• Care Home
  • Care home

Cedar Court

Overall: Good

15-17 Polsham Park, Paignton, Devon, TQ3 2AD (01803) 431300

Provided and run by:
Links South West Ltd

Latest inspection summary

On this page

Background to this inspection

Updated 2 April 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was carried out by an inspector and an inspection manager.

Service and service type

Cedar Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had two managers registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with six people, met with a further three people who used the service, and two relatives about their experience of the care provided. We spoke with seven members of staff including the directors, registered manager, compliance manager, team leader and care workers.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at the quality assurance records. We received feedback from one person who lived at the service and one relative. We asked six healthcare professionals for feedback and received one response. We also received feedback from one tradesperson.

Overall inspection

Good

Updated 2 April 2020

About the service

Cedar Court is a care home for people with learning disabilities and/or autism. The service was providing personal care to 12 people at the time of the inspection. The service can support up to 13 people. The ages of people living at the service ranged from 19 to 53 years old.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service was a large home, bigger than most domestic style properties. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. The provider had re-designed the layout of the service to ensure it complies. The property which comprised of two semi-detached houses were being run as two separate units. The next part of the development was to add an additional kitchen. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

People’s experience of using this service and what we found

Cedar Court placed people at the heart of the service. People benefited from staff and management who were passionate about supporting them to live their best possible life. Staff knew people really well and understood and respected how they wished to be supported. People told us they enjoyed living at the service and we saw many examples where the actions of the service had resulted in an improved quality of life for people. Relatives told us, “I can’t imagine any service could do better” and “I find they are very helpful and supportive in seeing that he has the best care possible.”

Each person was seen as an individual by staff, who knew their wishes and aspirations. Staff worked with people to put together a very detailed care plan and achieved their desired outcomes. Together, they identified suitable activities, education and work. Staff were highly responsive in identifying people's needs and ensured they were supported in the best way possible.

People benefited from compassionate support provided by a kind, committed and caring staff team. People told us, "They’re good people, they look after me” and “I'm very happy.” We observed one person say to staff, “I love you guys.” People were treated equally and with respect. Staff recognised the importance of family and friends and helped people maintain these important contacts.

People's risks were understood and managed well. People were protected from discrimination and abuse because staff understood how to safeguard them. Staff had the skills and knowledge to support people safely and effectively. People were supported to maintain good health and had access to external healthcare support. Where necessary, staff supported people to attend medical and hospital appointments to ensure they felt comfortable with what was happening.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. For example, one person had moved on to more independent living and another person was soon due to move on.

Since the previous inspection the directors and registered managers had continued to develop and improve the service. People and staff benefited from strong leadership. The ethos of the service was understood and shared as the directors, registered managers and compliance manager all worked alongside staff as support workers. There was a strong commitment to valuing people as individuals and supporting them to meet their full potential. Robust quality assurance systems ensured continuous improvement.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 9 August 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.