Harrogate 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 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. We found that effective systems were mainly in place to assess and mitigate risks to people and keep them safe. People’s care plans were detailed which enabled staff to support people safely.

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 plans were person-centred and detailed what was important to people. The relevant people were usually involved in the process. Care records showed that GP’s, district nurses, occupational therapists and other healthcare professionals were involved in people’s care planning.

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 service was working with other healthcare professionals when needed. For example, we found evidence of referrals for people to the speech and language team (SALT) and occupational therapists.

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. We observed staff interacting with people and maintaining their independence, choice and control. People were supported to join in activities throughout the day and have their lunch in the dining room. We observed meals were nutritious, a good portion size and choice was offered. We saw how one person received the appropriate support for their dietary requirements.

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. Effective systems were in place to assess, monitor and mitigate risks to service users and keep them safe. Charts were in place to monitor people’s general observations, repositioning and food and fluid. Some people required their repositioning to be documented overnight, and this had not always been recorded. People weights were monitored regularly and actions taken if further support required.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Processes were in place to ensure care and treatment was provided with the consent of the relevant person. We saw Mental Capacity Assessments (MCA) and best interest decisions were in place for those people who lacked capacity to make a particular decision. A tracker was in place to monitor people who had a Deprivation of Liberty Safeguards (DoLS) in place. We observed staff throughout the day routinely gaining people’s consent before supporting them.