Leyland 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.

This is the first assessment for this newly registered service. This key question has been rated Good.

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 did not always make sure people’s care and treatment were effective because we noted some discrepancies in care plans. For example, information in 1 individual’s plan stated that they must always receive 1 to 1 support when outside of the building, but elsewhere it stated they could go to local shops unsupported.

There was good information on the digital recording system regarding people’s preferences, likes and dislikes, allergies and needs, there were also photographs of every resident on their file. The sections that had been completed were generally acceptable.

A digital recording system was used to record care interventions, and managers were alerted to missed tasks.

Following feedback, the registered manager assured us that risk assessments would be reviewed and implemented where required and that any contradictory information would be remedied.

The provider planned and delivered people’s care and treatment with them, including what was important to them in line with legislation and current evidence-based good practice and standards.

Staff told us that people were weighed each month to ensure they remained at a stable weight; they had the opportunity to refuse this.

One resident required a halal diet; staff showed good knowledge of their specific needs and showed us that they had an entirely separate set of crockery and cutlery as well as cooking utensils to avoid cross contamination with non halal food.

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.

The provider worked well to gain as much information as possible relevant to people’s care needs when they initially entered the home, this was evident in the detail of people’s care plans and needs assessments.

The digital recording system was used effectively to record and share information about day-to-day staff interactions and communication was good amongst the team. The registered manager told us that important events such as a change in medication were shared around the entire team to ensure consistency in care.

The provider worked with people, healthcare and other associated stakeholders to ensure good outcomes. We were told by one resident that the home was working in collaboration with social services to help them have their DoLS lifted so they could live more independently.

Staff ensured communication with partners was positive, we noted records of communication and letters retained on file.

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 had access to regular monitoring and health checks. A schedule of annual healthcare checks and medication reviews was in place, and we saw evidence people were supported regularly to attend healthcare appointments. Referrals were made in people’s best interests where required.

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 we spoke to were positive about their support and spoke about their improved outcomes. One commented, “I feel I have come on so well since being here and working with staff to lead a normal life. They have been so supportive.”

People had plans on file with objectives recorded and monitored. A person told us “I like the way they have helped me to be more independent, and I now go out in the community on my own. Small steps, it’s a great supportive atmosphere here.”

The provider ensured there were effective approaches to monitor people’s care and treatment. Regular monitoring was in place for those who needed it. For example, food and fluid intake and monthly weight monitoring.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Consent to treatments was recorded on the digital recording system.

The provider ensured the appropriate needs assessments and best interest decision making records were on file. The staff told us that they understood any restrictions that come with these.

Staff had completed training in The Mental Capacity Act 2005 (MCA), to aid their understanding of people’s rights around decision making.