Napier Lodge Limited

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’s needs were assessed and reviewed regularly to identify if they had changed. People’s communication methods were documented within care plans to enable effective communication. A relative told us, “I’m involved in care, every step of the way.”

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. A staff member told us, “Care plans are created with people and their families. They are reviewed by managers, and all changes are shared with staff.”

People’s nutritional and hydration needs were assessed and met. A person told us, “I have never drunk as much in my life as I do here. They’re always checking that I’ve had a tea, a coffee or a cold 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.

The provider shared information with other health and social care professionals to support care planning and delivery.

Staff we spoke with were able to describe the needs of the people they supported, and the help they required. A person told us, “I’m kept safe by the girls… they’re all top-notch.”

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. One relative told us, “Everyone knows [Person] really well so if she starts to get poorly, they know straight away and get her the help she needs.”

Staff supported people to access a range of health care professionals. Care records included support from healthcare professionals including medication reviews and advance care planning by GPs and advice and supervision by District Nurses.

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’s weight and skin integrity was monitored at a frequency that met their assessed needs. A staff member commented, “We work with people and their families to give them the best life.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The provider adhered to the Mental Capacity Act (MCA) principles. Capacity assessments were completed for specific decisions, and where a person lacked capacity, best interests decisions were formally made to authorise restrictive practices (bed rails, sensor mats, or lap belts).

Staff understood the importance of seeking consent from people prior to delivering care and we observed this in practice. A staff member said, “We don't go into (people’s) rooms without knocking.” People told us staff sought their consent regularly. A person told us, “They (staff) always ask before they do anything.”