St James' Park Care 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 assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Staff understood people’s individual needs and made sure assessments were up to date and recorded.

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. People’s nutritional needs were assessed and met. Staff ensured people had enough to eat and drink. People told us their dietary, cultural and religious preferences in relation to food were catered for. Staff used nationally recognised tools appropriately to assess and monitor people’s needs. For example, the Malnutrition Universal Screening Tool (MUST) was used to identify people at risk of malnutrition.

The service worked well across teams and services to support people. For example, staff worked with Speech and Language Therapists, Trusted Assessors and the Frailty Care Team. Professionals from other teams and services told us, “Staff demonstrate strong communication, this has consistently facilitated successful outcomes. On the occasions that I have visited the home I have been treated with curtesy and staff are warm and welcoming.”

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.  People told us they were seen by healthcare professionals when they needed them. Staff worked with the local care home team supporting people with weekly clinical support from healthcare professionals. Professionals who worked with the service told us, “The staff will always contact us when they require advice or support, and they email us in between ward rounds if they have any concerns or require a visit for a resident. Staff will request visits appropriately from external agencies to enable resident’s lives to be more comfortable and maximised to their potential.”

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. There was evidence of regular reviews and action being taken immediately following any changes to people’s health needs.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff sought people's consent and followed the mental capacity act for people who did not have capacity. The registered manager told us those who were closest to the person had been consulted to contribute to decisions made in the person’s best interest, however, records did not always demonstrate this. This meant we could not be sure best interest decisions were made by more than one person. We brought this to the attention of the registered manager who responded immediately, spoke to everyone involved and updated the forms before the end of our assessment.