The Cedars Christian Residential Home

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 the service under this provider. 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.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Relatives confirmed people’s needs were assessed. One relative told us, "They did a thorough assessment before [person] moved in."

Care plans and risk assessments were developed alongside people and those important to them based on peoples assessed needs. People’s care was regularly reviewed to ensure care plans were up to date and reflected current needs. This meant staff had accurate guidance in order to support people in line with their assessed needs.

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

People's assessed health and care needs were reflected within their care records and support plans. Records included guidance for staff about how to safely meet people's needs, including support with mobility, nutrition, medicines and healthcare needs. Where people required specialist input, care plans reflected advice from healthcare professionals and were updated to ensure staff had access to current information.

Staff demonstrated a good understanding of people's assessed needs and how they should provide support. We saw examples of people receiving support in line with their individual requirements, including modified diets, mobility support and ongoing health monitoring. Records demonstrated care was reviewed when changes occurred to ensure people continued to receive appropriate support and positive outcomes were promoted.

During the assessment we did not identify concerns regarding the way care and treatment was planned or delivered. Feedback from people, relatives and professionals was positive and indicated people received care that met their needs.

The provider worked across teams and services to support people.

We observed staff working well together, sharing information about people through daily notes and speaking with clinical practitioners where additional support was required to deliver care to people. People’s health needs were identified, assessed and reviewed. When people needed support from external health professionals there was a system to ensure referrals were made and care plans were updated to reflect any changes or recommendations. For example, 1 person had changes to a health condition, and this was being monitored by a specialist team. One relative told us, "The GP or nurse visits weekly, there are regular checks and they let us know about things when needed."

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control.

People living at the service told us they felt supported to make healthier choices if they wished to. Staff encouraged people to remain active through opportunities including exercise sessions, spending time outdoors and accessing the garden. People were supported to maintain social connections and community involvement, which promoted their emotional wellbeing. Relatives told us people were involved in making choices about meals and dietary preferences, and some reported improvements in their family member's nutritional wellbeing since moving into the home.

The provider routinely monitored people’s care and treatment to continuously improve it.

There were systems in place to ensure people’s needs were identified, assessed and reviewed to ensure positive outcomes were achieved for people. For example, the staff told us how a person had been referred to Speech and Language Therapy (SaLT) for better support with their communication. Staff confirmed they were aware of people’s assessed needs and how they delivered support in line with this.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Capacity assessments and best interest decisions were in place when needed to ensure the Mental Capacity Act was applied. Staff received training in this area and were aware of the processes to follow. People and relatives told us staff sought consent before providing support. One relative said, "They absolutely get her consent before they do anything." During our assessment, people told us staff asked before offering support and respected the decisions they made. Staff demonstrated an understanding of the importance of obtaining consent and respecting people's wishes when providing care and support.