Lavender 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 inadequate. At this assessment the rating has changed to requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

At our last inspection the provider was in breach of the legal regulation in relation to safe care and treatment. At this inspection improvements had been made, and the provider was no longer in breach of this regulation.

This service scored 54 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

At our last inspection we found care plans and risk assessments were not consistently reviewed. At this inspection care plans were routinely reviewed and updated as people’s needs changed. We found some improvements were required to ensure consistent guidance was recorded within people’s care plans. For example, where a review showed a change in one person’s needs and they were to be supported to get out of bed on alternate days, this had not been reflected within their main care plan which still stated they were always cared for in bed. We found no evidence this person had been harmed; however, this placed the person at risk of not receiving the right care and support.

Relatives told us they felt staff had a better understanding of their loved ones needs. One relative told us, “Things are improving, staff seem more aware of [person’s] needs and they are more alert and engaged.” Staff reported improvements in care plans, and confirmed they had the guidance and support to meet people’s needs.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

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.

Systems were now in place to ensure advice from healthcare professionals was accurately recorded and shared with staff teams. This included a specific care plan for multi-disciplinary team and a ‘resident at risk’ meeting to discuss any health and well-being concerns, or upcoming appointments. Records showed appropriate referrals were made to healthcare professionals as required.

Overall, the provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and that they met both clinical expectations and the expectations of people themselves.

Whilst charts were regularly completed to allow for monitoring of people’s clinical needs, some details within records were not always consistent. For example, where people required a modified texture diet, some records stated they had been given regular texture food and others stated soft texture. We were assured this was a recording error, as people were given safe consistency foods during our inspection. However, this did not make it explicitly clear for monitoring purposes what the person had been eating and how it had been prepared.

Improvements had been made to ensure skin integrity checks were now fully completed and allowed for effective monitoring.

The provider had introduced staff ‘champions’ who were staff members who took on specific roles or responsibilities to promote good practice and enhance quality of care. This included areas such as continence and moving and handling and was reported to be a concept that was developing well.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.