Westhope 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

People’s needs were not always assessed in line with Right Care, Right Support, Right Culture guidance which increased the risks of people not receiving effective person-centred care and support.

This service scored 67 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People and those close to them had some involvement in developing their support plans to meet their individual needs and preferences. However, plans showed assessment of a person’s needs indicated they would use Makaton, a type of sign language, to aid their verbal communication. One person demonstrated their use of sign. This was only seen in very limited use during our assessment visit.

Staff told us training and knowledge around communication tools and approaches was limited. The Makaton used was limited to a few signs. The registered manager told us they were in the process of updating and reviewing plans following a recent internal audit. Staff were knowledgeable around people’s health needs and day to day preferences.

The pre- admission assessments were completed before people moved to the home. This included where appropriate, consultation with other professionals involved in the person's care and family members.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

People were not always supported by staff who understood people’s rights around consent. Some people were asked to give consent to everyday care, such as receiving support with moving or meal. This was inconsistent and did not always include people whose communication was partially or non verbal.

Some staff used the term “not allowed” when talking about a person not having access to the kitchen, because they may scald themselves. No consideration had been given to the person’s capacity or to using equipment to reduce the risks and give the person the opportunity to safely exercise their choice. However, some staff were able to demonstrate they fully understood the principles of the Mental Capacity Act.

Staff training and knowledge had not been checked to determine the level of understanding and how that was reflected in staff day to day practice.