Lee Gordon House

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 good. At this assessment the rating has remained 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.

People had been involved in planning their care and reviews where possible. Relatives told us they were involved in the care and support of their loved one and kept informed of any changes. One relative told us, “The manager goes over and above to help everyone."

Staff spoken with demonstrated an understanding of people’s needs and how to support them safely. For example, how to prepare a person’s food and drink to ensure they were served at the correct consistency by adding the prescribed thickening agent, in line with the advice given by the healthcare professional to reduce the likelihood of them choking.

People’s care records were person centred and included an assessment of their needs for example, communication, health and mobility. We identified a care plan had not been put into place for a person with diabetes to instruct staff how to manage this condition, should it become unstable. When we raised this, the manager took action to address this shortfall. People’s care plans included how the person wished to be supported, their likes and dislikes and any routines which were important to them. The management team had also reviewed the care records regularly. People were having regular check-ups with health and social care professionals.

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.

People and relatives were happy with the service they received and told us they knew how to raise any concerns with the management team, if they needed to. Relatives and professionals who worked closely with the service confirmed they were involved in monitoring people’s health and wellbeing to ensure it continued to meet their needs.

Staff told us, they were involved in monitoring people’s health and wellbeing and reviewing care plans regularly to ensure they continued to meet people’s needs. Staff also gave positive feedback on the changes made since the new manager had started at the service. Comments included, “Improved outcomes for the people we support and staff team,” and “Lots of guidance about how to support each service user, they are the most important thing."

Processes were in place to monitor the care and support people received, records reflected people’s involvement, where possible and the outcomes they wished to achieve in the future. We saw examples of feedback gathered from people and relatives regarding the staff team supporting them and the overall service they received. This included ensuring people were happy with the service provided and any suggestions for improvement.

People told us, and we saw staff worked within the principles of the Mental Capacity Act (MCA) by seeking people’s consent prior to supporting them. People told us they were asked for their opinions and helped to do the menu with staff. One person said, “I choose the things I like to eat and where I want to go out to."

Staff spoken with confirmed they had received MCA training and demonstrated an understanding of the principles and a commitment to adopt the least restrictive interventions when supporting people. The manager understood their responsibilities under the Act. Where needed, applications had been made to restrict people’s liberties to keep them safe.

Care plans contained capacity assessments and decisions relating to a range of aspects of care had been made in people’s best interests. Records viewed showed staff had received MCA training and feedback was sought from people to ensure their rights were promoted by staff during competency checks and discussions held to gather their feedback of the overall service.