This inspection took place on 21 and 22 September 2016 and was unannounced. It was carried out by a single inspector
Two Cedars Residential Care Home provides accommodation and personal care for up to 17 people. There was one vacancy at the time of inspection. The service is located in Broadstone and is a large detached building with bedrooms on both the ground and first floors. All rooms are en suite and there are bathing and wet rooms facilities available for people. The first floor can be accessed via a lift and the ground floor has a large lounge and dining area with access onto a patio and level garden. The home is wheelchair accessible and there are ramps at each of the entrances to the home.
People and their relatives told us they felt safe with the staff who provided their care and support. Staff were aware of their responsibilities in protecting people from harm and knew how to report any concerns about people's safety or wellbeing.
People had individual risk assessments giving staff the guidance and information they needed to support people safely. People were supported by staff who were familiar to them and we saw that staff had enough time with people to meet their assessed needs.
People were supported to receive their medicines by staff who had received appropriate training and medicines were stored safely.
People received care and support from staff who had the skills and training to meet their needs. Staff spoke highly about the training offered and as well as mandatory subjects, undertook training in specific topics including Dysphasia, Diabetes and catheter care.
Staff sought consent from people before providing support and they were aware of the principles of the Mental Capacity Act and had received training in this area.
People were supported to have enough to eat and drink by staff who understood what support they
required. People had choices about what they ate and drank and mealtimes were a relaxed, social occasion.
People were supported to access healthcare services when required and a healthcare professional told us that referrals were prompt and appropriate.
People told us that staff knew what their preferences were and how they liked to be supported. Staff were kind and caring and we observed that they had a relaxed and comfortable rapport with people.
People had input into their care plans and these contained details about people's likes and dislikes. Staff offered people choices about how their received their support and knew what was important to them.
We observed staff treating people with dignity and respect and staff encouraged people to be as independent as possible.
People had individualised care plans which reflected what support they needed and how they wished to receive their support.
People and relatives were involved in regular reviews about their support and encouraged to feedback through surveys. Feedback was also sought from people in weekly informal meetings and information was used to develop and improve practice.
People, relatives and staff felt that the management of the service was good. There was a clear management structure and staff knew their roles and responsibilities.
People were aware of who to contact if they were unhappy about any aspect of their care and support and there was a system in place to manage complaints.
Communication between staff and management was positive. Staff were encouraged to raise issues and discuss queries and felt valued in their role. There were staff handover meetings three times each day where practice and ideas were discussed.
Quality assurance systems at the service were in depth and information received was used to identify trends and areas for development.