Cedarwood Lodge (Active Prospects)

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. At our last assessment we rated this key question good. At this assessment the rating has remained 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.

People’s risk assessments and support plans were reviewed regularly with input from people’s relatives and any relevant professionals.

Relatives told us they were able to be involved in planning their family members’ care and treatment, including when appointments or reviews took place. One relative said, “They always tell me when [family member] has an appointment and invite me to attend. I am always able to contribute [to family member's care].”

Staff planned and delivered people’s care in collaboration with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

The manager attended monthly meetings with the managers of other services operated by the provider. The manager told us these meetings were used to ensure managers were kept up to date about any changes to legislation or good practice guidance. Any changes were discussed and shared with staff at team meetings.

Staff told us they involved people as much as possible in choosing what they ate while providing a balanced diet. A member of staff said, "We give several options. We try to buy as healthy as possible and make it varied." We observed that staff supported people to choose their meals during our visit by using pictures of different meal options.

One relative told us their family member had benefited from the varied and healthy diet provided since moving to the home. The relative said, "It is good food; it is proper home-cooked food."

Some people had been assessed by a speech and language therapist and guidance put in place about how staff should prepare their food. Staff followed this guidance to ensure people were supported to eat safely.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing information effectively when people moved between different services.

A relative told us staff shared information effectively and ensured new colleagues had the knowledge and training they needed to provide person-centred care. The relative said, “They all work well together. They are good at passing on information to anyone new. They train the new people very well.”

There was a plan in place for each shift which ensured accountability for the provision of people’s care and support, and the running of the service. Staff beginning their shift had a handover from staff completing the previous shift, which ensured they were up to date about any concerns, appointments, or changes in people’s care.

Team meetings were held monthly and staff told us these were useful opportunities to talk through issues as a team. Staff told us they supported one another well and said there was a good sense of teamwork at the service.

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

Professionals told us staff worked effectively with them to monitor people’s health and implemented any guidance they put in place about how people’s care should be provided. One professional said, “The service communicates very effectively and we have a weekly ward round on the telephone and each individual patient is discussed. Staff always implement any guidance recommended by the practice.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

People were encouraged to attend annual health checks with their GP and regular checks with other healthcare professionals, including dentists and opticians. People with long-term health conditions were supported to see specialist healthcare professionals for monitoring and review where necessary.

Professionals told us staff monitored people’s health and wellbeing effectively and shared information with other professionals about people’s needs when appropriate. One professional said, ‘Individuals have health plans, regular annual health checks, and hospital passports.’

If people developed needs in relation to their health or wellbeing, staff took action to ensure they received the care and treatment they needed. For example, staff had observed a change in one person’s behaviours following a change in their medicines. Staff had raised this with the prescribing healthcare professional and a review had been scheduled.

The provider told people about their rights around consent and respected these when delivering person-centred care and support. Staff understood the importance of gaining people’s consent to their care on a day-to-day basis.

Where necessary, assessments had been carried out to determine whether people had capacity to make informed decisions about their care. Assessments were decision-specific in line with the Mental Capacity Act 2005 code of practice. If people did not have capacity to make decisions, appropriate procedures had been followed to ensure any decisions made were in people’s best interests.