Cedar Lawn 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 service met people’s needs. This is the first inspection for this service. This key question has been rated 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.

People and relatives were complimentary about the service. One relative said, “We review the care plan on an annual basis but if there are any changes in the interim time that is communicated to us.” Another relative told us, “Staff are polite and [family member’s] dignity is maintained. They always knock before entering the bedroom and close the door when providing personal care.”

We observed staff offering choices and facilitating people’s preferences. While people we spoke with said they were involved in their care, our inspection found the care plans were not person-centred and contained contradictory information. For example, some care plans contained conflicting information relating to people’s repositioning records.

The service understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity.

There was continuity in people’s care and treatment because services are flexible and joined-up. Health and social care professionals were complimentary about working with the service. A professional told us, “We have regular contact with the nursing staff at Cedar Lawn.My engagement with them is always positive – they know their residents well, we speak to the same nursing team and have established good relations with them.They appear to be able to offer good continuity of care, have a low threshold to engage with us and when we discuss people with them the nursing team always seem to have acted appropriately.” Care plan records showed input by various health and social care professionals.

The service did not always supply appropriate, accurate and up-to-date information in formats that were tailored to individual needs. Some people’s communication needs were not fully assessed or met.

We raised our concerns with the registered manager who arranged for all care plans to be reviewed. New communication aids have also been introduced to support effective communication with all people using the service.

People were provided with welcome packs when they first arrived at the service.

The service made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support.

People and their relatives told us they felt confident that if they complain, they will be taken seriously and treated compassionately. One relative told us, “Relatives are made to feel like they are part of the home’s extended family.” Another relative said, “The registered manager is always willing to have a conversation. I have no problem with speaking to the registered manager directly or by telephone/email, the registered manager is always responsive.”

The service had an up-to-date complaint policy in place. ‘You said, we did’ posters were displayed in the service and included actions taken in response to people’s suggestions regarding various activities and food options.

The service made sure that people could access the care, support and treatment they needed when they needed it.

People told us they received care and support, and staff considered their individual needs.

People were supported to attend healthcare appointments and visit the hospital when required. One relative told us, “[Family member] likes to try the activities and it was nice to be involved in the relatives meeting to give our feedback and ideas.” Another relative said, “The registered manager discusses any changes if there are any that are needed. Staff are always happy to communicate.”

Staff and leaders 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 told us they knew people well and they showed an awareness of people’s individual needs, their differences, and preferences. Training records showed staff had completed equality and diversity training. Relatives’ views had been sought through surveys.One relative said, “The service holds relative meetings /support groups as many of the families have someone at the home for years.” Another relative told us, “We get a yearly survey and go to relative meetings which is very good as suggestions for improvements are always sought out.”

The service had a system in place to support people 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.

Staff were aware of people’s needs and wishes and had access to relevant documentation. Relatives confirmed they had been consulted when needed.