Courtfield 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 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.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Appropriate assessment tools were utilised to effectively support and monitor people’s health and care needs. Assessments were carried out by staff with the right skills. Assessments were regularly reviewed and updated to make sure staff have current information, so that care, support and treatment met people’s needs and individual outcomes as expected.

Some people told us they did not know what a care plan was and had not been involved in reviews. The provider had recently commenced a resident of the day scheme which would help improve this area.

The provider 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 nutritional and hydration needs were met in line with current standards and evidence-based guidance. People had enough to eat and drink to prevent malnutrition or dehydration and were supported to manage their dietary needs. This included where people have complex needs, from risk of poor nutrition, dehydration, swallowing problems and other medical conditions that affect their health.

Care plans documented people’s nutritional and hydration needs including a plan of action and their current strengths and abilities. Where people required an adapted diet, food and fluid consistencies were clearly documented.

The kitchen staff showed a good knowledge of managing allergens within their kitchen environment and were able to advise how they offered low sugar items to those with diabetes. The kitchen staff received an admission sheet prior to a new person moving in containing details of their dietary needs.

The provider 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.

Effective information was shared between everyone involved in people’s care. Notes kept by external partners were easily accessible and at hand for their visits.

The home held daily flash meetings to ensure that changes in assessed needs were communicated between the different teams for monitoring and action.

All relevant staff at the home could access the information they needed to understand people’s needs and appropriately assess, plan and deliver their care, treatment and support.

Systems had been updated to improve communication between the different services as a response from previous lessons learnt from an incident.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People’s day to day health and wellbeing needs were met. Staff encouraged people to maintain their independence in their approach to their care delivery.

People were encouraged to keep healthy and active, with exercise sessions. One person chose to do weightlifting and was encouraged to do this.

The provider 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

There was a robust approach to monitoring the effectiveness of people’s care, treatment and support and action was taken to continuously improve it. Care plans were outcome focused and sought to encourage independence wherever possible.

Monitoring tools were used where needed such as body maps, continence, fluid and nutritional records and pain monitoring.

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

We saw evidence of Mental Capacity Assessments and Best Interest meetings being completed with families or professional involvement where appropriate, in line with the principles of the Mental Capacity Act 2005.

Staff received training in Mental Capacity and Best Interests and were able to describe what this meant in practice. We observed staff treating people respectfully and seeking consent before performing care tasks or providing support.

Staff respected people’s rights and decisions. We observed people being offered choices. An individual shared, “They tell me what they would like to do. I can refuse their help if I want to. They never question my decisions.”