Highams Lodge

This means we looked for evidence that the service met people’s needs. At our last assessment we rated this key question good. At this assessment the rating has changed to requires improvement. This meant people’s needs were not consistently met through the organisation and delivery of care.

Person‑centred care was not consistently delivered. Care planning was not always clearly structured, and systems used to monitor engagement and activity did not consistently demonstrate how care was adapted when needs changed. The service did not consistently support timely progression, and some people remained in the service for extended periods without clearly defined plans.

The service did not consistently support people to move on in a timely way. Records showed some people remained in the service for extended periods without clear planning or criteria to support progression.

Care did not always support consistent outcomes. There was variation in the quality and focus of key work sessions, and records did not always demonstrate that interventions were regularly planned, reviewed or adapted.

Processes were in place to record engagement, attendance and activity; however, these did not clearly demonstrate how information was used to plan care, respond to disengagement or adapt support.

However, the service offered a range of activities and opportunities for people to take part in the therapeutic programme. People described opportunities to contribute to day‑to‑day life in the service and engage in structured activities.