Northcott House Residential Care and Nursing Home Also known as 1-684385445

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 this assessment we did not assess all quality statements within this key question. The scores of these areas have been combined with scores based on the rating from the last inspection completed in November 2023, which was requires improvement. The overall rating for this key question remains requires improvement. People were aware they had care plans in place, however some people spoken with told us they had not seen these. These people, did confirm however they were asked about their care, likes and dislikes and any concerns they may have. Staff demonstrated good knowledge of people and their support needs, staff know people well and understood their needs and wishes. A range of well-known tools were used to monitor people's health and wellbeing, in line with best practice guidance. For example, staff used nationally recognised tools to assess people's oral health and to monitor people's weight and risk of skin breakdown.

This service scored 58 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People were aware they had care plans in place, however some people spoken with told us they had not seen these. These people, did confirm however they were asked about their care, likes and dislikes and any concerns they may have. It was clear during our assessment that staff know people well and understood their needs and wishes.

The manager described the pre-admission process which included seeking information from the person, family members and any professionals involved in the person’s care. Following admission further information such as life history, cultural or religious beliefs, protected characteristics, and preferences was incorporated into the person’s care plan. Staff confirmed they were provided with all necessary information about new and existing people to enable them to meet their care and support needs.

Prior to admission to the home, a member of the management team undertook an assessment of people's individual needs to ensure these could be met safely and effectively. Assessments included identifying any specific equipment that may be required and establishing peoples physical, social and emotional support needs, as well as some needs associated with protected equality characteristics. Information had been sought from people, relatives and professionals involved in their care, when required to help ensure individualised, person centred, and safe care could be provided. The provider had recently developed a ‘new residents checklist’ which provided staff with actions they were required to take, prior to admission, on the day of admission and within the first 2 weeks of the person’s stay. This helped to ensure appropriate care plans and risk assessments were completed in a timely manner. A range of well-known tools were used to monitor people's health and wellbeing, in line with best practice guidance. For example, staff used nationally recognised tools to assess people's oral health and to monitor people's weight and risk of skin breakdown.

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.

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 and relatives told us they received healthcare support when they needed it. A relative said, “[Person] had a [medical issue], and it wasn’t followed up where they were before, but here it’s been followed up.” A person told us, “I asked to see the doctor and staff said they’d put it on the list. The doctor comes here once a week.” Another person told us, "If I wasn't feeling well, the staff would always help me.”

Staff demonstrated from discussion they understood people's needs in relation to pressure area care, bowel monitoring, catheter care and diabetes and described the actions they would take if concerns arose. Care staff described how they supported people to have regular short walks to maintain mobility and confirmed they had received training to identify and support people with a range of physical and mental health needs. Staff told us they received appropriate training to support people with their health needs including specific training such as diabetes and dementia. Additional training was being provided to staff to help prevent health deterioration and maintain peoples physical and emotional wellbeing. This training included, managing weight to promote health, mitigating and managing the risk of pressure injuries and providing meaningful activities.

Care plans included information about peoples past medical history and how current medical needs should be met. Information in people’s care records showed healthcare professionals and specialists were consulted in a timely way when concerns arise. For example, we saw evidence that people had been referred to GP’s, Physiotherapist and Speech and Language therapists appropriately. When people were admitted to hospital, staff provided written information about the person to the medical team, to help ensure the person's needs were known and understood. People’s oral health was considered, and oral health assessments were completed and reviewed monthly. People would be supported to access a dentist should it be required. Care plans and risk assessments were reviewed monthly to help ensure all information remained relevant and up to date.

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.