Health - Cedar Lodge Short Breaks (provided by Sutton and Merton Community Services Division of the Royal Marsden NHS Foundation Trust)

Record details

Name of service
Cedar Lodge Short Breaks (provided by Sutton and Merton Community Services Division of the Royal Marsden NHS Foundation Trust)
Universal, Targeted or Specialist
The service is specialist, for children and young people with complex needs.
Type of service
Cedar Lodge Short Breaks is offered in:
• A purpose built unit for day-care and overnight short breaks for children and young people aged 5-18
• Children’s own homes (overnight care for children and young people from the age of 2-18)
SEND achievement aims
Cedar Lodge offers support for a child’s complex health needs, learning disability and social needs during a short break.
We offer a safe and stimulating environment in which we can support complex health needs and conditions, allowing parents and children and young people to enjoy their short break.
Location and delivery
Cedar Lodge is a purpose built 5-bedded unit located in Carshalton.
We also provide support in children’s own homes and other locations as required to meet individual needs.
Cedar Lodge,
3 Metcalfe Avenue
Journey Planner
Target service users
Cedar Lodge is for children and young people with complex health needs and disabilities who require nursing or specialist support during their short break.
Children and young people aged 5-18 can stay in the purpose-built unit during the day and for overnight breaks. There are 5 beds for overnight stays. Numbers of children and young people visiting during the day fluctuates depending on the needs and individual circumstances.
Care is provided at home for younger children or older children as identified on an individual basis.
The service is not designed to accommodate children whilst their parents are away on holiday.
SEND accessibility
Yes. Cedar Lodge is fully adapted for wheelchair use, has hoisting in all areas and facilities include, specialist bathrooms, a sensory room and a sensory garden. The building is accessible in a wheelchair from a parking space outside.
Cedar Lodge Short Breaks is a 24 hour service, with some closures throughout the year. Cedar Lodge consults with service users regarding their preferred dates for attendance for their children before setting the closure dates, so as to minimise impact on families and enable us to give advance notice. We aim to accommodate parental requests where availability and the needs of the children allow.
Care is provided at Cedar Lodge outside of school hours in term time and 24 hours a day at the weekend and in school holidays.
Emergency care can be offered at the request of a Manager in the Disabled Children’s Service and depending on availability.
There is currently no waiting list.

Children and young people are referred to Cedar Lodge following a panel decision identifying that a residential short break is needed as part of a Disabled Children’s Service support package. We will then offer you and your child a visit to see if Cedar Lodge is the right service for you and your family. Children normally come and join us for tea visits before being offered overnight stays.
Evaluation of service
All children and young people have a care plan which we agree and set with the family. Outcomes are specified by the Disabled Children’s Service and monitored on a 6-monthly basis.
We have quarterly monitoring meetings with the commissioners who fund the service and who check to ensure we are meeting the outcomes set for the children.
There are parents meetings to which all parents are invited and where we update them and discuss any concerns and relevant issues.
Quality assurance
All staff receive regular clinical and safeguarding supervision.
All staff work to clinical standards as laid down by their professional organisation, and also comply with all the clinical policies and procedures set out by the Royal Marsden NHS Foundation Trust.
We are currently undergoing the registration process for Ofsted.
Cedar Lodge is registered with the Care Quality Commission as part of the Royal Marsden Foundation Trust.
Developing information
We carry out service evaluations at least once a year to make sure the families are happy with the service provided. We report the results of these surveys to the commissioners.
We have parent focus groups and seek views of the children who use Cedar Lodge to help us determine the programmes. We also send newsletters to parents and have an email communication group
SEND staffing
Cedar Lodge is a nurse-led unit with a nurse on every shift, supported by a team of healthcare assistants. The ratio of staff to children changes according to the individual needs of the children (e.g moving and handling requirements)

All nurses are qualified and registered with the Nursing and Midwifery Council (NMC).
All healthcare assistants are required to undergo regular safeguarding training, and annual mandatory training including basic life support. They have annual competency checks to ensure their skills are up to date and safe.
Members of the team have specialist training e.g tracheostomy care, gastrostomy management, and seizure management.

Nurses must hold a recognised qualification that allows them to be registered with NMC and have demonstrable experience of caring for children.
Healthcare assistants all have NVQ 3 or demonstrable experience of caring for children with special educational needs.
All staff have an annual appraisal and personal development plan.
Care packages are agreed by the Disabled Children’s Service (DCS) and / or Health.
Families can choose to use their personal budgets where this is part of their health funding or DCS support package.
Contact details for Cedar Lodge Short Breaks are:
Service Manager
Cedar Lodge,
3 Metcalfe Avenue
Carshalton, SM5 4AN
Tel: 0208 722 0576
Any complaints or concerns about the service should be directed in the first instance to PALS (Patient Advice and Liaison Service) at the Royal Marsden Hospital: Tel Freephone 0800783 7176
Other feedback can be sent to the Service Manager at Cedar Lodge