The Cedars

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 good. At this inspection the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

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.

Staff at the service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People, and their relatives were involved in assessing their loved ones needs, and in developing and agreeing their care plans and risk assessments. Staff told us there were effective systems in place to assess and monitor people’s needs. This included handover meetings between incoming and outgoing staff on shift and staff meetings. A staff member commented, “Communication is good, we are kept up to date about changes to people’s needs.”

Staff planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. People received a varied diet. A relative told us, “There is a good menu and people have a well-balanced diet.” Some people were supported to become involved in meal preparation and making drinks or snacks, whatever the level of need. A relative commented, “Staff support [Name] with a baking day.”

Staff at the service worked well across teams and services to support people. Staff made timely referrals and worked well with other agencies to ensure people's treatment needs were met. A relative told us, “[Name] has been diagnosed with diabetes and staff control it well. A nurse comes in twice a day to administer insulin.”

Staff supported people to manage their health and wellbeing to fully maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. Records included specialist advice and guidance, that had been obtained where people had additional support needs, such as, from the occupational therapist, speech and language therapist or community nursing team. Relatives told us people were supported to access health care. A relative commented, “[Name]’s health is looked after well. [Name] will say dentist if there is a problem or if they are unwell and the staff respond to this.” Another relative told us, “[Name] has a daily record during the week which they bring home for us to complete. So, for example if they have been to the GP it is recorded in the book and we get phone calls as well.”

Staff at the service monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and what people wanted. Care plans were detailed, personalised and provided guidance to ensure outcomes could be met ensuring people received safe, consistent and effective support. There was a system of evaluation of risk assessments and people's care plans.

Staff told people about their rights around consent and respected these when delivering person-centred care and treatment. Assessments were carried out, around people’s mental capacity and care records contained relevant information. Records captured all the relevant others involved in Best Interest decision making, where people did not have the mental capacity to give consent, with any restrictions recorded.