Adswood 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. This is the first assessment for this newly registered service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (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. People told us that the staff completed assessments of their needs before they were admitted to Adswood Lodge. Staff continually assessed and reviewed people’s needs, and ensured that where changes were noted, these concerns were shared or escalated for further investigation. For example, where people’s ability to eat and drink appeared to deteriorate, arrangements for further investigation and assessment with the speech and language therapy team were completed. Professionals fed back that staff were good at escalating changes and seeking appropriate support when needed. We noted occasions where historical information had not been removed from care records and the provider responded quickly to address this matter. However, most care records accurately reflected current need and staff were clear on people’s current needs and preferences.

The provider planned and delivered people’s care and treatment with their involvement, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. Staff worked closely with other agencies to provide people with the support and care they needed. One person told us, “The physiotherapist attends weekly and I have exercises to do.” The staff and management team were very passionate about the care delivered to people. The home had a number of initiatives being implemented which included improving dementia care and community links for people living with dementia. The provider had arranged for additional training to support people who required a modified diet. This included looking at options and the presentation of modified foods with the kitchen staff, and providing blending equipment to ensure any thickened fluids were suitably mixed. People`s preferences for meals were fully considered and catered to, and we observed people enjoying a range of meals.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. Staff worked well together and were readily available to support people as needed. One member of staff commented, “The teamwork among colleagues is excellent, which makes daily tasks smoother and more enjoyable.” Staff knew people well and feedback from people, families and professionals indicated there was good consistency in the staff team and continuity of care. One person commented, “Adswood Lodge is a good place to live. Everyone is helpful and I can talk to the staff and management.”

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. People were supported to make positive choices and live healthier lives. People were supported to rehabilitate where this was possible, and we noted several people had returned to live more independently following a stay at Adswood Lodge. The provider had a multi-disciplinary team which include physiotherapy and occupational therapy who worked alongside the activity team and care team to promoted physical activity and independence. This had included supporting one person to access a gym in the community, taking people for walks and day trips to promote wellbeing and focus on diet and nutrition.

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. The management team was passionate about ensuring the home was a good place for people to live and there was a consistent staff team who knew people well. The provider had a range of systems in place to ensure good oversight of people and their needs, which included clinical checks and meetings. However, we noted some occasions where the processes set by the provider were not always completed, for example, regarding the oversight of people’s daily records but we found there was no indication that people’s care needs were not being met.

People’s rights and choices were generally respected by staff when delivering care and treatment and consent obtained when delivering direct care. However, records did not always demonstrate that people were formally told about their rights regarding consent to care and treatment. On the first day of our visit, we found care plans did not reflect how people’s consent to care and support had been obtained. This was immediately addressed by the registered manager and team. We observed that people’s views and wishes were respected on decisions of daily life and people and families appeared to be involved in care planning. Where people lacked capacity and were subject to restrictions, appropriate assessments were completed, the appropriate people were involved in the best interest decision making and legal authorisation was sought.