Lucerne House

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’s support needs were assessed and reviewed on a regular basis, which helped to ensure their needs continued to be met. However, improvements were needed in relation to ensuring people’s care plans included all the relevant information. Key worker reviews were being developed to support people to identify goals and aspirations. Staff were aware of the importance of asking for people’s consent before supporting them and ensuring their wishes were respected.

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’s relatives told us their loved one’s needs were assessed and reviewed.

The management team told us that previously people may have been admitted to the service without the assessment taking into account whether the service was suitable for the person and ensuring compatibility with others who already lived there. They told us systems were now in place to ensure assessments took into account these aspects of support. Staff told us they had a keyworker role which involved spending time with people to talk about their goals and aspirations and how these could be met.

People’s needs were reviewed and changes made to their support and care. This was in partnership with health and social care professionals when required. Information was used to develop a person-centred care plan to guide staff on how to support the person effectively. Improvements were needed to some care plans to ensure they reflected people’s current needs. Although staff told us key worker reviews had commenced, improvements were still needed across all services to ensure that everyone who wanted to, had individual goals that could be easily measured in terms of progress and adapted as necessary to meet peoples needs and wishes. Staff completed daily care records however these did not always fully reflect the support people received or what they did each day. Key worker reviews were being implemented across the services and further time was needed to fully embed these into everyday practice. The management team were aware of these improvements were required and work had commenced to address this.

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.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

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’s relatives told us their loved ones were given choices and enabled to make their own decisions each day. Throughout the inspection we saw people being offered choices and these were respected. This included what to do each day, when to get up and meal choices.

The management team and staff understood people’s capacity and their ability to give consent. Throughout the inspection we observed staff giving people choices and making sure they understood the choices they had made. For example, if a person did not want to go out, staff would tell us why and explain the person was able to make this decision for themselves. Staff told us the support they provided was about encouraging and involving people to make their own decisions and choices. One staff member explained, “Honestly we are supporting them (people) to make their own decisions, if they are confused we give them options, preferences and things that are good for their health, support them with their daily activities.”

Where people were deemed not to have capacity Mental Capacity Assessments and best interest decisions had taken place to ensure decisions made were in the best interest of the person. There was oversight of DoLS, applied for, authorised and conditions. There was Power of Attorney information in care plans, however the manager told us they were in the process of obtaining evidence of these from the relevant relatives to confirm information held was accurate. This information needs to be in place to ensure that decisions are being made on people's behalf by those with the legal authorisation to do so .