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Archived: Cedar House Care Home

The partners registered to provide this service have changed - see old profile

The provider of this service changed - see new profile

All reports

Inspection report

Date of Inspection: 24 September 2012
Date of Publication: 20 October 2012
Inspection Report published 20 October 2012 PDF | 87.9 KB

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

We reviewed all the information we have gathered about Cedar House Care Home, looked at the personal care or treatment records of people who use the service, carried out a visit on 24 September 2012 and observed how people were being cared for. We checked how people were cared for at each stage of their treatment and care, talked with people who use the service, talked with carers and / or family members and talked with staff.

We talked with the visiting health care professional and the environmental health officer.

Our judgement

The provider had an effective system to regularly assess and monitor the quality of service that people receive.

Reasons for our judgement

The service had a number of systems in place to assess and monitor the quality of service provided. Records showed regular audits were carried out on the maintenance of the premises, the equipment, care records and medication audits. The reported accidents, incidents and areas of health and safety were monitored and analysed to maintain people's safety and improve the service provision. There was an annual servicing and maintenance contract in place that ensured equipment and safety checks were carried out. Records showed fire drills and safety checks were carried out at regular intervals internally and qualified professionals carried out the electrical and gas safety checks.

The provider carried out monthly quality assurance and monitoring assessments of the service. We read the audit for August 2012 and found checks were carried out on the premises, management systems and practices, observations, complaints and audits on care files and staff training. The provider carried out additional audits to support their monthly assurance visits, which demonstrated that the system was comprehensive and assured the quality of service provided. Any action points from the previous audit were checked for completion. The report concluded with summary a of findings and identified actions for the registered manager to address.

On the day of our visit the service also had an unannounced inspection from the environmental health officer, who inspected the standards in the kitchen, which included the cleanliness, recording and storage of food items. A number of areas in practice and recording were identified that required improvements. The provider was made aware of those concerns and had started to take steps to address them.

The registered manager told us annual quality assurance survey would be sent out in December 2012 and the results would be analysed and shared with the people using the service. A copy of the findings and action plan would be made available to the Care Quality Commission.

People using the service and their family or representatives were asked for their views about their care and support they received. They explained that they had the opportunity to comment about the service and share their views on the service at the monthly meetings that were attended by people using the service and their family. Minutes of previous meetings showed the topics discussed included the menus and activities. Information about the forthcoming social events were mentioned at the meeting and notices of these events were displayed around the service.

People said they were aware of how to raise concerns or to make a complaint. Information about the service’s complaints procedure was displayed around the service and included in the information they received when they moved in. Records showed the service received one complaint which was investigated and concluded. The provider took account of complaints and comments to improve the service, as part of their quality assurance audit. The service also received compliments and letters of thanks from people using the service and from relatives of people that had used the service.

Care plans and risk assessments were updated and reviewed on a monthly basis or sooner if people’s needs changed. Arrangements were in place to safely manage risk or deal with any foreseeable emergencies. Records showed health and social care professionals were involved in the planning and review of people’s care and support needs.

Staff received regular support through staff meetings, supervisions and annual appraisals, where they discussed their work and any training and development needs. A training and development plan was in place and staff received the appropriate training and continuous professional development to look after the people using the service. Staff told us they felt supported and were confident to approach the registered manager if they had any concerns.