Barton 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 79 (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 always made sure people’s care and treatment was effective by thoroughly assessing and reviewing their health, care, wellbeing and communication needs with them.

Since our last inspection, vast improvements had been made in relation to the initial assessment and care planning processes. The initial assessment document had been reviewed to include more detailed and personalised questions. Care plans were regularly reviewed, and the provider saw these reviews as an opportunity to explore each person’s past, present and future and how their current plan of care supported them. Staff told us how having a detailed understanding of peoples past allowed them to better support people to do things they enjoyed. For example, the activities team had organised musicians, gardening days and animal visits based on people’s feedback and life history information. A relative said, “We are involved on an ongoing basis. They update us when we go. They take a diary of what [my relative] has been doing.”

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. One person told us how staff supported them with their diabetes, telling us, “I am diabetic and my sugar level is monitored by staff-they check me all the time-sometimes I don’t hear [Blood glucose] alarm but somebody is in my room to see me they are very good with me, carers know me well usually around 4pm my blood sugar goes down so they bring me extra biscuit.”

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. Visiting professionals told us the service shared information promptly and worked with them to ensure people’s health outcomes were met.

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. For example, where people were at risk of malnutrition, the provider ensured people were supported with regular ‘build up shakes’ [High calorie drinks to promote weight gain] and calorie dense meals.

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 a range of clinical tools to monitor and identify any clinical risks to people, for example, ‘waterlow’ assessments, to assess people’s risk of skin damage. Where people were at risk, the provider had measures in place to reduce these risks.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Where people were unable to make their own decisions, the provider ensured they assessed people’s mental capacity and organised best interest decisions. This ensured input came from everyone involved in the person's care. This collaborative approach meant any decisions made were in the person’s best interests.