Delamere 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.

Staff completed initial assessments and care plans included important information about people’s physical health, and communication needs. Nurses and care staff told us they reviewed care plans monthly or when people’s needs changed to keep information up to date. Several relatives said they had been involved in assessments and decisions, for example one family member told us, “We were involved, I am his guardian and we agreed his care plan together”.

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.

Support from external professionals such physiotherapists, Mental health services and the medicines optimisation team were regularly accessed so people could receive care appropriate following best practice.

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.

Health and social care professionals, including the district nursing and physiotherapy services, were involved in people’s care, and staff said they could contact GPs and out‑of‑hours medical support when needed. One relative told us, “They always call if there are any changes or decisions to make,” and another said staff and hospital teams “work well together” when their family member needed treatment.

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 experienced positive activities to support their wellbeing. During our inspection we saw staff leading karaoke and chair‑based exercises and games, and people smiled, sang and joined in. Staff and relatives shared feedback with us about people going out with family, walking and attending Middlesbrough football matches; one staff member said, “Some of the residents love football, the staff have taken people to matches.”

The provider routinely monitored people’s care and treatment to make improvements. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

There was evidence of an established governance framework, including regular provider visits, regional and management audits, and thematic logs of incidents and complaints used to identify trends.

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

Staff told us they sought people’s consent before providing care and would step back and try again later if someone refused, particularly in relation to personal care or medicines. They explained that repeated refusal of medicines would be discussed with the GP, and that covert administration would only be considered following a best‑interests process. One staff member said, “We ask people’s permission and let them know what is happening.”

Staff described having training in the Mental Capacity Act and said they understood that several people had authorisations under the Deprivation of Liberty Safeguards, with care plans outlining restrictions such as supervision when leaving the building or covert medicines.