Weavers Grange

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 provider met people’s needs.

At our last assessment we rated this key question Outstanding. At this assessment the rating has changed to 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.

The provider did not always make sure people were at the centre of their care and treatment choices and they did not always work in partnership with people, to decide how to respond to any relevant changes in people’s needs.

People’s care plans did not always fully reflect their choices, preferences and support needs. For example, a care plan we reviewed recorded a person was at risk of falls and could exhibit challenging behaviour and these would be monitored. There were no details in the care plan as to how these would be monitored. The care plan also recorded that the person needed support to eat and drink but there were no details of what support was needed. In other care plans reviewed the fact that people could exhibit challenging behaviour was recorded but there was no supportive information for staff as to how the behaviour could be managed.

Some language used in care plans was not supportive and enabling. For example, the use of bed bound. The use of this type of language was discussed with the manager who advised that this was a problem with the care planning system in use and a new system which was more person-centred system would be implemented in the near future.

We received mixed responses as to whether people had been involved in their care planning. A relative said, “I have not been involved with a care plan, but this is the process of being resolved.” Another relative told us, “We are very much involved in [relative] care planning.”

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

The provider was committed to understanding the diverse health and care needs of people living at Cedars Place Care Home. Staff were able to articulate the specific support required by each person.

Staff worked with external professionals, for example, social workers and GPs to ensure people received the support and care they needed. The service had arranged a multi-disciplinary meeting with external professionals, including the mental health team, to review a person’s ongoing health needs.

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs.

People’s communication needs were recorded in their care plans. During our visit we observed staff communicating effectively with people. Staff adjusted their communication to suit the needs of the person they were speaking with

The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. Staff involved people in decisions about their care and told them what had changed as a result.

Relatives told us that the service listened if they shared feedback or raised concerns. A relative said, “When I've asked for things to happen or change, I've been listened to.” Another relative said, “They acted immediately on my concerns. I am pleased to report that things have started to improve.”

Staff told us they involved people in decisions about their care. A member of care staff said, “I am sure to include the resident in all decisions around their care where possible and appropriate.”

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

Care plans demonstrated how the provider had considered people’s protected characteristics and made reasonable adjustment to support access to appropriate care and support. In a particular case the provider had organised a multi-agency meeting to ensure a person was receiving the correct support.

Staff and leaders actively 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.

Care plans showed how people’s protected characteristics had been considered and how reasonable adjustments had been made to support people.

Staff had received equality and diversity training and understood the importance of ensuring people were not subject to inequality or discrimination due to age or health needs. A member of staff said, “I ensure that all residents can express their individual needs. Treat people individually and not make assumptions around care and their environment.”

People were supported 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.

End of life care planning was reflected in most people’s care plans. The manager told us that the service was working on developing these further and had employed a member of staff with extensive experience in this area.