Cedar Lodge Nursing Home

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 provider 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 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Observations and discussions showed that staff knew people well and adapted support to respect dignity, safety and personal preferences. However, some care strategies were not sufficiently detailed or consistently reviewed to ensure they reflected changes in people’s conditions.

There was a lack of consistency across people’s care records relating to the level of detail they held. In some cases, information was detailed and comprehensive for example, some care plans reviewed included personalised information such as preferred routines, communication needs and personal care preferences. However, several care plans lacked sufficient clinical detail, including clear information about people’s medical conditions, monitoring requirements and specific interventions needed to manage identified risks. We found the electronic care planning system was difficult to navigate and locate information. Some information on the system was recorded incorrectly, and some information was paper-based. This meant, in some cases, there was limited assurance care was always planned in a fully person-centred and clinically informed way.

While families and professionals were involved where required, improvements were needed to ensure all care plans were comprehensive, accurate and consistently reflected people’s current clinical needs and outcomes.

A number of staff had recently been identified to support people to take part in activities. One person told us, “I watch the TV during the day and do word searches. They ask me what I would like to do or join in with anything."

The provider ensured care was joined up and consistent. Staff maintained clear handovers, communicated effectively with families, and collaborated with health professionals to deliver safe and continuous care.

During handovers, nurses discussed people’s overnight observations, blood sugar levels, continence needs and sleep patterns. Care staff were allocated workloads to ensure all people received appropriate support. Staff demonstrated a clear understanding of people’s routines, preferences, and health requirements, adapting care to individual needs.

A relative told us, “As a family we are happy with the care [loved one] gets there. [Named relative] visits every day. [Person] has come on leaps and bounds at Cedar Lodge."

The provider supplied clear and accessible information to people and families. Key documents, including care plans and Respect forms, were being reviewed and updated to ensure accuracy and accessibility.

Where needed, staff supported people to understand care decisions, and families were kept informed about changes to care.

The provider involved people and families in decisions about their care and told them what had changed as a result. People and families reported positive experiences with communication, including discussions about care preferences, activities, and any concerns. Complaints processes were in place, and staff were aware of procedures to escalate and document issues.

Families confirmed that concerns were addressed promptly, and improvements were implemented where required. One person told us, “I don’t think I’ve ever made a complaint. I have told them that I don’t need potatoes every day. I asked for rice some days and I get it now.”

Relative told us, “I have meetings over the phone and in person with them to discuss [person’s] care. We can’t believe how lucky we are to have found it. [Person] loves the staff more than us now."

People were able to access care and support according to need. Staffing levels and resources were appropriate to meet individual requirements, including support with mobility, medical needs and engagement in activities. Staff understood people’s health and social care needs and provided personalised support.

The provider ensured that people experienced equitable care and outcomes. Reasonable adjustments were made to support people and adapt care to meet individual needs. Staff and leaders monitored people’ health and wellbeing, which helped promote safety, dignity and quality of life.

People were supported to plan for future changes in their care and to make informed decisions, including end of life care preferences. Families confirmed their relatives’ future needs and preferences were considered and that care was tailored to provide comfort, reassurance and personalised support.