Talbot Woods 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 inspection we rated this key question requires improvement. At this inspection the rating has changed to 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 service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People’s care and support needs were assessed before they moved into the service, relatives told us this was a thorough process. After admission, people’s care and support needs were developed further and reviewed. The pre-assessment process formed the basis of the care plans, which had included ensuring the service could meet the persons needs. The service considered everyone before welcoming a person into the service, they wanted the be sure, as much as possible, the service was right for the new person. Staff told us they had enough information about a person when they moved into the service and enjoyed getting to know them. People’s records were accurate and reflected the care they were receiving on the electronic care planning system. There was a clear review process which ensured people, and their loved ones were involved. A relative told us, “We work closely with Talbot Woods Lodge, for our loved ones needs.”

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, their relatives and staff were involved in the creation of care plans and risk assessments. Relatives told us communication with the service was effective. Staff told us they worked with people to follow good practice guidance; this had included working to support people’s social needs and medical conditions. Evidence-based care underpinned the policies, procedures and ways of working within the service.

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 inspection of needs when people moved between different services.

People and their relatives told us their information was shared as required, for example with the GP. Staff kept detailed records of care delivered on the electronic care planning system, these were reviewed monthly or as things changed. The registered manager and manager had oversight of records and could access details of care to share them with external professionals as required. We received positive feedback about external professionals working with the service. A health and social care professional said, “I think our collaboration works well in supporting people and their health.”

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 and their relatives told us they were confident the service promoted general health and wellbeing. Relatives gave examples of how their loved one had thrived since moving to the service. Some people had called Talbot Woods Lodge their home for over 20 years, they were happy with how the service supported them. People were confident in staff to help them live their best lives. Health and wellbeing were promoted within the service. This included regular access to external service including annual health checks. All care and support plans, had outcomes and goals listed. Dietary needs were assessed and catered for; processes for ensuring people’s risks around nutrition were managed. People and their relatives were complimentary about the food and drinks available at the service. People had access to a wide range of external professionals and health specialists such as, specialist nurses. A health and social care professional said, “People living at Talbot Woods Lodge are well looked after, the staff know their residents really well and are able to support them well too.”

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.

People and their relatives shared examples of how their lives had improved since moving to Talbot Woods Lodge. Relatives told us of the peace of mind the felt and the service worked to help them live a good life. A relative told us, “They provide the continuity needed for our loved one, they show thought in what they do.” Staff told us they worked tirelessly to ensure people had a voice, were the leader of their life. Records detailed clear goals and outcomes for people, and this included instructions for staff. Each care plan and risk assessment were individual and unique to the person. People were receiving the care and support they required.

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

People’s rights were fully protected. Significant improvements had been made, embedded and sustained with the documentation relating to consent. Where appropriate, relatives had been involved in decisions made on the persons behalf. Consent was sought from people and where necessary in accordance with the MCA. Decision making processes had been improved and was supported by clear policies. The registered manager, manager and staff understood the principles of the MCA. Records showed consent had been sought for the care provided. Improvements had been made, and care was planned in the persons best interest in the least restrictive way and in consultation with others, this was part of the day-to-day process for the service. Where people had given a relative or friend the legal authority to act on their behalf in matters such as their health and welfare needs, the correct documentation was in place.