- Care home
Oldbury Grange Nursing Home
Report from 1 March 2024 assessment
Contents
On this page
- Overview
- Person-centred Care
- Care provision, Integration and continuity
- Providing Information
- Listening to and involving people
- Equity in access
- Equity in experiences and outcomes
- Planning for the future
Responsive
People’s care and support was delivered in accordance with their needs and preferences. Staff worked effectively with health and social care professionals to achieve good outcomes for people. People’s communication needs were assessed and considered. People could be confident that their wishes and preferences during their final days and following death would be understood by staff.
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.
Person-centred Care
People received care and support which was personal to them and was tailored to meet their needs and preferences. One person told us, “The staff know me very well. I like a cup of tea in bed in the morning and I always get it.” Another person told us, “I prefer to stay in my bedroom and the staff respect that. They always pop in to see I am ok and whether I want anything.”
Staff knew people well and what was important to them. Staff told us information about people’s life history, hobbies, interests and family members was clearly recorded in their care plans. A member of staff said, “The care plans are really good and tell you the important things you need to know.”
People chose where they spent their day and what they did and staff were available to support people who needed assistance. On the unit caring for people who were living with dementia, staff provided a person who was unable to settle and eat their meal with finger foods so they could continue to walk around. People had their own bedrooms which they could personalise in accordance with their tastes and preferences.
Care provision, Integration and continuity
People were involved in the planning and review of the care they received. People were informed about medical appointments and of any treatment or advice. A relative told us, “Communication is very good and I always get an update after the GP visit.”
Staff told us they had built effective relationships with health and social care professionals who visited people when needed.
Feedback from professionals who visited the home was positive. One said, “Staff welcome any suggestions that we make and are open to any appropriate training that might be available. Staff will always do their best to facilitate any changes that have been suggested.” Another told us, “We have good working relationships with staff and they take on board suggestions made.”
Care plans were regularly reviewed with people and changes were made when changes or recommendations were made. Staff were informed of any changes as they occurred and during handover and daily meetings.
Providing Information
Information for people was provided in a format that was accessible to them. For example, large print. One person told us they now found it difficult to read and staff spent time explaining things to them. Staff used objects of reference to enable people to make informed choices for example clothes and plated meals.
Staff were aware of the Accessible Information Standards (AIS) and were mindful of people’s communication needs. A member of staff told us how they had previously used picture cards to help one person to communicate. The manager told us information could be produced in a range of formats where required.
People’s individual care plans detailed their communication needs, and these were regularly reviewed with them and updated when required. People’s records and information about them were stored and handled in accordance with General Data Protection Regulations (GDPR).
Listening to and involving people
People told us the manager and staff listened to them and valued what they had to say. One person said, “We have meetings every month where we can speak up.” During our visit we observed staff spending time with people chatting and listening to them. Some people wandered into the manager’s office to have a chat. People and their relatives told us they were involved in discussions about the care they received and that requests and preferences were respected.
Staff ensured people and their relatives were provided with the opportunity to be involved in reviewing their care plans. Staff sought feedback from people on a daily basis.
There were regular meetings for people where their views were encouraged. People were able to make suggestions through annual satisfaction surveys. Complaints were investigated and responded to in accordance with the provider’s procedures.
Equity in access
People lived in an environment which had been suitably adapted to meet their needs. People had access to appropriate equipment to meet their needs and help to promote their independence such as mobility aids. There was signage throughout the home to help people to orientate themselves. People had access to healthcare professionals when they needed.
Staff understood when to seek medical attention, including emergency support for people. There was an on-call system in place where staff could seek additional support or guidance when needed.
Health and social care professionals told us staff sought advice and treatment for people when needed. They told us there were effective communications and staff implemented any recommendations made.
Staff had received training about equality and diversity and human rights. There were procedures in place for staff to request additional support or advice when needed. People’s care plans detailed people’s needs and contacts for other professionals involved in their care.
Equity in experiences and outcomes
People were treated as individuals, and all had access to the health care they needed. People were supported to access advocacy services where there were no relatives or loved one’s to support them.
Staff told us how they involved people and, where appropriate, their relatives in planning and reviewing the care they received. Staff spoke passionately about ensuring people were involved in planning the care they received.
The provider had policies and processes in place which enabled them to continuously seek feedback from people and used the outcomes to tailor their care, support and treatment.
Planning for the future
People told us they were supported to make decisions about their preferences for end-of-life care. This included funeral arrangements and preferences relating to their support at the end of their lives.
Staff told us how they supported people to share their wishes and preferences during their final days and following death. Staff told us people’s care plans provided them with the information needed to ensure people’s wishes were respected.
Staff had received training about how to support people at the end of their lives. Care planning procedures ensured staff had access to the information they needed and care plans were regularly reviewed.