Guys Cross Nursing Home

People were protected from the risk of abuse. Where safeguarding concerns had been raised, these had been dealt with appropriately.

Risks to people's health and well-being had been identified, assessed and managed well. Where people experienced episodes of distress, care records contained detailed guidance for staff to follow to enable them to support people safely and mitigate risks of further distress. This included strategies to distract or re- direct the person to improve their emotional well-being.

Some people had physical healthcare conditions, for example, diabetes or conditions that impacted on their mobility. Detailed risk management plans informed staff how to support the person and identify any changes which could indicate a deterioration in their health.

People were involved in decisions about their care. People were asked every day for feedback about the way in which their care had been delivered and people felt able to make their own decisions. 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 the service supported this practice.

Systems and processes ensured medicines were managed safely. This included how they were ordered, stored, administered, recorded and disposed of.

People told us they enjoyed the food and had a choice of when and what they ate. Where people had risks around their eating and drinking, staff were provided with clear guidance about what support the person required to minimise those risks. Input from other healthcare professionals such as the speech and language team had been sought.

Staff worked collaboratively with other healthcare professionals to ensure a successful transition between

services. People were encouraged and supported to engage with other healthcare professionals to ensure their mental and physical health was maintained. This included the GP, physiotherapists and psychiatric services.

People and relatives consistently told us the home was well-led. There was a positive culture within the home and staff understood the ethos and values the provider promoted. Staff worked in partnership with people to ensure they could have the best possible outcomes in line with their personal wishes and preferences. Systems and processes were in place to ensure people received high quality care. A range of quality checks were in place to ensure any issues could be identified and acted upon quickly.