The Evergreens 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.

The provider completed assessments of people’s needs before they were offered a place in the service, with a manager visiting people where possible to carry out the assessment. The manager also obtained a copy of the local authority needs assessment where this had been completed. Staff told us they received good information about people’s needs.

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.

People and relatives told us staff provided good support to meet their needs, including support to meet their nutrition and hydration needs. One relative told us a person had not been eating or drinking while they were in hospital, but staff at the service had provided good support and the person was now putting on weight. Other comments included, “The food is good” and “They feed you well.”

Staff were aware of people at risk of malnutrition and dehydration and those who needed a modified diet due to the risk of choking. We observed staff providing good support and encouragement for people to eat safely and maintain their nutritional intake. Staff used show plates to support people to make choices about their meals. This supported some people living with dementia to make meaningful choices about their meals.

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.

Relatives told us staff worked well with other services, such as community nurses and GPs, to ensure people received the care they needed. Health and social care professionals were positive about the way the service worked with them to meet people’s needs. Comments included, “Carers and managers appear to be communicating well with each other, and the managers have worked effectively with me and the social workers.”

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 were supported to use a range of health services, including the GP and community nurses. People told us they were able to see their GP when needed, with a weekly visit by the GP or community matron and opportunity for consultations outside these planned visits. Staff escalated any changes to people’s health to the relevant healthcare professionals and made sure people’s health needs were reviewed if needed.

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.

Staff maintained records of care they had provided, for example, how much food and fluid people had taken and observations of people’s skin conditions where needed. Records demonstrated changes were shared with healthcare professionals to ensure people received appropriate treatment.

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

We observed staff gaining people’s consent before providing care for them. Staff had been trained in the Mental Capacity Act 2005 and demonstrated a good understanding of consent issues. Staff understood the need to follow the best interest decision making process if people were assessed to lack capacity to consent to a specific decision. Care records contained clear details of any decisions made in people’s best interest and who had been involved in making the decision.