Adswood Lodge

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the provider met people’s needs. This is the first assessment for this newly registered service. This key question has been rated good. This meant people’s needs were met through good organisation and delivery.

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 were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs. People and families told us they were fully involved in developing care plans. Care plans contained sufficient information about people’s needs. Information was available about people’s life stories and staff knew people well and understood their preferences. People generally felt care was delivered as they wanted. One person commented, “I settled in well and love my room with the view of the garden. I was able to personalised my room and even got to choose the room I wanted.” Care plans were detailed but daily records did not always contain enough detail to demonstrate that care was delivered in line with people’s personalised needs and preferences. However, overall, with the exception of a few instances care was observed to be delivered in line with care plans.

The provider understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity. People and families told us that staff worked closely with other professionals to ensure that all their care needs were met. Professionals told us they had good working relationships with the staff team and that appropriate referrals were made and guidance followed. The provider had access to their own multi-disciplinary team who were able to complement the work and advice given from external professionals.

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs. People were supported to communicate using various approaches and we saw one person who was supported to communicate in writing, and people had communication care plans. We noted some people may have benefited further from the use of communication cards due to a decline in their verbal communication and we discussed this further with the management team. The provider had access to a variety of resources to ensure information could be provided in a way that was tailored to people’s needs and suitable policies were in place.

The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. Staff involved people in decisions about their care and told them what had changed as a result. People were involved in making decision about their daily lives and care plans. People were supported to get involved in decisions about the home and their support, including meal options and activities. One person told us they were being supported to go swimming as this was an activity they had previously enjoyed; the activity team told us they had responded to the person’s initial request for this activity and worked with them to identify suitable and safe options. The provider held meetings with people and relatives and any feedback was actioned. The provider had a ‘you said…we did’ board to communicate how they had responded to feedback. People and relatives were supported to complete surveys and visitors were encouraged to feedback during visits using electronic feedback systems. Information about raising concerns and making complaints was readily available within the home and feedback from people and families was that they felt able to raise concerns and they were confident that these would be addressed.

The provider made sure that people could access the care, support and treatment they needed when they needed it. The provider had a multidisciplinary team including physiotherapy, occupational therapy and speech and language therapy who were available to provide input and support to people where needed. Staff gave us examples where people had been supported to become independent and return to independent living where this was possible.

Staff and leaders actively listened to information about people who were most likely to experience inequality in experience or outcomes and tailored their care, support and treatment in response to this. People received good levels of support irrespective of their needs. The activity team actively supported people to access the community and staff were made available to support people with any appointments they may need. People’s cultural and spiritual needs were assessed and care plans implemented to ensure these needs were met. For example, one person who required a Halal diet was supported with a range of options and choice, the home had a multi-faith prayer room for people, families and staff to use, and the provider engaged with faith groups.

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life. The management team were very passionate about providing end of life care. People had care plans which contained information about the practical arrangements for their end of life. However, the care plans did not always provide detailed information about how people wanted to be supported when approaching the end of their life relating to the emotional and spiritual support they may need. Care plans indicated these matters would be discussed when this became the person’s need. The provider focused on supporting people to become more independent and provided rehabilitation when this was the care commissioned and we observed staff and the activity team were responsive to any hopes and aspirations people may have.