Forest Lodge Rest Home

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

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last inspection we rated this key question requires improvement. At this inspection the rating has remained as requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

This service scored 50 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication. However, people told us they were not always involved in the planning and reviewing of their care. People’s communication methods were outlined within their care plans to enable them to receive care and treatment which works for them.

The service did not always deliver people’s care and treatment in line with current national guidance and best practice. For example, 1 person’s care plan was not up to date with the person’s dietary requirements. This person should have been receiving a specialised diet to reduce the risk of choking. This person was not receiving this diet, and appropriate medical advice had not been sought. The provider was not always up to date with national guidelines. For example, the provider was not aware of their regulatory responsibilities when supporting people with a learning disability and autistic people. Therefore, the service was not providing care to people in line with the ‘Right support, right care, right culture’ principles.

The service worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. The provider was involved in multi-disciplinary meetings when a person was moving into independent living accommodation, to ensure their journey went smoothly.

The service did not always identify risks to people to prevent a deterioration in their health and wellbeing. However, the service supported people to manage their health and wellbeing where able, so people could maximise their independence, choice and control. People told us they received support to access healthcare, inside and outside of the service.

Although the service did routinely monitor people’s care and treatment, such as weight monitoring, they did not always ensure appropriate medical advice was sought and failed to ensure people’s care plans were updated to reflect any changes in their care needs. For example, we identified 2 people who had lost weight over a period of time. We were told these weight losses were due to hospital admissions. However, we did not see evidence of where the service had contacted professionals or additional control measures to prevent further reduction in the people’s weight.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. A person told us, “They’ll ask me first before trying to help”. Where necessary, mental capacity assessments were completed in line with the Mental Capacity Act 2005. These did not always show where people’s representatives were involved. However, the provider took action to ensure this would be reflected in future assessments.