Casterbridge 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. The service had strengthened the process to ensure people were supported to have a good quality of life. 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 service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People and their relatives told us care needs and personal preferences were discussed prior to moving to Casterbridge Lodge. People were involved in the care assessments and arranged their care the way they wanted. A relative told us, “There is never anything not quite right, it's spot on here. The staff treat everyone like family, I see how they reassure my relative in a way they respond to and that’s because the staff know everyone so well.”

The service policies and procedures were informed by evidence-based research, for example, for nutrition and hydration.
 

The service 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’s records were accurate to the care they were receiving. For example, we saw people’s daily records included details of referrals to health professionals.

A visiting health and social care professional told us, “Management know the people they support and if someone is difficult to assess or in distress due to their dementia they support us. There is always activities, celebrations and events going on when I visit.”
 

The service 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 told us the information they had for people was accessible to them through the providers electronic recording system. The registered manager was confident about the provider’s policies to share information, as appropriate with external partners.

Relatives told us they were confident they were given up to date information such as, if their loved one was unwell or had had a fall. A relative said, “The registered manager took me to the office and explained what a safeguarding is, what happens next, and I've heard from social services they are investigating it…I feel fully supported and I will get to have my say on my loved one’s behalf.”
 

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.

People were encouraged to live a healthy lifestyle; people told us how their general wellbeing and health had improved whilst living at Casterbridge Lodge. People and their relatives commented about the activities offered which supported physical and spiritual health, “I have my little garden out the front with my greenhouse and pots, I am also responsible for the bird feeders too” and, “Staff are always on hand to support when I take my relative out and welcome them back, it’s so reassuring to know I have their help, I couldn’t do it without them.”
 

The service 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.

Staff reviewed a daily handover document where they were made aware of any short-term care interventions such as increased checks for people who had been unwell or recently fallen.

Records demonstrated people were supported to achieve positive outcomes such as: meeting nutritional and fluid targets, improving skin integrity and using equipment to mobilise safely. People’s care notes accurately reflected the care and treatment people received.
 

The service told people about their rights around consent and respected these when delivering person-centred care and treatment.

Some people had appointed a lasting power of attorney to make decisions about their health and welfare or their property and financial affairs on their behalf, these details were included in the person's care records. A relative told us, “We are fully involved in any decisions about our loved one’s care. I get to have my say on their behalf and I am confident what I have decided is fully respected by the registered manager and all the staff.”