Layston Grove 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

Mealtime experience was pleasant but more awareness about times between meals was needed to ensure people could fully enjoy their meals and eat sufficient quantities.

People’s needs were assessed prior to them moving into the service. There were regular reviews with outcomes monitored.

People were supported in line with the principles of the Mental Capacity Act.

People were supported to live healthier lives. There was effective working together to help ensure people received the right care.

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’s needs were assessed before moving to the service and they felt the team were able to meet their needs. People and their relatives told us they had enough information and support. A relative told us, “Before [person’s] arrival the manager interviewed me to ascertain their daily routine, mobility, diet, continence, likes & dislikes, to thoroughly understand how they could help them to settle and feel safe in their new environment.”

Staff told us people’s needs were always reviewed and outcomes shared. A staff member said, “We have notes of previous shift and details of the care provided before we start the work.”

Care plans were developed from a preadmission assessment which included important health, support information as well as people’s preferences and backgrounds.

People and relatives said they had enough to eat and drink, sufficient choice and support. Staff were working in accordance with planned care needs. The mealtime experience was pleasant, and food looked and smelt appetising. Staff were chatting with people, show plates to help people make a choice and people were sat up for a safe eating position. However, staff needed more awareness of timings of food, so people had sufficient gaps between meals. There were a number of meals left uneaten, and this needed to be reviewed in case it was contributing to weight loss.

The registered manager told us, “We have been working with the enhanced nutrition services from NHS the last couple of years. When they initially visited, they were supporting and assessing the support we provide for our residents who have additional nutritional needs. We worked with them and the kitchen team to provide homemade nutritional supplements. We moved from using [name] milkshakes to [new brand] as [previous brand] had very fewer calories. [Milkshake] is also gluten free which we are able to use for one of our residents. We also follow recipes for high calorie snacks/desserts. The kitchen makes small lemon and chocolate possets which are 440/618 calories per portion. They are also high in protein.”

The management team told us mealtime experience audits had been in place prior to the visit. They advised ongoing learning was in place.

People, and their relatives, told us staff knew them well.

Staff told us they worked with health and social care professionals to ensure people had the right care and support. This included mental health teams, district nurses and GPs.

We reviewed feedback from a visit shared with us from partner agencies and found the management team had been working on areas found to be needing improvement.

People’s care plans included a record of information obtained on their admission to the home. This was transferred into and fed the care plan.

People and their relatives told us they could see a health or social care professional when needed. A relative said, “[Person] has access to healthcare professionals when needed & I am always updated.” Another relative said, “The wide range of activities on offer certainly exceeded my expectations. Recently, after [a bereavement], my [person] was taken in their wheelchair on a shopping trip by the Activities Manager in the care home vehicle which was very thoughtful. For wellbeing the residents are offered regular hair appointments in the salon and manicures.” They went on to tell us about an additional event which was organised specifically for their family member and how important this had been to them.

Most people were up from their beds. Some people in bed needed help to reposition. Staff were going in routinely to support people to reposition or have a drink.

Staff we spoke with were knowledgeable about people and their care and support needs.

People in communal areas were being encouraged to join in with activities to help encourage movement and socialisation.

People’s care needs were reviewed regularly and in between if needs changed.

Staff were able to explain how they monitored people’s health and wellbeing. They were aware of what action to take if needed.

There were systems in place to have overview of people’s care needs, wounds and infections for example, and this included progress updates.

People told us they were able to make their own choices. We observed people being able to move around the home freely. Relatives felt people had their choices respected.

Staff were aware of the Mental Capacity Act (MCA). They were able to tell us how they incorporated the principles of the MCA in their day-to-day roles.

People’s care plans included capacity assessments which detailed how capacity for the decision was assessed. Also, best interest decisions where needed, and also if Deprivation of Liberty Safeguards (DoLS) were requested or in place. However, an overview of conditions in place was not held, this meant there was a risk conditions could be missed.