Cera Lanehurst Gardens

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. This is the first assessment for this service under its new registration. This key question has been rated 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.

Peoples’ needs, and choices, were assessed and took account of preferences for their support. Protected characteristics and diverse needs under the Equality Act formed part of this process. For example, people’s religious needs and preferences were captured.

People confirmed that they, and their relatives, were involved in their assessments of needs and reviews of their care. One relative said of the consistent approach to their loved one’s care, “I think it’s because they did all the groundwork right getting the information about mum they needed and then communicated it to the whole team, so it’s gone really smoothly.”

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them.

People received care, treatment and support that was evidence-based and in line with good practice standards. Each person had a full, and completed, initial assessment in place, an assessment that they confirmed involvement in. Assessment of people’s care, and risks, were supported by use of best practice tools. For example, staff used the Braden Scale, an assessment tool used to predict the risk of a person developing pressure ulcers

The service worked well across teams and services to support people. When people received care from a range of different staff, teams or services, it was co-ordinated effectively. Staff had access to the information they needed to appropriately assess, plan and deliver people’s care, treatment and support. One staff member said, “They are good at communication and at updating information. They keep things running really well. There are resources available.”

Professionals and partners in care said that the management and staff were effective in information sharing and partnership working. Appropriate and timely referrals were made when needed. One professional said, “The care staff I have personally met and interacted with have been welcoming, friendly and positive.”

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support and remain as independent as possible.

Appropriate referrals had been made to specialist services when additional health support was identified as being needed. Oral health assessments had been completed for people to ensure that they could be supported to maintain good oral health. People at risk of choking or malnutrition were supported to maintain safe and consistent diets. Referrals to speech and language therapists were made for those needing assistance with swallowing.

People spoke positively about staff approach to supporting them with any arrangements to support their health. One person said, “They will support you with medical appointments; arrange doctor's visits or trips to the hospital.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent.

Quality Assurance systems were in place to monitor people’s outcomes and support. Care plans, risk assessments were consistently reviewed and updated to reflect people’s changing needs and to ensure that safe and effective support continued. Training, effective communication and information sharing to and between staff meant they were clear on the standard of care expected from the provider.

People were supported in accordance with the Mental Capacity Act. Each care plan included an assessment and review of people’s capacity and ability to communicate their needs and wishes.

People confirmed that their views and wishes were taken into account when their care is planned. People and their relatives told us staff sought consent before providing care. One person said, “Yes they always ask me if it’s ok to support me they do this a lot.” One professional said, “I find (registered manager) very thorough, she gives good examples of choice and respects the service users’ decisions.”

People were supported in accordance with the Mental Capacity Act (MCA). People’s care plans detailed their capacity and understanding of their rights in making decisions. We observed staff obtaining consent from those they were supporting in terms of choices and preferences. Staff receive training on the Mental Capacity Act and understood their responsibilities regarding MCA, and the importance of people being involved and making their own decisions.