Hatfield Peverel Lodge 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.

People’s care and support needs were assessed, and care was delivered in line with standards and evidence-based guidance. Care plans contained detailed assessments of people’s needs which involved people and their relatives. Various recognised tools were used to ensure individual risks were assessed in relation to mobility, skin integrity and nutrition. A person told us, “I arrived yesterday, had a very good welcome, they knock on the door and say what can I do for you, whatever I want. I asked for a big mug not a small teacup and I got it.”

Staff were provided with up-to-date information about people with regular handovers and through the service’s electronic care planning system. A daily meeting for senior staff was held to discuss any changes or risks to people’s care and support.
 

The provider did not always plan and deliver people’s care and treatment with them. They did not always follow legislation and current evidence-based good practice and standards.
During the assessment, we observed differences in the delivery of care between the nursing area and the dementia area. In the nursing area, the environment was welcoming and well-prepared. Tables were laid with tablecloths, flowers, and condiments, and people were offered choices regarding their meals. Staff engaged positively with people, creating a calm and respectful dining experience.

In contrast, the dementia area lacked the same level of attention to detail. Tables were bare, meals were plated and served without confirmation of choice, and staff interaction was minimal. Although staff were polite, they did not consistently check with people whether they were happy with the food served or offer alternatives. This did not reflect best practice in dementia care or person-centred approaches.

Senior staff acknowledged these concerns and expressed disappointment, stating that staff usually offered choices at mealtimes. On the second day of the visit, improvements were noted. Tables were appropriately presented, visual meal choices were offered, and staff engaged warmly with people. People were observed chatting and laughing with staff, and the overall dining experience was significantly improved. The deputy manager told us they intended to base themselves in this area going forward to monitor consistency in the standards for the meal experience for people.
Despite this people we spoke with were happy with the food. A person told us, “The food is varied, and I never go hungry, the juice is always topped up.”

The Chef manager had all the information they needed to ensure people received any specialist diets. We also observed them providing people with alternatives if they were unhappy with the choices offered on the day. Nurses received regular updated training, and competency checks for various nursing procedures. Where necessary, nurses consulted specialist nurse advisors for current advice on best practice if required.

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.

Staff worked proactively with other teams and external agencies to provide timely and coordinated support. We observed that referrals were made promptly, and care plans included relevant information about appointments and their outcomes. A professional told us, “Response time is very good, discussing treatment plans and gaining consent for our dental treatment.”
Evidence provided to us demonstrated positive outcomes for people admitted with wound care needs, as staff worked in close collaboration with the tissue viability team to promote effective healing.

The provider acknowledged that concerns had been raised with external agencies by staff. These concerns were followed up proactively, and additional forums were introduced to enable staff to speak up. Staff we spoke with told us they felt supported to raise any concerns with management. A staff member told us, “I do feel supported and valued here. My manager listens to concerns, gives feedback, and encourages growth. While teamwork could improve at times, I know there is a commitment from everyone to give good care.”
 

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.

During our visit, we observed staff consistently supporting people to maintain their independence and make informed choices about their daily routines. Some people received one-to-one support, which enabled them to move safely and freely around the home. Staff spoke with warmth and compassion about those they cared for and demonstrated a strong understanding of each person’s medical history and care needs. Interactions between staff and people were positive, respectful, and person-centred.

The service’s activity plan included regular exercise sessions aimed at improving mobility and promoting overall health. Staff used tools to monitor key aspects of people’s health, including fluid intake, weight, wound care, and nutrition, ensuring timely interventions and personalised support.

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.

People had access to medical and health professionals as needed. Care notes, monitoring charts and daily checks were completed. Oversight of people’s care and treatment was robust and clinical meeting were held weekly where any risks to people’s care and treatment were discussed and followed up. A person told us, “I saw the doctor especially as I have got low blood pressure and was given tablets, the nurse had taken my blood pressure reading.”

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

Staff received training and understood the principles of the MCA. A staff member told us, “The Mental Capacity Act is a legal framework for decisions about people who lack the mental capacity to make decisions for themselves. This protects the rights of individuals who lack mental capacity. By always asking for the residents’ consent before doing anything.” Another staff member said, “We ask people what clothes they would like to wear, we offer as much choice as they are able to understand.”