Steven Lodge

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

There was on-going assessments of people's needs. Staff knew people well and could recognise if needs had changed, care plans and risk assessments were updated accordingly. Staff held regular meetings to share information about people so care was delivered consistently. Staff understood the importance of seeking consent from people before providing care, we observed staff being respectful of people's wishes.

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.

There was ongoing assessment of people’s needs, care plans and risk assessments were updated accordingly so people's current care needs were reflected. Regular meetings were conducted where staff shared information about people to ensure any changes were recognised as a team and appropriate action taken in response. Daily notes recorded information in detail, so staff were aware of any concerns or if further assessment of people's needs were required.

Staff knew people well and recognised when there was a change in their health needs. Staff said, “It's us who work with (person) who notices concerns first. We raise concerns with our line manager or the manager himself. Then we go to the doctor to get ideas on what should be done or other outside health professionals that need to be involved. We flag any concerns.” And “From my experience those major things the social worker or relative would be involved. We look into things, there are certain things like if a service user says they don’t want food as its causing a problem then we contact the health professional and ask them to review.”

People did not give us feedback about how they were involved in assessing their needs. Relatives told us ongoing assessment of their loved ones needs occurred and any concerns or changes were shared promptly. A relative told us their loved one’s needs were assessed before they were offered a place at the service to ensure they and other people would be happy and staff could support them well.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

People told us they had choice and consented to their care and support. They said they chose what they wanted to eat, what they wanted to wear, what activities they wished to do and when they wished to go to bed and get up. Relatives told us their loved ones were treated with respect and care and staff listened to their wishes and preferences.

People were encouraged to make their own choices and decisions to promote their independence. Staff offered advice about any decisions which may negatively effect people, so they had all the information to make an informed choice. Where people lacked capacity about certain less complex decisions capacity assessments were made. People can only be deprived of their liberty when this is in their best interests and legally authorised under the Mental Capacity Act (MCA). In care homes this is usually through MCA application procedures called the Deprivation of Liberty Safeguards (DoLS). Staff assessed people’s capacity around day-to-day decisions. Assessments were reviewed and capacity re-assessed to ensure people were empowered to make their own decisions where possible. Documentation around how decisions had been made was stored in peoples care records. Capacity assessments covered topics such as day-to-day decisions for example personal care.

Staff understood the importance of seeking consent from people before delivering care. Staff said, “It’s quite important, because if we place demands on (person) they are bound to react negatively. But agreeing with (person) on what to do to support them it will be more successful as they have made choices. (Person) is not restricted from doing anything, they are capable of making their own choices. (Person) likes to go out, loves going to visit their sister and loves to go out and meet other individuals and do activities. Goes to the day centre to do bingo, colouring and loves shopping.” And “Verbally we get consent from people and in a written form. For example, if they go to the GP we have a form where they have agreed to go to GP.”