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Inspection carried out on 4 February 2020

During a routine inspection

Cedars Care Ltd care is registered as a domiciliary care agency providing the regulated activity ‘personal care’ to people who live in their own homes in Nottingham and surrounding areas. At the time of the inspection visit there were 14 people using the service.

CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and nutrition. Where they do we also consider any wider social care provided.

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

People and their relatives told us they or their relative felt safe when receiving care and support. Staff were aware of measures to take to prevent and control the spread of infection. There was a procedure to record, monitor and investigate any accidents or incidents which may occur, though none had occurred in the last twelve months.

People were supported by a small group of staff who knew people well, which allowed relationships to develop. People and their supporting relatives gave positive feedback about the staff and management team.

People were supported to have maximum choice and control over 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 these practices. Staff were trained to support people with their individual needs.

People were provided information about the complaints process and knew the procedure to follow if they had concerns. There have been no recorded complaints about this service.

People were treated with kindness, respect and staff involved them in decisions about their care.

The service was well-led. The provider had ensured that safe recruitment, governance and quality assurance procedures had been fully established. The provider continued to develop the agency and planned changes in advance.

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 18 September 2017).

Why we inspected

This was a planned inspection based on the previous rating. 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.

Inspection carried out on 30 August 2017

During a routine inspection

This inspection was announced and took place on 30 August and 6 September 2017. Cedars Care Ltd is a domiciliary care service which provides personal care and support to adults in their own homes. On the day of our inspection 15 people were using the service.

The service had a registered manager in place at the time of our inspection. 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.

People were protected from the risk of abuse from staff who were knowledgeable about how to respond if they suspected abuse. People were supported by sufficient numbers of staff who received an induction, relevant training and supervision to carry out their roles effectively. People were supported to take their medicines when required.

Risks to people had been assessed and staff were aware of the measures they should take to ensure people were safe. Recruitment checks had been carried out to help ensure staff were suitable for the role.

People were supported to make independent decisions where they were able, to eat and drink enough and to maintain their health.

People were supported by kind and caring staff who showed genuine concern for people’s well-being.

People felt listened to and involved in planning their care and were supported by staff who respected people’s homes and demonstrated the values of privacy and dignity.

People received personalised care from staff who were knowledgeable about their needs and preferences. People had care plans in place which were reviewed and updated when people’s needs changed.

People were provided with information about how to complain about the service and systems were effective in ensuring concerns were responded to.

The service had a registered manager in place who was aware of their responsibilities. Staff felt supported by the management team and people told us that communication with the management team was responsive and effective.

The registered manager monitored how the service was delivered and sought people’s views about the support provided.