Haywood 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

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 changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

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.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them before they moved into the home. Pre-admission assessments ensured Haywood Lodge could provide the care people needed in an environment that suited their needs to ensure positive outcomes. The provider’s processes ensured people did not miss medical appointments and other healthcare professionals had the information they needed to provide safe, effective care. Visiting professionals included a dentist, GP, district nurses and a chiropodist. Relatives told us they were included in making sure all of the information was known about their relative to ensure a smooth transition. This helped ensure staff could understand the person’s condition and formulate a treatment plan based on what was important to them and what their goals were. Assessments were regularly reviewed to ensure they continued to meet people’s needs, and any changes were identified and responded to.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. People were very positive about the food and told us staff made sure they had plenty to eat and drink. One person showed us the menu for that day and explained how they could choose what they wanted to eat. Another person described it as, “The best of food.” People told us menus were flexible if they did not want what was on the menu that day. One person commented, “Today I didn’t like the meal and straightaway it was what do you want in its place.” At lunch time we saw people sat and ate together making it a social occasion which encouraged people to eat and drink well.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. Staff had access to the information they needed to appropriately assess, plan, and deliver people’s care, treatment, and support. People were referred to other healthcare professionals when needed. One person told us, “[Name] and I were talking, and they said if we were still at home on our own, we would never get the service medically we do here. If we want the doctor, we get the doctor.” One person told us how staff worked together in emergency situations. They explained, “When I fell, I pulled the call bell and 3 or 4 of them came within a few minutes.” The GP carried out a weekly ‘ward round’1at the service, as did the Advanced Nurse Practitioner. There were processes in place to share information with healthcare professionals to ensure the effectiveness of the ward rounds. Staff said they worked well together as a team and with other professionals. They said communication with colleagues, professionals and with the management team was good. One staff member said, “We had GP round today and today’s rounds have already been updated on our electronic monitoring system including the next steps to take going forward.”

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. Staff understood how to support and enrich people’s lives through exercise, increasing socialisation and activities. People were supported to access healthcare professionals. Staff supported people’s social and emotional wellbeing by providing a range of activities and engagement both inside and outside the home. On the day of our visit, we saw several people enjoyed a knitting club with lots of engagement and chatter. People could leave the home and pursue their own interests or visit the in-house hairdresser.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. One person was prescribed thickener [thickener is an additive to fluids to support effective swallowing] in their drinks as they were at high risk of choking. Staff told us they followed best practice guidance, for example when people required thickened fluids One staff member said, “I give 1 scoop for all their drinks.” This matched the person’s requirements. The provider monitored all people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and fully met clinical expectations and the expectations of people themselves. One person told us how the support they had received had helped them regain their independence which was a positive outcome for them. A relative told us how staff monitored their family member and were quick to identify when they were not feeling well. They told us, “They are very good like that and noticing what is going on. Staff will come up and say [Name] is not having such a good day.” One person told us how staff were aware of people who were becoming distressed or anxious. This person said, “They (staff) really nurture and care them. They get the maximum possible care.” Staff had a good knowledge of people’s health needs for example, they recognised actions they should take if they noticed a person had become unwell or changed in how they felt. One staff member said, “If someone had a pressure sore, I would ensure they are not on the wound to help it heal so turn them regularly, keep the wound clean and use pressure cushions.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People told us they could make choices about how and where they spent their time. One person told us staff encouraged them to go to the dining room for meals but respected their preference to eat in their bedroom. Other people told us staff supported them to make their own decisions and live the life they wanted to where possible. Comments included: “It is very pleasant; it is not, dictatorial or imposing. It is very easy to live here” and “They don’t keep badgering you to do things or interrupting but they always respond. There is nobody who pushes you into anything.” A relative told us, “A lot of the time they ask [Name] because they have full capacity, and they are very good at speaking their mind, but they do keep me in the loop.” Staff told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff understood the principles of the Mental Capacity Act 2005 and supported people to make informed decisions about their care and treatment. Staff told us they spent time with people to get to know them and to understand how they communicated. Where people declined support, staff respected that decision but discussed it with people or family members to ensure their immediate needs were met. Staff understood how and when to formally assess whether people had the capacity to make decisions about their care and treatment.