Delamere 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

Staff were kind and caring; however, people’s choice and independence was not consistently promoted. People and relatives told us they were happy with the choices on offer. While we observed some positive practices, we also observed people had limited choices about activities when we visited the home. Staff were not consistently supporting people to be as independent as possible. Staff did not always have documented guidance about MCA and best interest decisions to support people with choices made on their behalf. Improvement was also needed to how meal choices were offered, to ensure people could make informed and timely choices.

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.

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.

People told us the service was caring and they had independence, choice and control. One person told us, “I love it here it’s just so nice they are kind people, and I can do what I want. The staff do my shopping and ask if I’m warm enough. They do my tablets, and the food is beautiful lots of choice.” Another person told us they liked to garden and did this for the other people in the home, they had a key to allow them free access to the garden.

Staff told us they gave people choices and helped people to live as independently as possible. One staff member told us, “We make sure people and families are involved in decisions. We always give people choices and try to give them the best possible care.”

We observed that people were not always being offered every-day choices. For example, people were watching television, but staff did not offer a choice of channels. No activities were on offer during our visit. Some people displayed signs of distressed behaviours but were not offered distractions. One person did not have choice and control about their personal care, although there was an agreed plan in place around this because of risk, staff were not always supporting this person to be as independent as possible. People were asked to choose their meal earlier in the day and not offered pictorial aids, or plates of food to choose from, at the point the meal was served. This process needed improvement to aid people living with a dementia to make choices.

Processes were not consistently effective in supporting people’s independence, choice and control. Although we found examples of good practice, we also observed times when practice needed improvement. Policies and procedures were in place to promote independence choice and control.

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.