Bowden 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 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 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, well-being, and communication needs with them.

Peoples current care needs were reflected in their care plan. Care records showed appropriate health care professionals had been involved and needs were regularly reviewed. We saw staff worked extremely well with health care professionals to ensure people transitioning to and from the service received positive outcomes supporting their mental health and well-being. We spoke with a person who was being supported to move to the service permanently, they told us, “The staff are brilliant.” They also explained how they felt really positive about moving into Bowden Lodge. The staff worked hard to ensure a smooth transition was achieved, there were welcome packs in people’s rooms, care plans were drawn up with the person during the transition and where appropriate family members were involved.

Health care professionals spoke highly of the management and staff. One said, “Bowden staff attend the meetings and community case formulations. This has allowed for a full understanding of the person’s pathway and needs and will help with a smooth discharge and remaining in the community.”

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. Care plans reflected people’s current needs and were regularly reviewed. People told us they were involved in their care planning. Care plans we saw showed evidence people were involved, and they included their choices and decisions. People’s nutritional needs were detailed in their care plans; there was a good choice of food and people also cooked their meals if they were able. One person said, “They [staff] cook a meal at teatime. We all get choices. I’m vegetarian if there’s nothing you like on the menu there’s always something else.”

The provider always worked well across teams and services to support people. They shared thorough assessments of people’s needs when they moved between different services, so people only needed to tell their story once. The staff team worked well together and supported each other to ensure people's needs were met. The registered manager was extremely passionate about ensuring people received the best possible outcomes to promote their well-being and prevent a lapse in their mental health. There were regular meeting to discuss best ways of working, share good practice and learn lessons. Staff told us they were very well supported to enable them to be able to do their jobs well.

Health care professionals told us the staff team were excellent, they communicated exceptionally well, and they worked with the multi-disciplinary teams to ensure people received the appropriate care and support, promoting independence and positive outcomes. One professional said, “Staff show genuine compassion for those in their care.”

People spoke extremely positively about the care and treatment delivered by the staff team each person had an allocated key worker who supported them to be part of the care delivery plan. One person said, “I have a Key Worker, and I sit down with them once a month.” They told us this worked very well.

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. Care plans evidenced people had access to health care professionals, attended appointments when required and had regular access to their GP.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent and they met both clinical expectations and the expectations of people themselves. Care plans were reviewed and updated to reflect any changes to care and support. Daily notes and records were completed to monitor people’s health and wellbeing. The staff team looked for opportunities to enrich people’s lives. For example, people were supported with independent living skills so they could set goals and achievable pathways to be able to move into their own home.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People’s care plans recorded their agreement to receive care and support and contained information from people about their wishes and choice about their care which was respected.