Filsham Lodge

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• Overview
• Kindness, compassion and dignity
• Treating people as individuals
• Independence, choice and control
• Responding to people’s immediate needs
• Workforce wellbeing and enablement

People were supported by a staffing team who treated them with kindness, respect, and dignity, and that knew them well. Staff promoted people’s independence safely, encouraging them to complete tasks themselves but remaining on hand should support be needed. We observed staff gaining consent from people. People were given choices each day and told us that they felt in control of their daily lives. People and their relatives were involved in shaping their care plans to meet their individual needs.

This service scored 70 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Kindness, compassion and dignity during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Treating people as individuals during this assessment. The score for this quality statement is based on the previous rating for Caring.

Our observations showed that people were supported to eat and drink independently, and that those who wished to walk were supported to do so. We observed most staff interacted in a positive way and encouraged people to make choices with meals and drinks. Although some people had restrictions in place for safety matters, we observed staff using least restrictive measures first. For example, one person refused their medicine initially and then they were given it covertly in their hot chocolate. This was reflected in their care plan, risk assessment and DoLS paperwork, it had been discussed with GP and family.

Staff supported people to be as independent as possible. One staff member told us, “We try to promote independence, we encourage people to wash themselves and dress as far as possible, and with activities, one resident was an artist, and he still enjoys drawing and painting.” “I could find out about advocacy services if this was needed.” Another said, "We all have training, and we encourage people to eat on their own, we do prompt them and remind them but always ask them to choose their clothes by holding up different ones. We also offer choices around food and drinks.”

Processes were in place to ensure people were involved in shaping their care in the way they wanted it. Care plans included people’s preferences and how staff can support them to remain as independent as possible. This included information about their interests, backgrounds, and life histories.

People were supported by staff who were caring, knew them well and encouraged them to be independent without placing them at risk. A relative told us, “[Person] likes to be independent; she is in a lot of pain so prefers to stay in bed, she is strong willed, but staff are trying to encourage her to move and go in a chair.” Another said, “Staff encourage [person] to make choices and decisions about their meals and where they would like to spend their time.”

We did not look at Responding to people’s immediate needs during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Workforce wellbeing and enablement during this assessment. The score for this quality statement is based on the previous rating for Caring.