Broughton 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 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 and their relatives were involved in the planning of their care, through the pre-assessment process and reviews. This ensured the service could meet people's needs before they moved in. This helped to ensure a smooth transition and appropriate care planning from the admission.

Staff confirmed they were kept updated regarding people’s needs and any changes. Systems were in place to share information across shifts, for example at handover.

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 regularly reviewed by the registered manager and keyworkers, who were responsible for identifying any changes and informing senior staff. The provider had introduced a new electronic care system, which enabled both the registered manager and provider to monitor care delivery remotely and ensure people received the support they required.

All staff had completed training on ‘Learning Disability and Autism’. This training ensured staff had the knowledge and confidence to meet the needs of people with learning disabilities and autistic people, in line with national requirements.

People were observed enjoying their meals. People told us, “I love the food that we are getting now.” Kitchen staff were aware of people’s dietary needs and preferences.During the assessment, improvements were made to the dining experience. Adjustments were made for the timing of meals, new menus were placed on tables offering two meal choices, along with condiments and table mats.

We discussed with the registered manager that there was limited dementia signage around the home. They told us on the second day of our visit that they were actively exploring options to help guide and support people living with dementia.

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.

Feedback from 3 health and social care professionals was positive regarding the care provided and the improvements made at the home. They described staff as caring and committed to creating a supportive environment. However, concerns were raised about an incident where there was a delay in contacting professionals. We discussed this with the registered manager, who was aware of the incident and assured us no harm had been caused.

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 told us and records confirmed that staff supported them to access a variety of healthcare services to meet their needs. Staff said they were provided with the information they needed when people were admitted to the home and if there were any changes.

Care plans provided staff with guidance about how to provide effective care and support. Health needs were monitored. For example, people’s weights were regularly checked to enable responsive action to any significant increase or decrease in weights. Any concerns were raised with the GP.

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.

People who could, told us they were happy with the care they received and were supported by staff who knew them well. One person commented, “I am well looked after.” Another said, “I am quite happy here, they look after me.”

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

People told us and we observed staff obtain their consent prior to supporting them.

Staff had received training in Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). They understood people’s views and wishes were to be taken into account when their care was planned and delivered.

Work was ongoing to strengthen the monitoring of DoLS applications and conditions. The registered manager was working closely with the local authority quality team to ensure this process was robust and effective.