Winton 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 were supported to make choices about their care. Staff worked effectively with health and social care professionals to meet people’s needs. Consent was sought and people were involved in decisions about their health and wellbeing. If a person lacked capacity to make individual decisions, an assessment was carried out in accordance with the Mental Capacity Act 2005 (MCA ). People and their relatives were involved in care planning.

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 had been involved in assessments of their needs and creation of their care plans.

The registered manager told us the service completed 2 preadmission assessments for new admissions. One of the assessments was done by the registered manager. The registered manager travelled to meet the person and gathered the necessary information from a wide variety of sources, including health and social care professionals, the current care provider and the person’s relatives.. The second assessment was done by the provider.

People’s care needs were assessed, reviewed and met. Care plans we reviewed during the assessment were up to date and considered people’s health, wellbeing and communication needs.

People told us they enjoyed the food provision, and they were supported to have choice. One person said, “The food is nice and tasty.”

Staff told us they knew people well and felt confident in supporting them. They confirmed they had time to read people’s care plans and were told when people’s needs changed.

People’s nutrition and hydration needs were assessed and formed part of their care and support plan. Health and social care professionals were involved in creating and reviewing people’s care needs. When required people were referred to the speech and language therapist (SALT). SALT provide assessment of swallowing or communication difficulties for people with medical, neurological and surgical conditions.

People and their relatives told us they felt listened to and involved in people’s care and treatment. One relative said, “Staff are like family, and we get on so well. I am on the phone to them, they're on the phone to me. They are very dedicated.”

Staff told us they had access to people’s information to plan the delivery of their care and support. The service used a paper-based system, and essential forms were available to staff when required.

Health and social care professionals told us they had effective working relationships with the service.

Visits from health and social care professionals were recorded and accessible in people’s folders. This meant staff had an overview of people’s health needs and outside involvement.

People told us they were supported to attend their health appointments. One person said, “I went to the dentist. We (staff and the person) went on the bus.”

Staff confirmed they supported people to attend their health appointments. One staff member said, “I have taken some of the people to their appointments. We go through their appointments monthly and book them. People are involved, as we do it with them.”

The service had efficient working relationships with a wide range of health and social care professionals. People were supported to attend regular health checks. This was monitored to provide effective care and support for people.

Relatives told us they felt informed of changes in people’s needs. One relative said, “[Person] needed a new chiropodist, staff called us to check that we were happy for [person] to go to a new 1.” Another relative told us, “I have more or less regular emails from [staff member’s name]. When [person] had their tooth out, staff ensured [person] had soft food afterwards. [Staff member’s name] went with [person], helped throughout the appointment. It was done very professionally and very well.”

Staff told us they knew people well and worked as a team to achieve best possible outcomes for people. A staff member said, “The more you work with people, the more you get to understand them. If I need more information or to refresh my memory, I know where to get it from.”

People’s care records showed the service had effective systems in place where people’s health needs required regular monitoring.

People confirmed they were treated with respect and asked for their consent to care. One person said, “They ask me questions and listen to me.”

Staff told us they knew MCA requirements and the importance of ensuring people fully understood what they were consenting to before they delivered care.

MCA assessments for individual decisions were completed. People’s care was planned in their best interest and in the least restrictive way.