We carried out a review of the data available to us about Cedars Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Cedars Care Home, you can give feedback on this service.
People’s experience of using this service:
A holistic approach was taken to assessing, planning and delivering care and support, ensuring people's individual care needs and preferences were met. Some aspects of the responsiveness of the service in meeting people's individual care needs were outstanding.
Importance was placed on people’s well-being and a range of group and individualised activities were available to people, both within the home and the local community. Staff had a good understanding of people's needs and were imaginative in the way they provided person centred care which placed people at the heart of the service. They continue to find creative ways of supporting people to have an exceptional enriched quality of life.
There were enough staff available to ensure people's wellbeing, safety and security was protected. Robust recruitment processes were in place to ensure prospective new staff had the right skills and were suitable to work with people living in the home.
People and their relatives felt safe. Staff had received safeguarding adults from abuse training and knew how to act on any concerns. Risk assessments were in place to manage potential risks within people's lives, whilst also promoting their independence. People’s medicines were managed safely. Incidents and accidents were investigated, and actions taken to prevent recurrence. Effective infection control processes were in place.
Newly appointed staff received an induction to the service. Staff received on-going training, supervision and observations of their practice to ensure they continued to have the skills and knowledge to be competent in their role, and support people safely and effectively.
Staff created a homely environment and treated people with dignity and respect. People were encouraged to be independent.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supports this practice. Where people had been deprived of their liberty, appropriate referrals had been made to the local authority.
People were supported to have enough to eat and drink. The service worked well with other health care professionals to ensure people’s health needs were met.
People and relatives were encouraged to be involved in the running of the service. People knew how to raise a complaint and felt confident any issues would be addressed. Where there had been incidents or complaints, these had been responded to appropriately and the provider had systems to monitor and learn from these.
People spoke positively about the management at the service and we saw there was a clear structure in place to ensure staff were supported. There were a variety of checks in place to monitor the quality of the service and drive improvements.
Rating at last inspection: Good (report published 24 December 2016)
Why we inspected: This was a planned inspection, based on the rating at the last inspection.
Follow up: We will continue to monitor the service and will return to carry out an inspection in line with re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Cedar Care Home is registered to provide accommodation and personal care for up to 46 persons some of whom may be living with dementia. There were 45 people living in the service at the time of our inspection.
There was a manager in post who was in the process of applying to be registered. 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 received good quality care and support in a way that ensured their safety and welfare. Staff had a good understanding of how to protect people from the risk of harm. They had been trained and had access to guidance and information to support them with the process. Risks to people’s health and safety had been assessed and the service had care plans and risk assessments in place to ensure people were cared for safely. The service employed sufficient numbers of staff who had been safety recruited. People received their medication as prescribed, however some gaps in recording had been identified and these were addressed by the manager immediately. Staff had been trained and, where needed had received further training to refresh their knowledge. There were safe systems in place for receiving, administering and disposing of medicines.
Staff felt valued and supported and were trained to the necessary standard to meet people’s assessed needs. The registered manager and staff had a good understanding of the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS) and had made appropriate applications when needed. People had sufficient amounts to eat and drink to meet their individual needs. People’s healthcare needs were monitored and staff sought advice and guidance from healthcare professionals when needed.
People told us that staff were kind, caring and understanding and they clearly knew the people they cared for well. Staff ensured that people’s privacy and dignity was maintained at all times. People were able to express their views and opinions and had participated in the activities and past times of their choosing. People were able to receive their visitors at any time and their families and friends were always made to feel welcome. People had access to advocacy services when needed. An advocate supports a person to have an independent voice and enables them to express their views when they are unable to do so for themselves.
People had their care needs fully assessed and their care plans provided staff with the appropriate information to ensure that their expectations were fully met. People were confident that their concerns or complaints would be listened to and acted upon swiftly.
People and their relatives were very happy with the quality of the service under the new manager. The manager had recently made improvements to the quality monitoring system to ensure that it was effective in monitoring the quality of the service and to drive improvements.
People told us that they could do what they wished, were encouraged to be independent and were given choices in their daily lives.
Although some need for improvement was noted, peoples' medicines were being managed safely and staff were competent in managing this aspect of peoples' care.
Staff said that they were well supported and had opportunities for training. We saw that staff were kept up to date with training in essential areas such as moving and handling. Staff had also received training in dementia care to help ensure good and consistent practice for people living with this condition.
People spoken with thought that the staff knew what they were doing and were available to them when they needed assistance.
People were happy with the quality of the service and there were good systems in place to ensure that the quality and safety of the service was monitored and maintained.
We found that staff had been well trained and saw that they had a good understanding of people's individual needs. People were treated respectfully and their individuality understood. People enjoyed good levels of activity and occupation and were able to get out and about in the local community. People using the service and their families told us that they were very happy with the level of care and activity provided. One person told us, "I feel pampered," and another that, "Everyone here is delightful, and the staff have been very attentive."
People told us that they felt safe and secure living in Cedars Care Centre. People's relatives told us that they had no concerns about how people were treated.
People told us that they were happy with the quality of the service provided. We found that the provider consulted with people and monitored the service to ensure that standards would be maintained.