30 May 2018
During a routine inspection
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.