Yew Tree 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

People had comprehensive assessments of their needs and these were updated as needed when needs changed. Care plans and risk assessments were detailed and staff we spoke with understood people’s needs. Practice was reflective of current best practice and staff had regular training to maintain and improve their skills and knowledge. The service was working within the principles of the Mental Capacity Act (MCA). Staff understood people’s rights and told us about how they gained people’s consent before giving care. This was confirmed by people who told us staff gave them choices and our observations of how staff interacted with people.

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.

Relatives told us they were involved in the assessing, planning and reviewing of their loved one’s needs.

Staff told us care plans and risk assessments were reflective of people’s needs and were kept up to date, The registered manager told us that comprehensive assessment of needs are made before anyone is moved into the service.

Improvements had been made since the last inspection to the level of detail in people’s care records. We found information about how to provide safe care and support to people matched what we observed, For example, one person had become tearful and appeared anxious, staff responded and redirected the person to another area of the home and engaged with them in a calm manner. When we looked at this persons record it described the steps that we had observed the staff member taking.

People had care and treatment that was provided in line with evidence based practice. For example, food was prepared to meet peoples eating and drinking needs by staff that had training and understood dietary requirements and safe food preparation techniques.

Staff and leaders told us they received regular training that was up to date to reflect current legislation and regulation. Care plans and risk assessments were reflective of people’s individual needs.

Care plans and risk assessments reflected current guidance and evidence based practice. There were effective systems in place to assess and monitor people’s health, care, and outcomes. Staff had access to training to ensure knowledge and skills were maintained to provide effective care.

People and relatives felt where any concerns were identified they worked well took ensure people received the care they needed. People and relatives told us they had access to doctors and health professionals when needed.

Staff told us there were effective handovers that ensured needs that needed action were shared and actioned in a timely way. Staff told us they worked well as a team and everyone working was aiming to provide the best care they could.

Professionals said that where required referrals were made, and staff and management followed any guidance or instruction given to them. Professionals were positive about the staff and how they supported people.

The service worked in partnership with other organisations. Care records reflected the input of a variety of health professionals and where people were unwell this was escalated to the GP home triage team and any actions followed and reviewed and monitored as necessary.

People and relatives said they were provided good care and support. One relative said “They have been great and will always try their best to make sure people are comfortable and well cared for.” People told us the food was good, and they were supported to have a varied diet.

Staff were able to tell us about people’s individual needs and were able to tell us what they would do if they had concerns over how a person seemed health wise.

Staff liaised effectively with health care professionals and the nurses in the service worked and communicated well with the care staff in the service. Where guidance or instruction was given this was implemented into people’s care plans and care. We could see where care plans and risk assessments promoted a person regaining their mobility following a stay in hospital.

People and relatives told us they felt health was monitored effectively. One relative told us how staff had increased their observations following a spell of illness of their loved one.

Staff and the management team told us that they were quick to respond to changes in people's health needs and ensured effective input from relevant health professionals.

We found there had been improvements in how people were monitored since the previous inspection. Steps to monitor people who were mobile but may be a falls risk were effective and nurses carried out health monitoring and observations where needed.

People felt they were supported to have choices and consent was sought before providing support. Where people were unable to express their wishes staff ensured that people were aware of care that was to be provided.

Staff and management worked with professionals, relatives and the people in the service to ensure people’s rights and freedoms were respected. Staff and managers understood the principles of the Mental Capacity Act 2005(MCA). They knew how to support people safely ensuring any restrictions necessary were lawful and proportionate.

The staff and management team promoted care to the principles of least restriction. Where people needed restrictions called Deprivation of Liberty Safeguards (DoLS) these were applied in line with legislation, authorised by the local authority and reviewed when needed.