Scarborough Hall and Lodge Care 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 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 had their needs assessed before moving to the service. A relative told us, “I was involved with the care planning before [name of person] came in.” Another said, “We have recently discussed his care plan and any changes.” Another relative explained, “Care planning, we are constantly on that page, always constant review of her care.”

Care plans contained information about people’s wished-for personal outcomes. For example, ‘enjoys seeing family, enjoys seeing son’s dog, [name of dog]’, ‘has a lovely sense of humour and enjoys a laugh and a joke with everyone’ and ‘likes to relax in communal area in between meals, now and again likes to help the team wash up’. A relative told us, “They take time to listen to [name of person].”

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.

The cook was knowledgeable about people’s preferences and met regularly with people on an individual level to talk about the menus and what they like or dislike. People’s comments included, “The food is very good, different meals and always a choice” and “Good food in here, quite a variety and choices.” Relatives were always able to eat with their loved ones if they wished. Relatives told us, “The food is really good quality, lots of choice and always drinks and snacks available”, “The food is lovely, we are able to have a meal with [name of person]”, and “I can always have a meal with [name of person] when I visit.”

People who needed a modified diet were well-supported and received the food they needed in the way they needed it. Staff constantly gently reminded those people living with advanced dementia to drink.

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.

Daily meetings took place between all staff at shift changeovers. Managers across the service held a daily meeting to provide updates and share information about that day, such as scheduled hospital discharges. A visiting professional told us, “They (the service) flag concerns with us. They are good at working with us. I have no concerns, if I do I take them up with the managers. The managers are always very responsive if I raise anything. If there is anything I will tell them, but I have no concerns at all.”

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.

A person told us, “You can see the doctor or dentist if you need to. Medication always comes quickly.” Another explained, “I had a problem with a tooth and they (staff) took me in the bus to my own dentist.” A relative said, “I had an email about the optician and I’m always told about the GP it [name of person] is not well.” Another relative told us, “[Name of person] still sees her own chiropodist, keeping her routine and it gets her out.”

A visiting health professional said, “They raise valid concerns appropriately with us.”

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.

We found some examples of inconsistent recording about people’s care monitoring. For example, one person was described as needing catheter care, but this had not been monitored because they were able to self-empty. We discussed this with the registered manager who confirmed action had been taken by the second day of our inspection.

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

Staff spoke positively about respecting people’s wishes, maintaining their privacy and the importance of gaining their consent. The service had checked, for example, whether people wished to consent to their inclusion in social photos, and were people had declined this was respected. A relative said, “[Name of person] is able to make her own choices. The staff know everything about her.”