Layston Grove Care Home

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

People and their relatives felt care and support provided was person centred.

People’s care plans included information about support, health and social needs. Some work was needed to ensure this was always accurate throughout a plan. People had access to services.

People and relatives were positive about the sharing of information and communication and listening and involving people. There were newsletters and meetings in place.

People received equity in access and experiences and were given the same opportunities.

People were supported to plan for the future. End of life care plans needed further development information was available to enable staff to support people appropriately and well at the end of their lives.

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 we spoke with felt their needs were met in a way they liked. A person said, “It is very good. I am happy, the staff help me when I need it.” Relatives all told us they were happy with the care provided. A relative said, “The care my relative receives is very personal from what I see.” Another relative said, “[Person’s] needs have changed over the past few years and as their needs have changed so has the support required from staff. The staff go above and beyond to ensure their needs are met, these days that is often just to sit with them for 10 minutes for a chat, [person] enjoys that the most.” Another relative said, “Care is definitely personalised, and the staff seem to know well the residents' individual preferences.”

Most staff told us they felt they provided person centred care. Some staff told they did not have confidence in whole staff team. We spoke with staff, and they were knowledgeable about the people they were supporting and the support they required. However, some staff when asking people's names, they were unable to recall names. The registered manager told us they were carrying out spot checks and supervision of staff to help ensure they worked in person centred way.

Care and support were provided when needed. However, there were elements of task led rather than person centred. For example, a person who loved flowers was cared for in bed had their flowers out of their view, or asking a person how they were but then walking away and not waiting for the response.

People with varied care needs were living at the service. Staff worked with visiting health and social care professionals to ensure this support met their needs.

Staff told us there was effective information sharing between themselves and health care professionals. This was also discussed at handovers and meetings.

Feedback from a monitoring visit stated there was access to health and social care professionals appropriately. Our observations found this to be accurate.

The management team told us a newly implemented inspire framework ensured people lived full lives.

People told us they had access to information as they needed it. Relatives were also positive about communication from the home. A relative said, “They do a fantastic job keeping relatives via email & face to face meetings.” Another relative said, “There are relatives meetings held in the library for updates about the home and information is sent out by email.”

The registered manager told us information was readily available and provided through meetings, handovers and newsletters for people, relatives and staff.

There were resident and relative meetings. There was also a newsletter to help share information.

People told us there were meetings and felt they could speak up or make a complaint. Relatives told us they were involved and listened to. A relative said, “I am confident to raise any concerns with them, as I know they will be dealt with & advise me.” Another relative said, “There is an annual questionnaire where relatives are invited to give their feedback.”

Staff told us people were able to speak up and had opportunities to share their views.

We saw there was a record of resident meetings. These covered subjects including meals, laundry and activities. Complaints were investigated, with an outcome recorded. Complainant’s satisfaction checks were completed.

People and relatives told us they received the care, support and medical support when needed.

The management team advised the systems in place in the home helped ensure they had an overview of care and support people received. This gave them assurances everyone had the support needed and opportunities were available to everyone.

Feedback from a monitoring visit found no concerns in relation to equity.

There were systems in place to ensure people had access to external health and social care professionals, including out of hours or in an emergency.

People with a variety of needs, backgrounds and cultures were supported by the home. They told us they felt supported.

Staff told us people were treated equally and as individuals and they would be happy for a family member of theirs to live at the home.

The provider had policies in place to ensure people were treated equally. There were opportunities for people to give feedback about their care and support.

Some people had discussed their preferences about their end of life care with staff when they wished to. People receiving end of life care were comfortable and had the support they needed. A relative told us, “Just in Case medication was prescribed for [person] and kept for when needed so this forward planning was beneficial and meant that they could be treated by a District Nurse rather than being admitted to hospital. This also meant that [family member could stay at their bedside as they came to the end of their life.”

Staff were able to explain what good end of life care looked like. They were able to describe people’s preferences and needs.

Care plans included end of life care plans, however of the 4 we reviewed, most were either not completed or had very little information in them. There was a record of any Do Not Attempt Cardiopulmonary Resuscitation (DNACPR). When being completed, the plans would benefit by having a more holistic approach in addition to practical support.