The Cedars is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.The service is registered to provide accommodation and personal care for up to six people. People who use the service may have a learning disability or mental health needs. At the time of the inspection, six people were living in the home but not everyone using The Cedars received a regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.
There was a registered manager in post. A registered manager is a person who has registered with the CQC 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.
At our last inspection we rated the service good with requires improvement in well-led. At this inspection we found the evidence continued to support the rating of good in the previous four areas safe, caring, effective and responsive. Improvements had also been made so that the rating of well-led was improved to good. 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.
At this inspection we found that people were safeguarded from abuse. Risks to people were managed and there were enough staff to meet people’s needs. Medicines were safely managed and people received them as prescribed. Lessons were learned when things had gone wrong. People were protected from the risk of possible infection.
People’s needs and choices were assessed. People were supported to eat and drink enough to maintain a balanced diet. People were supported to have access to health services and receive ongoing healthcare support.
People were treated with kindness and respect. Their privacy was respected and their independence promoted.
People received personalised care that was responsive to their needs. People’s concerns and complaints were listened and responded to. No one was receiving end of life care; however, this had been considered where necessary.
Quality assurance systems were in place and operated effectively and the registered manager knew people well and was approachable. Feedback about the service was encouraged.
The rating was displayed as required.
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.