Beggars Roost Nursing Home

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• Overview
• Kindness, compassion and dignity
• Treating people as individuals
• Independence, choice and control
• Responding to people’s immediate needs
• Workforce wellbeing and enablement

People were involved in decisions about their care and wellbeing. People’s personal choices and wishes were captured, and information was used to inform people’s care plans. People were enabled to maintain their independence through person centred-care planning and support. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. The policies and systems in place across the service supported this practice.

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.

We did not look at Kindness, compassion and dignity during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Treating people as individuals during this assessment. The score for this quality statement is based on the previous rating for Caring.

The registered manager undertook regular reviews of care records. This enabled them to monitor people’s care and manage risks to their health, safety, and welfare. Care and risk management plans were regularly reviewed and updated to reflect changes in people’s health, support or wishes. People and their representatives were involved in reviewing care records. This ensured up to date information was available to support people appropriately and safely. The Mental Capacity Act 2005 (MCA) provides a legal framework for making decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take decisions, any made on their behalf must be in their best interests and as least restrictive as possible. People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the MCA. In care homes, and some hospitals, this is usually through MCA application procedures called the Deprivation of Liberty Safeguards (DoLS). We found the service was working within the principles of the MCA and if needed, appropriate legal authorisations were in place to deprive a person of their liberty.

Staff had received training in the Mental Capacity Act 2005 (MCA) and demonstrated a good understanding of their responsibilities. Staff spoke of the need for presuming people had the capacity to make decisions and to ensure people were supported in the least restrictive way. The registered manager provided guidance to staff on how to support people to maintain their independence and manage any associated risks. They said, “We look at the whole person so people can be really relaxed both physically and mentally”. And “Staff want to help people. It’s exciting to support someone to achieve their goal”. They described how a person was unable to mobilise independently when they moved into the service "now they are walking with a frame”.

People said they maintained a feeling of control and independence over their lives and the way they received support. A person new to the service told us they had been provided the opportunity to share information about things that they liked and how best to support them. They said that so far staff were doing it “Just right”. We observed a person eating their pudding before their main meal. They told us they had a sweet tooth and they preferred to eat their meal this way around. People who wanted to spend time in the garden were provided with suitable clothing and blankets to keep them warm. A person described the overwhelming feeling of loss of dignity and independence by having to accept support with personal care. They told us being supported by familiar staff had enabled them to retain some independence which was important to them. It enabled them to feel better about accepting help and not so embarrassed.

We did not look at Responding to people’s immediate needs during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Workforce wellbeing and enablement during this assessment. The score for this quality statement is based on the previous rating for Caring.