Bryony Lodge Nursing 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 71 (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’s care and support needs were assessed prior to them moving into the service.

Information was gathered from people and, where appropriate, their families. This information was used to develop care and support plans that reflected people’s needs and preferences.Staff reviewed care plans regularly and updated them when people’s needs changed.

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.

Staff used a range of clinical assessment tools to assess, monitor and review people’s needs and levels of risk. This information was used to make timely referrals to healthcare professionals.Staff were aware of people’s specific dietary needs and how to support people to remain safe. We observed staff supporting people as outlined in their care plans.

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 and key information when people moved between services.

Staff work well together with people to deliver coordinated, timely and person‑centred care. The service used an electronic care system, which meant staff had access to live information. Relevant information about people’s needs was accessible to appropriate staff and shared effectively between teams and services.

Staff worked proactively with external professionals and multidisciplinary teams where needed, and actions were followed up appropriately.

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.

Staff supported people to access appropriate healthcare professionals, such as opticians and occupational therapists, to support their general health. Staff recognised the importance of good oral health to people’s overall wellbeing, and care plans clearly detailed how people were supported with their oral health needs.

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.

The provider had effective systems in place to monitor and improve outcomes for people. Staff regularly assessed and reviewed the effectiveness of care and support, focusing on people’s health, wellbeing and quality of life. The registered manager described how staff worked with one person to promote their independence, which led to a reduction in their support needs and supported a successful transition towards living independently in the community.

The provider did not always tell people about their rights around consent and did not always respect their rights when delivering care and treatment.

Mental capacity assessments and best interest decisions were not completed when people lacked the capacity to consent. The registered manager responded immediately to this shortfall, and all relevant documentation had been completed by the second day of the inspection. Deprivation of Liberty Safeguards (DoLS) authorisations were clearly documented and appropriately monitored to ensure that peoples’ rights were upheld.

Staff understood the importance of ensuring that people fully understood what they are consenting to and the importance of obtaining consent before they delivered care or treatment.