Grove 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 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 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’s needs were assessed before admission to Grove Lodge to ensure their needs could be met. Relatives told us care plans were reviewed regularly and they were involved. A relative told us, “Yes, I am and made fully aware of everything. At the Review, they asked me what I thought and if there was anything I thought needed changing.”
 

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 included person centred information about people’s nutrition and hydration needs. For example, a person’s care plan included information around the amount of fluid they were able to have each day, as determined by a healthcare professional. Staff recorded the amount of fluid the person had each day and monitored this, so they did not have more fluid than was recommended.
Relatives told us that people had the right support to eat and drink and that they were given choices. One relative told us their loved one had never been a big eater and had lost weight, so the home contacted a relevant healthcare professional.
 

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.
We found communication with healthcare professionals was documented. Professionals told us that the provider worked well with them. One professional commented that the registered manager remained in regular contact and provided timely updates.
 

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.

People's care records demonstrated they had been supported to access relevant health services, for example a psychiatrist. Relatives told us the provider contacted relevant healthcare professionals when needed.
 

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.
The provider used The Cornell Scale for Depression in Dementia (CSDD). This is designed to assess signs and symptoms of major depression in people with cognitive impairment. This was in a person’s care plan and was reviewed regularly for any changes.
 

The provider told people about their rights around consent and respected these when delivering person centred care and treatment.
The provider had a Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS) policy. This provided clear direction to staff on how to uphold the principles of the Mental Capacity Act 2005, ensuring that decisions made regarding residents who may lack capacity are both lawful and respectful of their personal autonomy. We found that consent forms were in place and where appropriate, mental capacity assessments had been completed and best interest decisions were in place.