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Archived: Cedar House Care Home

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All reports

Inspection report

Date of Inspection: 10 April 2012
Date of Publication: 4 May 2012
Inspection Report published 4 May 2012 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

Our judgement

The provider was meeting this regulation. People experienced care, treatment and support that met their needs and protected their rights.

User experience

We spoke with four people who use the service and asked them about their involvement in developing their plan of care. People told us their needs were assessed and the care and support was planned and delivered in line with their agreed care plan. One person said “Although I can look after myself, I only need to use the buzzer and a carer is here within seconds” and “it’s nice to know that staff check on you at night, sometimes I’m still awake and they would spend a little longer with me.”

We saw people chose how they spent the day. One person told us they liked to sit in the lounge and talk to their friends. We saw some people took part in the armchair exercise session in the lounge led by a member of staff. There were some people in hair salon who told us they liked to have their hair done regularly.

Other evidence

Our inspection of 23 August 2011 found there were inadequate systems for monitoring the care and support people with greater care needs that could place people at risk of receiving unsafe or inappropriate care. The provider wrote to us and told us they would appoint a new manager to manage the service and introduce new care plans that would involve the individuals in the way they were supported.

We looked at the new care plans and records for five people who resided at the service. We found assessments of needs and risk were carried out. Care plans were updated to reflect people’s current care and support needs and personalised with their daily routines, health and medication, dietary requirements and social interests.

Risk assessments were in place for all identified needs. People's capacity to make choices was considered and included within care plans. The care and support was planned and delivered in a way that ensured people’s safety and welfare. There were arrangements in place to deal with foreseeable emergencies. The electronic care plans we saw at our last inspection of the service were not longer used.

People's equality and diversity needs were also included within care plans. Where people had particular religious or cultural needs, staff showed awareness of these. Staff we spoke with were knowledgeable about how to meet people's individual needs. Staff knew how to monitor people's health and wellbeing. For example we found people’s intake of food and drink was monitored and weights were measured regularly and assessed. Staff recognised the importance of acting on changes quickly and would seek medical advice. Records viewed showed people received timely support from health care professionals such as the doctor or the district nurse.

People who use the service had access to all required healthcare services. At the time of our inspection the doctor was visiting a number of people with regards to the health. Care files included record of visits and treatment administered by the health care professionals.

We saw people were occupied and engaged in activities that were meaningful to them such as the armchair exercise session that took place during the morning of our inspection. We found from reading the care records that people who use the service maintain relationships with their family and friends and took part in social activities.