Eachstep Lockwood 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 requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 67 (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.

People’s needs were assessed prior to them being offered a place at the service. One person and their friend told us how thorough and reassuring this process had been for them.

Care plans created from the initial assessments were developed and reviewed with the person, and where appropriate their families or friends.

As people had only been living in the service for a short time, we were not able to fully assess the frequency of reviews. However, we saw that reviews had taken place when people’s needs changed and the care plan updated to reflect this. Managers told us that comprehensive reviews of people’s needs would take place monthly. The intention was that these would include a full review of care plans, risk assessments and changes to health and well-being. If the review indicated the person would benefit from the support of health care professionals such as dietician or occupational therapist, a referral would be made.

We saw how the review process of one person’s care plan had enabled the person to give very detailed information about their needs and how they wanted to be supported to meet them. Staff told us the person had enjoyed being involved in the process and described it as a ‘well-being activity’ for them. The person agreed they had enjoyed their care review.

Staff said the review process also gave people opportunity to voice their opinions about their care and to discuss how they wished to access their care plans.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider supported people to manage their health and well-being 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 medical care plans were detailed and included information about their physical and mental health care needs. Relevant past medical history details were included along with possible effects of long-term conditions and what support they needed to try to avoid these.

Short term care plans were developed as needed, although we noted that a care plan in relation to a course of antibiotics did not include the reason for the antibiotics or what support staff could provide to relieve symptoms and aid recovery.

Health matters had been discussed with people to help them to decide what actions they would be happy with to improve their health and well-being.

Where appropriate, referrals to health care professionals had been made.

People’s needs were kept under review and action taken as changes were identified. For example, a more appropriate mobility aid had been ordered to support one person with getting out and about more easily and support for another person was reviewed regularly to make sure it was appropriate in preparing them for living independently.

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

People living at the service at the time of our assessment had capacity to make decisions about their care and to give consent where needed. Consent had been discussed in relation to care, treatment and support, sharing information and consent to photographs.

We discussed with managers about consent to photographs and use of names in relation to being included in the monthly newsletter which could be read by people outside the service. Managers agreed further discussion with people would take place to ensure clarity regarding this