Norway Lodge Nursing 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 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 prior to their admission into the service. Any expected outcomes were identified, and care and support were regularly reviewed to help ensure it was relevant to people’s current needs. Where appropriate, family members were involved in the assessment process to help contribute to providing person centred information.

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. People’s care and support was planned and delivered in line with current evidence-based practice and guidance. For example, recognised care assessment and monitoring tools were used to help determine the level of care and support people required. People had access to nutritional food and drink and had choice over what they wanted to eat. People told us, “I have good food and choice” and “It’s excellent food and good choice, we are asked everyday what we want. On a Friday l love fish, chips and peas.” A relative commented, “The food is beautiful, [Name] loves the roast dinner on a Sunday.” People could take meals in their own rooms or attend the dining room as they wished. We observed people enjoying lunch and the dining experience was not rushed and provided people with an opportunity to socialise. Where people required support, this was delivered in a considered way.

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 collaboratively across services to better understand and meet people’s needs. For example, an electronic care recording system was used, so information could be shared quickly and easily with other external health care professionals.

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. The provider made appropriate and timely referrals to other relevant professionals to help people achieve more positive outcomes regarding their health and well-being. For example, we saw referrals being made to SALT (Speech and Language Therapy) team where the provider had recognised where people require modifications to their diet. A relative commented, “They [Staff] will get the GP when [Name] needs it, they are on the ball.”

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. Care and support were regularly reviewed and updated to ensure people’s needs were met and their outcomes were positive. An external professional told us, “The service gives the impression of being committed to improving outcomes and maintaining a positive experience for the people receiving care.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff ensured people were involved in decisions about their care, so their human and legal rights were upheld. People told us their rights were respected. One person told us, “Staff always ask if its OK before they do something, I have control over what I do, I can get up when I like.” The provider assessed whether people had capacity to make decisions and involved relevant professions when needed. Where people did not have capacity, staff upheld their rights in the least restrictive way possible and referred people for professional assessment at the earliest opportunity.