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

People were assessed prior to moving to Woodham Lodge to ensure their care and support needs could be met. Families were included in the assessment process to ensure that people were offered choice and inclusion in the decision.

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.

Care plans were person centred with specific detail on how people like their care and support delivered, this included information on how people like to communicate, their likes and dislikes. Care plans included details of situations which may cause distress, and how to spot the early signs, along with the de-escalation techniques staff could use, which were appropriate to the individual person.

People were supported to make meal choices and encouraged to participate in the preparation where able. We observed people being supported by staff to make cakes for teatime.

Staff were knowledgeable about people’s needs for assistance with different tasks. At lunchtime staff encouraged people to eat independently if they were able to do so, whilst providing support to people who required 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.

Management and staff worked with other agencies to make sure that people in their care receive timely interventions. Information was shared appropriately between health and social care staff so that people receive a good continuity of care.

The provider had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice.

The provider had relevant and appropriate processes in place for investigating and assessing accidents incidents and safeguarding concerns. There was evidence of systems in place to review and reflect findings and outcomes. Where necessary changes to care were applied and lessons learned documented and shared with the staff team.

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 their assessed need but also the expectations of people themselves.

Records were updated daily to provide an ongoing overview of people's health and well-being. Care plans were reviewed and updated with any short-term and long-term changes in their care and support needs. People and their families were encouraged to be involved with setting outcomes and achievements.

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

Care plans contained mental capacity assessments and, where necessary, best interest decisions. These documents contained the various options available which had been considered before deciding on an outcome.

Deprivation of Liberty Safeguards (DOLS) had been applied for appropriately. These applications were reviewed regularly to ensure that the least restrictive option was being used whilst delivering care to people.