Archived: Alderwood L.L.A. Limited - Cransley

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

People did not receive care and support that was personalised or strengths-based that reflected their aspirations. We also observed the body language of people living at the service during their interactions with care staff to further help us understand their experience of the care they received.

We used a Quality-of-Life Tool which focuses on the experience of the person receiving care and how it feels for them using the service.

This service scored 29 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

There were pictorial communication aids being used and in people’s care records, however these reflected daily choices of activities only and not how people expressed their wider needs.



People’s care plans sometimes provided information of what they had as a goal; however daily records did not evidence work had been done towards these. For example, 2 people had going swimming as a goal however records did not record if this had been achieved or worked towards.

We were not fully assured people’s care was person-centred and reflected their personal preferences. For example, people were all encouraged and supported by staff to go to bed at the same time. There were no evening community or home-based activities available to people supported by staff. The deputy manager told us they thought this had been identified by a recent provider review about people’s quality of life; however, no actions had been taken so far to address this as the review was still underway. The service had assessed how a person communicated their pain and distress which we saw captured in the care plan. We spoke to some staff who understood the person’s needs and triggers of distress and knew the person’s history in relation to this.

The provider shared with us people’s Individual PBS plans that had been developed, as well as the Quality of life interviews and proposed outcomes that were identified from these to support person centred care.

Information we saw in care records identified that more work was needed to support people's communications needs. The PBS plan stated, “A SALT (Speech and Language Therapist) referral will help to inform the communication strategies that are currently being implemented.” But we saw no evidence that this had been carried out. The service had recently implemented a new system of Quality-of-Life recording. There was an entry in one which indicated the issues related to communication and that the service was not clear on what activities somebody liked and his future goals.

We did not look at Care provision, Integration and continuity during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Providing Information during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Listening to and involving people during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Equity in access during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Equity in experiences and outcomes during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Planning for the future during this assessment. The score for this quality statement is based on the previous rating for Responsive.