included the implementation of structured time to engage with people. This had started to improve people's experiences of care in the service.

The registered manager had taken steps to encourage staff to take time with people to encourage 'positive communication' and to learn new things about people's needs, likes and dislikes. This was through staff spending structured time with people on a daily basis, recording the outcome of this, with new information recorded in people's care records. Staff had awareness of the policies and procedures and knew the needs of the people they were supporting.

All people entering the service had comprehensive and detailed assessments of their needs. This was compiled of information form the person (where possible), their relatives and loved ones and also information from other professionals involved in the person's care. People's needs were regularly reviewed and assessments updated. Processes and procedures reflected national guidance and evidence based practice, for example information was available for staff around caring for people with dementia related illnesses.

People had detailed care plans which were regularly reviewed. Where people needed adapted communication like pictures and objects of reference this was in place, however some of these tools were not always readily available for staff to use. One relative told us how the service had acquired a more suitable wheelchair for one person. Where needed people had access to other health professionals to ensure that assessments and care plans reflected their needs.

Staff told us they understood people's needs and where to find the information. The registered manager provided us with examples of detailed assessments that considered people's communication and holistic needs, including likes and dislikes as well as detailed information about people's medical needs.

There were clear policies and procedures to ensure that people's needs were assessed and where required referrals made for input from health professionals. There were systems to identify people that required their needs to be reviewed.

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.

People's health conditions were managed, and people were supported to access healthcare services. Care records showed that people accessed a variety of different health professionals to ensure their needs were met. Where guidance was provided this was reflected in the care records.

Staff told us they supported people to access healthcare when needed. They understood the importance of reporting any changes or concerns to ensure that people could be referred to other health professionals in a timely manner.

There were systems to ensure that where changes in a person's health were identified appropriate referrals o other professionals were made. There was also regular reviews with doctors to ensure treatment remained flexible around people's needs.

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.