Lennox House

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

We saw evidence the service provides effective care and treatment. There are a variety of activities on offer which reflect the interests and needs of people who live at Lennox House. We observed people being well engaged in activities and with activity leaders. Staff receive relevant training and are supported to progress their careers where desired. Staff supervision took place regularly and development plans were reviewed and updated as required. Staff told us they felt well supported and part of a cohesive team. Other professionals we spoke to who work with Lennox House described collaborative working relationships. Consent for care was routinely discussed and recorded. For those who were unable to provide consent mental capacity assessments were up to date and people’s representatives involved as required.

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.

People told us they were actively involved in their care planning and reviews of their care. For those who did not have capacity to make such decisions, people's representatives were involved. Such reviews took place when evidence of a change in care needs was identified as well as at routine regular intervals.

Care planning was person centred and individualised. Consideration was given to future needs and preventive care as well as current needs. Each day there was a person of the day who had all their needs reviewed holistically. All relevant people and professionals were involved in care planning and changes were communicated.

Staff we spoke to understood their role in care planning. Staff had a good relationship with people who live at Lennox House and knew them on an individual level meaning they could help their voices be heard when planning their care. All relevant staff and healthcare professionals are involved in care planning.

Care planning was person centred and individualised. Consideration was given to future needs and preventive care as well as current needs. Each day there was a person of the day who had all their needs reviewed holistically. All relevant people and professionals were involved in care planning and changes were communicated.

People we spoke to felt that all staff knew them and their needs, at times when new staff were providing their care, staff had a good understanding of them personally from their care records.

Staff we spoke to told us felt they received the necessary information required when people were admitted or when other healthcare services made changes to people's care. Care plans were easily accessible to staff for use with other professionals and were kept updated.

Partners we spoke to including the GP and commissioning local authority told us Lennox House communicate needs openly and clearly. The GP told us staff were responsive to their input and sought their support appropriately, providing the necessary level of information to ensure joined up treatment and support.

There is a good selection of food available. " There is a choice for breakfast including a fully cooked breakfast. Tea, coffee, juice, cereal or porridge”. People were provided with the level of support required at mealtimes. People received meals appropriate to their needs.

Staff we spoke to were aware of individual needs of people. The Kitchen manager knew people's requirements and was able to converse with people about their meals knowingly when they approached with questions. They were able to cater for individual dietary needs whether due to personal preference or medical need.

The service works closely with relevant healthcare teams to ensure food provided is suitable for each individual. This includes consideration for allergies as well as food consistency and support needed with eating. Individual needs are recorded clearly and regularly reviewed and discussed in multi agency meetings.

People told us their care was regularly reviewed and they were actively involved in this. All necessary healthcare teams were also included and people were supported to attend healthcare appointments outside of the service. A relative told us their loved one, "gets to see all health providers and has attended some appointments”

All care plans are reviewed regularly and updated with people's input. Healthcare teams are contacted to ensure plans reflect both desired health outcomes and cases discussed at regular meetings to keep all concerned up to date.

People we spoke to told us consent was sought befor any care was carried out. “yes they are respectful”

Staff we spoke to had a good understanding of consent and the right process to follow to obtain it. For example, when we raised a concern with staff about a person refusing oral care, we were told that people have the right to refuse their care and treatment. This was documented in the person’s care plan which included guidance on how to best support the person in the area of question.

As well as consent being documented for care plans people were also asked for consent on each occasion care was delivered. This policy was recognised and adhered to by staff who understood why this was important. Any person who did not have capacity to consent to care had an appropriate mental capacity assessment documented and decisions made in their best interests with input from people's representatives.