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Inspection Summary


Overall summary & rating

Good

Updated 5 July 2018

We inspected The Cedars on 23 and 25 May 2018. The Cedars provides accommodation and personal care to nine people who had a learning disability or were on the autistic spectrum. At the time of our inspection six people were living at The Cedars.

The Cedars is located near the centre of Gloucester, close to a range of amenities, parks and the local hospital. The home has a large enclosed communal garden and an outdoor building known as the “lodge”. There were plans in place to refurbish and create an annexe at the back of the home to cater for people who required their own personal space. People were assisted by support workers who assisted them with their day to day needs, one to one time and a range of activities.

We last inspected the home on 12 and 13 October 2016 and rated the service as “Requires Improvement”. We identified that further improvements were still required in relation to people’s care and risk assessments and the service’s quality assurance systems needed to be embedded further and show sustainability. During our May 2018 inspection we found these improvements had been sustained and we rated the service as “good”.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

The care service reflected the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

People were happy, safe and benefitted from an active and full life. People's ability to be as independent as possible was developed at The Cedars. Where possible, people were supported to take positive risks and to be in control of their care. There were enough social support workers deployed to ensure people had their one to one needs met and enable them to undertake the activities they wished.

People where possible were involved in reviewing their care needs, to ensure they were tailored to their individual life. People were at the centre of their care. Support workers knew people well and knew how to support them with their needs and goals. The registered manager and staff looked for opportunities to offer to people that would help them grow, gain confidence and live a fulfilled life.

Support workers were well supported and had the benefit of a training programme which enabled them to ensure they could provide people with the best possible care and support. Support workers understood and worked to the values of the registered manager to put people at the heart of everything they did. All support workers felt the registered manager focused on their personal development and needs, which enabled them to provide better quality support to people.

The service had a strong leadership presence. They were committed and passionate about the people they supported and were constantly looking for ways to improve. Thorough and frequent quality assurance processes and audits ensured that all care and support was delivered in the safest and most effective way possible.

Inspection areas

Safe

Good

Updated 5 July 2018

The service was safe. People were safe living at The Cedars. Support workers understood their responsibilities to protect people from the risk of harm and abuse. All staff ensured lessons were learnt from any incidents or accidents.

People were protected from the risks associated with their care and support. People were supported to take positive risks, including partaking in a range of social activities.

People�s medicines were managed well through robust systems. Where necessary, people were protected from the risk of infection.

Effective

Good

Updated 5 July 2018

The service was effective. Where possible, people were supported to make decisions in relation to their care. Where people required support to make decisions, or if they didn�t have capacity to make a specific decision, the service ensured their legal rights were protected.

People�s healthcare needs were met by trained and confident support workers. The service worked with and followed the guidance of healthcare professionals to ensure people�s needs were maintained.

People were supported with their dietary needs.

Caring

Good

Updated 5 July 2018

The service was caring. People were supported to spend their days as they choose and enjoyed positive caring relationships with staff.

Support workers knew people well and used this knowledge to support them in achieving their individual goals. People were at the centre of their care and where possible were involved in planning and reviewing their own care.

Staff were considerate of people's feeling at all times and always treated people with respect and dignity. Where people received one to one support this was carried out in a way which respected the person�s wellbeing.

Responsive

Good

Updated 5 July 2018

The service was responsive. People received care and support which was personalised to their individual needs and preferences.

People were supported with activities and events which were appropriate for their needs, abilities and preferences.

People knew how to raise a concern and their relatives knew how to make a complaint. The registered manager ensured all concerns were dealt with immediately and effectively.

Well-led

Good

Updated 5 July 2018

The service was well led. The provider, registered manager and deputy manager had effective management systems in place to monitor and improve the quality of service people received.

People�s views on the service were sought and acted on.

Staff felt supported and spoke confidently about the registered manager.