Background to this inspection
Updated
15 May 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team.
One inspector and an expert by experience conducted the inspection over one day. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type.
Cedar House is a domiciliary care service providing personal care in people’s own homes in a supportive living housing complex. CQC regulates the care provided, and this was looked at during this inspection.
The service had a manager registered with the Care Quality Commission. They are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection.
This inspection was announced. We gave the registered manager 48 hours notice of the inspection. This was because we wanted to make sure that the registered manager was present during the inspection to assist us.
What we did when preparing for and carrying out this inspection.
We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about. We contacted the local authority who commission services from the provider and they provided us with feedback. We used all this information to plan our inspection.
During the inspection, we spoke with 10 people receiving care and two relatives. We also spoke with the registered manager, the care manager and three care staff members.
We reviewed a range of records. This included accident and incident records, three people's care records and medicine records. We also looked at three staff recruitment files.
We asked the registered manager to email further information to us, so that we could see how the provider monitored the service to drive improvements. We reviewed this information as part of the inspection process.
Updated
15 May 2019
About the service:
Cedar House is registered to provide personal care to older people, people living with dementia, people with physical disabilities, people with sensory impairment, and younger adults. People live in a supported living housing complex and have their own flats. At the time of inspection 38 people were living in the complex.
People’s experience of using this service.
¿ People received safe care and they were protected against avoidable harm, abuse, neglect and discrimination.
¿ People’s medicines were safely managed.
¿ Staff were recruited following necessary checks, though these needed to be strengthened.
¿ There were enough staff to provide care and support to people to meet their needs.
¿ People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible.
¿ Staff had support, supervision and training to work effectively to provide personal care to people.
¿ Staff were compassionate, friendly and caring. They treated people with respect and dignity.
¿ Staff encouraged people to maintain their independence.
¿ People had personalised plans of care in place to enable staff to provide care and support in line with people’s preferences.
¿ Information could be provided to people in an accessible ways to enable them to make decisions about their care and support.
¿ People knew how to raise a concern or make a complaint. The provider had systems to properly respond to complaints received.
¿ The service had a system in place to provide end of life care to people.
¿ The service had a positive ethos and an open culture. Management were supportive of people and staff and listened to them.
¿ There were effective systems in place to monitor the quality of the service and drive improvements.
Rating at last inspection.
Requires Improvement (report published 19 June 2018)
Why we inspected.
¿ This was a planned inspection based on the rating at the last inspection.
¿ At the last comprehensive inspection, the provider was rated as Requires Improvement due to systems and processes not effectively in place to assess, monitor and improve the quality and safety of the service. We checked they had taken action to improve these systems and found they had.
Follow up.
We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk