Stoneacre Lodge Residential 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

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question requires improvement. At this assessment the rating has remained requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent. The service was in breach of legal regulation in relation to the person-centred care of the service.

This service scored 46 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them. People’s care plans had not been recently reviewed and people’s needs were not kept under review. People’s care was not delivered in line with their current needs.

The service did not plan and deliver people’s care and treatment with them. They did not follow legislation and current evidence-based good practice and standards. There was poor signage around the care home for people, carpets were highly coloured and patterned which created a risk to people with dementia. This had also been highlighted to the registered manager by visiting professionals. Care and support were not person-centred and the care environment was not dementia friendly. This is a breach of regulation 9 person-centre care and we asked the provider to take action.

The service did not always work well across teams and services to support people. They did not always share their assessment of people’s needs when people moved between different services. People’s care plans had not been recently reviewed and people’s current needs were not assessed accurately. Any assessments of people’s needs shared with other services would not always reflect their actual needs.

The service did not always support people to manage their health and wellbeing, so people could not always maximise their independence, choice and control. The service did not always support people to live healthier lives, or where possible, reduce their future needs for care and support. We observed community nurses visited people regularly but there was no evidence in care plans to show healthcare professionals had been involved in people's care or referred to appropriately.

The service did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure that outcomes were positive and consistent, or that they met both clinical expectations and the expectations of people themselves. The main lounge where people sat was locked by a key code pad at both ends. This limited people’s access to the toilet and bedrooms. There was a ‘grab bag’ of toiletries next to the downstairs bath and shower room. We saw evidence these toiletries were not used by just one person.

The service did not always tell people about their rights around consent and did not always respect their rights when delivering care and treatment. The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular 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 particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. The registered manager told us they had been on a training course on the MCA and deprivation of liberty safeguards (DoLS) but we saw no references to MCA best interest decision and DoLS in people’s care plans.