Cedars Place Care Home

Updated 8 March 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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 3 inspectors.

Service and service type

Cedars Place is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Cedars Place is a care home with 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

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. 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 9 people who used the service and two relatives about their experience of the care provided. We also used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with 12 members of staff including the registered manager, deputy manager, nurse, maintenance man, activities co-ordinator and care staff. We reviewed a range of records. This included 6 people’s care plans, 5 people’s medicines records, 4 staff files in relation to recruitment and staff supervision and a variety of records relating to the management of the service. and care staff. We received information from 3 healthcare professionals who have regular contact with the service. We reviewed a range of records. This included 6 people’s care plans, 5 people’s medicines records, 4 staff files in relation to recruitment and staff supervision and a variety of records relating to the management of the service.

Updated 8 March 2023

About the service

Cedars Place Care Home is a residential care home providing personal care to up to 63 people. The service is a large 2 storey building with a large secure garden. There are 2 units; these included some local authority ‘bridging’ beds for people discharged from hospital before they are able to either move into the care home or return home. At the time of our inspection there were 55 people using the service. At the time of our inspection 7 people had nursing needs.

People’s experience of using this service and what we found

This was an outstanding service. People and relatives spoke highly of the culture and leadership of the service and the care people received from staff. The leadership team and staff, consistently looked for new opportunities support people to maximise their quality of life and independence in a exceptionally person centred way.

The provider had gone to extra measures to forge strong links within the local communities to support people living at the home to lead fulfilling lives. Staff worked effectively alongside other health professionals to support people’s health and wellbeing and professionals feedback the positive impact the home had on peoples wellbeing.

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.

Risks to people’s safety were assessed and monitored and there were systems in place to safeguard people from the risk of abuse. Processes were in place to manage people’s medicines safely and staff had received medicines training. The provider monitored the deployment of staff across the service to ensure there were enough staff available to support people’s needs.

The provider had implemented safe infection prevention and control processes. Staff had access to appropriate personal protective equipment [PPE] and had receiving training in the management of infection control risks.

Staff were safely recruited and received an induction when starting in their role. Staff completed a range of relevant training to support their understanding of people’s needs and told us they felt supported and valued by the management team.

The provider had effective systems in place to monitor the quality and safety of the service and people, relatives and staff felt comfortable raising any concerns and giving feedback.

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

Rating at last inspection

This was the first rated inspection of this service since the new provider had taken over in 21 October 2020. We carried out an inspection of the designated setting accommodation in January 2021 to ensure it was fit for purpose. This was part of the building the provider made available to care for people who had been discharged from hospital before returning home or back to a care home.

The last rating for this service under Q H The Cedars Limited was requires improvement. The report was published 05 June 2019.

Why we inspected

The inspection was prompted in part due to concerns received about an incident. A decision was made for us to inspect and examine those risks.

Follow up

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