You are here

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 7 September 2016

The inspection took place on 6 July 2016 and was unannounced.

The Cedars is registered to provide accommodation for people requiring personal or nursing care. The service is can accommodate up to 42 people. There were 29 people living at the home on the day of our inspection. The provider had recently developed a unit to care for ten people living with dementia. This unit was not in use on the day of our inspection.

There was a registered manager in post. 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. However, this person was now working elsewhere for the registered provider. On the day of our inspection the service was being run by the acting manager who used to be the deputy manager. This person was in the process of applying for registration with the Care Quality Commission (CQC).

People were not always supported by sufficient staff because people’s dependency and needs were not taken into account when setting staffing levels.

People told us they felt safe living at the home. People were kept safe because the acting manager and staff understood their responsibilities to identify and report potential harm and abuse. The acting manager consistently reviewed accidents and incidents to reduce the possibility of people being harmed. Risks to people's health and wellbeing were known by staff and well managed. The acting manager and staff maintained close links with external health care professionals to promote people's health. People received their medicines as prescribed from staff that had the knowledge and competence to give medicines safely.

People were able to access varied food and drink in sufficient quantities and variety to enjoy a balanced diet. People with difficulties in eating and drinking were provided with suitable food and drink and supported to eat and drink well.

People were supported by a staff team who knew them well and provided caring and compassionate care and support. People were supported by staff to make their own decisions wherever possible. People needs were assessed and planned by a staff team who ensured they were included in any decisions made about their care. People were supported to access external healthcare professionals when required to promote good health.

People were supported to maintain personal hobbies and pastimes. Relatives were enabled to visit at any time and be involved in the day to day life in the home. People knew how to raise any concerns and who they should report any concerns to. The acting manager responded to people's complaints and took action to improve the service as a result of complaints.

The acting manager was aware of their responsibilities and worked with the registered provider's systems to monitor the quality of the service people received. There was evidence of learning from incidents and investigations took place and changes were put in place to improve the service people received. The acting manager was continually discussing with people how they could provide the care and support they provided. In doing so they valued people's views about their lives in the service.

Inspection areas

Safe

Requires improvement

Updated 7 September 2016

The service was not always safe.

Systems were in place to monitor staffing levels, however staffing levels were not always sufficient to meet people's needs safely.

People told us they felt safe and arrangements were in place to reduce the risk of abuse.

People's medicines were given to them in a timely manner and they were managed safely.

Effective

Good

Updated 7 September 2016

The service was effective.

People were supported by staff who enabled them to meet people's needs effectively and in the least restrictive way. People's choices and rights to make their own decisions were respected and promoted. People were supported to have enough food and drink and staff understood people's health and nutritional needs.

Caring

Good

Updated 7 September 2016

The service was caring.

People were supported by staff who were kind and caring.

People were able to be involved in their own care and treatment.

People were treated with dignity and their wishes respected.

Responsive

Good

Updated 7 September 2016

The service was responsive.

People received care and support which was personal to them and responsive to their changing needs.

People spent their time how they wanted to.

People were provided with opportunities to raise concerns and make a complaint if they needed to

Well-led

Good

Updated 7 September 2016

The service was well led.

People were involved in decisions about how the home was run. Staff were aware of their responsibility to share any concerns. Staff were well supported by the acting manager. Systems were in place to monitor the quality of the service provided.