Sidney Avenue Lodge Residential 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 remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (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.

We found people were involved in discussing their care and expressing their needs and staff knew people well. People’s care and support needs were reviewed and people had regular reviews with healthcare professionals to maintain their health and wellbeing. However, care plans were not always regularly reviewed and documented. Following a local authority visit, placement reviews by the relevant placing authorities were being arranged. This was a process that made sure people were receiving care and support that was right for them.

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 told us they liked the food provided by the home. All food was cooked using fresh ingredients. One person told us, “It’s always good.” Another person said, “I like to have a cheese sandwich for lunch. I like to eat everything really. I go to the shops to buy food. I don't have a favourite food. They cook me anything I want!” We observed a staff member making an alternative meal for someone and the staff member said, '[Person] asked me if he could have an omelette and chips for dinner because he doesn't like aubergines, so I'm preparing the potatoes to make him fresh chips, I don’t like to make frozen food I like to make it from scratch when I can so he can have homemade chips.”

There was a limited menu plan in place. During the assessment we observed people asking for what they wanted to eat and staff preparing this for them. One person said they did not want the main meal and staff offered options for the person. We saw people were fully involved in choosing what they wanted to eat. The registered manager told us, “We are working on a menu, but we don’t have this in place yet. We only have a 'dish of the day'. Breakfast the residents can have whatever they want. Lunch is normally a sandwich or toastie, some of them just want beans on toast or peanut butter but some of them will ask for omelettes or whatever they want. If the residents don’t like what the dish of the day is which is put on the fridge, then they can ask for anything they want, and the staff are very flexible. They will accommodate it.”

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.

People living at the home had been there for a number of years and staff knew them well. People were positive around the support staff provided. People told us staff always helped them make and attend appointments with external care teams.

The service worked with healthcare professionals such as occupational therapists and learning disability teams to maintain and improve people’s wellbeing. We saw staff following advice of health care professional during the assessment. We had no concerns around how staff responded to people’s care and support needs.

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.

Staff understood the importance of encouraging people to maintain their health and wellbeing. People were supported to attend routine healthcare appointments. We observed a staff member supporting a person to attend a healthcare appointment during the assessment.

People were encouraged to make healthy eating choices. We observed staff talking with people around what they wanted to eat and offering healthy options.

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.

Following a local authority quality team visit, people had either received or were booked for a review with their placing authorities. These were reviews carried out by the local authority which funds people’s care, and they have a responsibility to review care to make sure it meets people’s needs. The home was working with the local authority to improve the care people received.

Staff monitored people’s health and wellbeing. However, this was not always documented adequately. This is discussed further in the well led section of this report.

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

People received person- centred care. Staff knew people well and understood that each person was an individual and ensured they respected their rights. Staff understood consent and during the inspection we observed people being asked if they were ready to take their medicine and receive personal care.