The Cyder Barn

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the service met people’s needs.

At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s needs were met through good organisation and delivery.

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.

The provider made sure people were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs. People told us they received care and support which was personalised to them and felt they had autonomy over their routines, such as when to get up or go to bed. One staff member told us, “It’s all about that individual person. Providing care the way they want it. Make changes, what they like and what they want, not what is easiest for us.”

The provider understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity. Staff worked with other professionals to make sure people’s needs were met. Referrals to professionals were made when required. When asked if they could see a GP or health professional when needed 1 person told us, “I would speak to the manager and get this organised.” Another person told us, “I can speak to my doctor if I need to.” A relative told us, “They got the GP when [relative] was unwell.”

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs. People told us staff communicated with them effectively. Comments from people included, “Absolutely I get what they’re saying” and “Yes, I understand them”.

The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. They involved people in decisions about their care and told them what had changed as a result. Residents meetings were held monthly. People told us “We have resident meetings where I complete a form” and “As part of the regular meetings we are asked to feedback.” One relative told us, “They call us with any updates after [relative] came here from the hospital.” People and relatives told us the manager was approachable and would manage any concerns raised. One person told us the manager “is lovely and always around”. One relative told us, “Any issues (not complaints) I speak to the registered manager about this and it’s been resolved.”

The provider made sure that people could access the care, support and treatment they needed when they needed it. Reasonable adjustments were implemented for individuals requiring them. This involved ensuring that the service was fully accessible, with equipment available to accommodate mobility and handling needs. Consequently, individuals had positive experiences and outcomes, with their disabilities not hindering access to necessary support. One person reported that adjustments were made following a couple of falls, resulting in changes to their bed.

Staff and leaders actively listened to information about people who are most likely to experience inequality in experience or outcomes and tailored their care, support and treatment in response to this. Staff and management advocated on behalf of people. One professional told us they have, “Plenty of examples where they've put the needs of the resident first whilst solutions are sought.”

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life. The service collaborated with district nurses and hospices to ensure a pain-free and dignified death. Comments were viewed from families complimenting the care provided during their loved ones' final moments. Care plans viewed did not always provide details on people’s end of life wishes. We discussed this with the registered manager who provided assurances they would address this.