Turning Point - The Cedars

Updated 15 December 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 1 inspector.

Service and service type

Turning Point – The Cedars is a 'care home'. People in care homes receive accommodation and personal care as a single package under one contractual agreement dependent on their registration with us. Turning Point – The Cedars is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was announced. We gave 36 hours’ notice of the inspection. This is because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 1 relative and 1 independent advocate of people who lived at the home about their experience of the care provided. We spent time seeing how staff cared for people. We spoke with 6 staff, including the provider’s locality manager and area manager, a team leader, 2 support workers and a manager from one of the provider’s other services who was supporting the home during the registered manager's leave.

We reviewed a range of records. These included 2 people's care records and 2 medication records. We checked 1 staff recruitment file and records relating to the management and safety of the service, including audits, policies and procedures.

Updated 15 December 2023

About the service

Turning Point – The Cedars is a residential care home providing accommodation and personal care for up to 4 people. The service provides support to people with learning disabilities or autistic spectrum disorder. At the time of our inspection there were 3 people using the service.

People's experience of the service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessment and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff understood how to mitigate risks associated with people's care. They monitored people closely to identify any signs of deteriorating health and referred people to other healthcare professionals to improve their health outcomes. People received their medicines as prescribed from staff who were trained to administer them.

Right Care

People’s needs had been assessed and staff knew people well. Staff received regular training and support to ensure they had the skills and knowledge to meet people's needs safely and effectively. Staff had a good understanding of the Mental Capacity Act 2005 and their role in ensuring the voices of people with a learning disability were heard. They advocated on behalf of people to ensure decisions were made in their best interests. The registered manager and provider regularly checked the quality of people's care and used their findings to improve the quality of the service and to take learning from incidents.

Right Culture

The provider had systems to ensure people received person-centred care that achieved good outcomes. Staff had a good understanding of their role in ensuring people had a meaningful everyday life and were motivated to provide high standards of care. Staff felt supported in their role and were encouraged to give their feedback and make suggestions knowing they would be listened to. There was an inclusive culture where equality, diversity and inclusion were reflected and supported.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 1 June 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We undertook a focused inspection to review the key questions of safe and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the 'all reports' link for Turning Point – The Cedars on our website at www.cqc.org.uk.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.