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Archived: The Cedars Residential Care Home Good

The provider of this service changed - see new profile


Inspection carried out on 6 and 19 October 2015

During a routine inspection

This inspection took place on 6 and 19 October 2015. The first day of the inspection was unannounced and the date of the second day was discussed and agreed with the home manager.

The last inspection took place on the 25 September 2013 when The Cedars Residential Care Home [The Cedars] was found to compliant in the following areas: consent, care and welfare, meeting nutritional needs, safety of premises and assessing and monitoring the quality of service provision.

The Cedars is part of CLS Care Services Ltd and is registered to provide accommodation for people who require help and support with their daily lives. The two storey building can accommodate up to 27 people in single bedrooms. The home is located in the town of Holmes Chapel and is close to the town centre and other local amenities. Staff members are on duty 24 hours a day to provide care for the people who live in the home. At the time of our visit there were 24 people living in the home.

The Cedars had a registered manager. 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.

We asked people using the service if they felt safe at The Cedars they said that they did.

The service had a safeguarding procedure in place. This was designed to ensure that any possible problems that arose were dealt with openly and people were protected from possible harm.

We looked at the files for the three most recently appointed staff members to check that effective recruitment procedures had been completed. We found that the appropriate checks had been made to ensure that they were suitable to work with vulnerable adults.

We asked staff members about training and they all confirmed that they received regular training throughout the year and that it was up to date.

The service had a range of policies and procedures which included guidance on the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. Staff members need to undertake training in these areas.

There was a flexible menu in place which provided a good variety of food to the people using the service.

The five care plans [CLS call these ‘life plans] contained personalised information and they were written in a style that would enable any staff member reading it to have a good idea of what help and assistance someone needed at a particular time. All of the plans that we looked at were well-maintained and were being reviewed monthly so staff would know what changes, if any, had been made. The registered manager explained that all of the plans were in the process of being reviewed in depth with a view of making further improvements to them.

Staff members we spoke with were positive about how the home was being managed. Throughout the inspection we observed them interacting with each other in a professional manner. All of the staff members we spoke with were positive about the service and the quality of the support being provided.

We found that the registered manager and provider used a variety of methods in order to assess the quality of the service they were providing to people. These included regular audits on areas such as the care files, including risk assessments, medication and staff training.  The records were being maintained properly.

Inspection carried out on 25 September 2013

During a routine inspection

During our unannounced inspection on 25 September 2013, we spoke to the registered manager, the home service manager, three members of staff, a visiting healthcare professional, four people using the service and two of their relatives.

The people we spoke to who were living at the home said they were able to make their own decisions. One person said; �I very much feel like I have control of my decisions, all the staff here respect them.�

One person we spoke to said; �If anyone here says they are unhappy here, I can assure you they will not find anywhere as good.�

People we spoke to told us that the food was of a high standard and that lots of drinks were offered throughout the day. One person said; �The food is great and beautifully served."

We examined a variety of records that demonstrated that all the equipment in the home was safe, available and suitable.

We spoke to two relatives both of whom confirmed that the management were very receptive to any suggestions that were made. One relative told us; �The manager is great, she responds to suggestions.�

Inspection carried out on 20 November 2012

During a routine inspection

During our visit to The Cedars Residential Care Home we spoke with people who used the service, a number of relatives, the manager and other staff who worked in the home.

People told us that staff "are kind and caring". People who lived in the home told us that "it's very reassuring having staff around all the time". Relatives said that staff would always contact them if their family member was unwell or had an accident.

We saw that an initial assessment of a person's needs was carried out prior to them moving into the home. The purpose of this assessment was to ensure that The Cedars would be able to meet the person's needs.

We looked at three "My Life Plans" for people who lived in the home. The life plans we saw contained a range of information including background details, plans on how the person wished to be supported and risk assessments.

The manager provided us with information which showed that 24 of the 29 staff working in the home had received training on safeguarding vulnerable adults. Staff had received training which included moving and handling, fire safety, administration of medication, infection control and food safety.

We saw the findings from surveys carried out in 2011 where the views on the quality of care offered by the home were sought from residents, their relatives/carers and health and social care professionals. The overall feedback showed that people were very satisfied and that The Cedars was providing good quality care.

Inspection carried out on 3, 4 May 2011

During a routine inspection

People we spoke with were positive with the support and care they received in The Cedars. They told us that staff listen to any worries, concerns or complaints they may have and that they were confident these would be listened to and acted upon. We were told they were encouraged to take part in planning their care and on how they wish to live their daily lives. One person told us how they were involved in planning their daily routine which suited their lifestyle. Another person told us they were kept fully informed about changes to the way they would be supported by staff following changes to their mobility.

People who use the service told us they receive the level of support they require to live as independently as possible. They like living in The Cedars and like the staff who support them and �treat them well�. They also told us staff help ensure they were kept safe and that their health and social care needs were being met.

Overall people who use the service told us were very satisfied with service they receive.

Information received from health and social care professionals told us they have no worries or concerns about the care and welfare of the people who use the service.