Cedar Grange

Updated 30 June 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 30 May 2018 and was unannounced. The inspection was carried out by two inspectors and an expert by experience with experience in the care of older people. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before the inspection we reviewed the information we held about the home. This included looking at information we had received about the service and statutory notifications we had received from the home. We also contacted the local authority commissioning and safeguarding teams and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

We asked the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The provider returned the PIR and we took this into account when we made judgements in this report.

We observed how care and support was provided to people. We spoke with six people who were using the service, six relatives, three care staff, two senior care staff, a domestic and the registered manager. We also spoke with a visiting health care professional.

We looked at three people’s care records, three staff files, medicine records and the training matrix as well as records relating to the management of the service. We looked round the building and saw people’s bedrooms and communal areas.

Updated 30 June 2018

This inspection took place on 30 May 2018 and was unannounced.

Cedar Grange is a residential care home for up to 18 older people. There were 18 people staying in the home when we inspected.

At the last comprehensive inspection on 8 January 2016 we rated the service as ‘Good’ and there were no regulatory breaches. At this inspection we found the overall rating for the service remained ‘Good’ and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Staff understood safeguarding procedures and how to report any concerns. Medicines were managed safely and people received their medicines when they needed them.

Staff recruitment procedures ensured staff were suitable to work in the care service. Staff received the training and support they required to carry out their roles and meet people’s needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Although some people and relatives felt there were not enough staff, we found staffing levels were sufficient. However, we asked the registered manager to review the early morning routines to ensure people were not being rushed or having to get up early. Following the inspection the registered manager confirmed the action they had taken to review the routines and staffing levels.

Risks were assessed and well managed, although the recording and monitoring of people’s behaviour that challenged others needed to improve. Following the inspection the registered manager confirmed they had addressed this with staff and put a more robust monitoring system in place.

People received person-centred care which was reflected in their care plans. People’s nutritional needs were met. People had access to healthcare services and systems were in place to manage complaints.

Activities were provided however the provider had identified the range and variety could be improved. A staff member had recently been appointed to lead activities and was working with people to meet individual interests and needs.

People and relatives spoke positively about the care they received and praised the staff who they described as kind and caring. People were treated with respect and their privacy and dignity was maintained.

The service was well managed. The management team led by example and promoted person-centred care. Effective quality audit systems were in place.