Hope Lodge Care 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 good. At this assessment the rating has changed to requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

This service scored 58 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People’s needs had been assessed, but these were not always up to date and reflective of their current needs. People’s care plans did not provide enough guidance or information on psychotropic medicines prescribed to be used on an as required basis. However, the provider had assessed things people could do with themselves, such as making meals and where they needed staff support or supervision, such as with hot surfaces.

The service worked well across teams and services to support people. There was evidence people had been supported to access external health professionals appropriately. For instance, individuals received support to attend regular reviews with the Intensive Support Team (IST). The IST focuses on helping people with learning disabilities and autistic people in areas such as managing anxiety, emotional distress, and sensory needs. They provide assistance with care planning, analysing themes and trends, and reviewing medications that may impact people’s emotional wellbeing.

The service worked well across teams and services to support people. There was evidence people had been supported to access external health professionals appropriately. For instance, individuals received support to attend regular reviews with the Intensive Support Team (IST). The IST focuses on helping people with learning disabilities and autistic people in areas such as managing anxiety, emotional distress, and sensory needs. They provide assistance with care planning, analysing themes and trends, and reviewing medications that may impact people’s emotional wellbeing.

There were mixed findings in relation to how the service supported people to live healthier lives. A person's care records stated they had a goal to start going to the gym since December 2024, but there was no evidence of the service supporting them with this. However, we also found people were encouraged to go for walks in the community and were involved in planning healthy meals. We reviewed a person’s health action plan which showed they were up-to-date with all routine health checkups.

The service did not always have effective care planning systems to ensure people could meet 'objectives' in their care plans. For example, one person's care plan stated that staff would support them in learning to read, but there were no plans to demonstrate how they would support the person in doing this and how they would review or monitor progress. However, the person’s care records showed they had regularly visited the library and keyworker sessions showed they had started to recognise some words in books they were supported to read.

The service considered people's rights around consent and respected these when delivering person-centred care and treatment. Where people could not make their own decisions, the service conducted mental capacity assessments and organised best interests’ decision meetings. Where people needed to be deprived of their liberty to receive care and promote their safety, appropriate applications had been made. Staff understood the importance of seeking consent from people and acting in accordance with the Mental Capacity Act. For example, a staff member said, “When [Person] says no, it means no.”