Archived: 1 Lansdowne Road

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 changed to requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

This service scored 58 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service had assessed people's care needs, but we found these were not always up to date. For example, 1 person's care plan stated they were awaiting funding to attend the day centre, but they were no longer interested in doing this. However, the Manager who had recently started was in the process of reviewing people's care plans at the time of our assessment.

The service did not always show they had met people’s health needs in relation to their oral health and monitoring a person’s fluid input and output. The service needed to improve how they evidenced a person received the 1:1 care they were funded for. This meant staff did not always deliver people’s care effectively. However, people had hospital passports and health folders in place. They had been supported to attend appointments with external health professionals.

The service worked well across teams and services to support people. People had been supported to access external health professionals appropriately. For example, people had their annual GP health checks for people living with learning disabilities. Relatives also confirmed people were supported to attend health-related appointments.

People were not always effectively supported to manage their health and well-being. 1 person used a catheter, and the Operations Manager told us they were at greater risk of developing urinary tract infections. However, there was no established system to monitor their fluid input and output in line with best practice to manage health risks associated with this. Staff had also not received catheter care training. 2 people's care plans stated they lived with diabetes. When we asked leaders why their care plans did not have guidance around risks such as experiencing high blood sugar, we were told the care plans were not accurate about their diagnosis. This meant there was an increased risk that staff did not have accurate information about meeting people's health needs.

However, people were encouraged to walk to places like the shops whenever possible. One person told us they were looking forward to taking part in a community-based activity that day with a staff member, where they would do some exercises.

The Manager told us that the food was cooked from scratch with leaner cuts of meat being purchased and that people had access to fruits and vegetables. The service had referred people to dieticians where there were concerns about their weight.

Our findings in relation to ‘Supporting people to live healthier lives’ meant we could not be assured the provider always routinely monitored people’s care and treatment to minimise health risks to people. Additionally, A person’s care plan stated that due to their oral health needs they needed to be supported to use mouthwash after each meal, but records did not show this was happening. These concerns had not been identified by the providers processes to monitor and improve people’s outcomes prior to our assessment.

The service considered people's rights around consent and respected these when delivering person-centred care and treatment. Where people needed to be deprived of their liberty to receive care and promote their safety, appropriate applications had been made. Staff we spoke with understood the need to obtain people’s consent before delivering care and support.