Background to this inspection
Updated
16 March 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on the 15 February 2016 and was unannounced.
The inspection team consisted of one inspector. Before the inspection we reviewed previous reports and notifications that are held on the CQC database. Notifications are important events that the service has to let the CQC know about by law. We also reviewed safeguarding alerts and information received from a local authority.
We spent time observing care and used the Short Observational Framework for Inspection (SOFI). This is a specific way of observing care to help us understand the experiences of people who were unable to talk to us, due to their complex health needs.
During our inspection we spoke with six people and two relatives, we also spoke with the deputy manager and two care staff. We reviewed three care files, three staff recruitment files and their support records, audits and policies held at the service.
Updated
16 March 2016
We inspected Cedar Lodge on the 15 February 2016.
The service provides accommodation and support for up to eight people with learning disabilities. There were eight people living at the service at the time of our inspection. Due to their complex needs some people found it difficult to communicate with us verbally. To help us gather views we also spoke with people’s relatives.
The service has a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People were cared for by staff that had been recruited and employed after appropriate checks were completed. There were enough staff available to support people.
Records were regularly updated and staff were provided with the information they needed to meet people’s needs. People's care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.
Staff were able to explain to us what they would do to keep people safe and how they would protect their rights. Staff had been provided with training in safeguarding adults from abuse, Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS).
People were relaxed in the company of staff. Staff were able to demonstrate they knew people well. Staff were attentive to people's needs and treated people with dignity and respect.
People who used the service were provided with the opportunity to participate in activities which interested them, these activities were diverse to meet people’s social needs.
The service worked well with other professionals to ensure that people's health needs were met. Where appropriate, support and guidance was sought from health care professionals, including people’s G.Ps and other health professionals.
Relatives knew how to raise a concern or make a complaint, any complaints were resolved efficiently and quickly.
The manager had a number of ways of gathering views on the service including holding meetings with people, staff and talking with relatives.
The manager and provider carried out a number of quality monitoring audits to ensure the service was running effectively. These included audits on medication management, finance and the environment.