Middleton Park 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,treatmentand support achieved good outcomes and promoteda good qualityof life, based on best available evidence.

At our last assessment we rated this key questiongood. At thisassessmentthe rating hasremainedgood.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.

Assessments were completed to provide a holistic overview of people’s needs, including their physical, emotional, social and communication requirements. Care plans reflected individual preferences, routines and guidance on how best to support people. Communication needs, such as hearing loss, memory impairment and anxiety, were clearly identified, with staff guided to adapt their approach accordingly.

Assessments informed the delivery of care, including the need for two staff support, use of hoisting equipment and appropriate monitoring. People’s emotional wellbeing was also recognised, with care plans highlighting the need for reassurance and opportunities for social engagement.

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 had access to a range of external healthcare professionals when required, including GPs, speech and language therapists, district nurses and other specialists. Care was personalised and reflected people’s preferences, including their routines, appearance and meaningful interactions. Outcomes for people included maintaining skin integrity, improvements in weight and support for emotional wellbeing.

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.

Multi‑disciplinary involvement was evident, with input from speech and language therapy (SALT), occupational therapy and mental health professionals. Their recommendations were clearly documented and used to inform care planning and delivery. An external professional commented positively on the service, stating, “I have found the team as a whole to be very caring and enthusiastic about the people in their care and the service they provide.”

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 were supported with their nutrition, hydration and mobility needs. Records demonstrated food and fluid intake was monitored, and appropriate assessments, including a Malnutrition Universal Screening Tool (MUST), in place. Preventative care was delivered, including regular repositioning, skin checks and use of observation levels to reduce risk and promote wellbeing.

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.

Systems were in place to monitor care delivery, including the use of daily records, nutritional tools and risk assessments. Records demonstrated changes in people’s needs were identified and care was updated accordingly. Positive outcomes were evidenced in some areas, including improvements in weight and the maintenance of skin integrity.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

The provider was working in line with the Mental Capacity Act (MCA). Capacity assessments were completed where required, and best interest decisions were made appropriately. Power of Attorney arrangements were clearly recorded and used to support decision‑making. Staff worked collaboratively with families and appropriate representatives when people lacked capacity, helping to ensure decisions were made in their best interests.

However, improvements were needed to ensure the consistent recording of consent within care documentation.