Elm 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 received effective care. Their needs and choices had been assessed and planned for. People's healthcare needs were monitored and met. People had consented to their care and treatment. We did not assess all the quality statements within this key question. We did not identify concerns relating to these areas which we judged as being met at our last inspection.

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 and their relatives told us they had been asked about their needs and choices. They explained this information was used to help plan their care.

Assessments of people's individual needs were detailed and reflected a range of feedback from the person themselves, families, and healthcare professionals. The assessments were carried out in line with best practice examples to ensure people's needs were accurately reflected.

Senior staff carried out assessments of people's needs. They told us they regularly reviewed these and updated care plans when needed.

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.

People and their families explained healthcare needs were being met. They had opportunities to see their GP and other healthcare professionals. Their comments included, ''We are very lucky, we can get our eyes and ears done'', ''I see my GP and dentist regularly'' and ''One of the other people was ill the other day and all the staff ran to help [them].''

The staff had created care plans about individual healthcare needs. These recorded how people needed to be cared for and ways to support them to stay healthy and well. The staff communicated well with other healthcare professionals. They made timely referrals for additional support when this was needed. They incorporated guidance into care plans and alerted healthcare professionals when people's needs changed.

The staff demonstrated a good knowledge of people's individual needs and how to support them. The provider employed qualified nurses who helped to assess and monitor people's healthcare needs.

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 told us they were given choices and supported to consent to their care and treatment.

Staff had undertaken training about the Mental Capacity Act (2005). They understood how to present information to enable them to understand this and make choices about their care.

The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to make decisions, any made on their behalf must be in their best interests and as least restrictive as possible. People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the Mental Capacity Act (MCA). In care homes, and some hospitals, this is usually through MCA application procedures called the Deprivation of Liberty Safeguards (DoLS) We found the service was working within the principles of the MCA and if needed, appropriate legal authorisations were in place to deprive a person of their liberty.