21 February 2023
During a routine inspection
The Cedars is a residential care home that provides accommodation and personal care for up to 28 older people. At the time of the inspection 17 people were living at the home.
The service is set over 2 levels, with communal areas such as a lounge and dining room on the ground floor.
People’s experience of using this service and what we found
Improvements had been made and were ongoing at the service. Actions in relation to fire safety had been completed. A plan was in place to continue upgrades to the environment. Changes to systems to monitor and assess the quality of the service had been made. However, further improvements were needed to ensure care planning information was person centred and accurate.
People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. Improvements were required to ensure people’s consent and capacity was obtained and assessed in accordance with the Mental Capacity Act 2005.
People told us they were happy at the service. The service was fully staffed, and improvements had been made to recruitment processes. Staff were supported through induction, training and supervision.
Activity provisions continued to be developed and people were supported to engage in activities of their choice and access the local community.
People were supported by staff who were kind and caring. People were treated with dignity and respect. People’s independence was promoted.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was inadequate (published 13 October 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of Regulations 9 (Person Centred Care), 10 (Dignity and Respect), 12 (Safe Care and Treatment), 14 (Meeting Nutritional and Hydration Needs), 17 (Good Governance), 18 (Staffing) and 19 (Fit and Proper Persons Employed). The provider had met their recommendation in relation to the environment and had a plan of action in place to make further improvements.
This service has been in Special Measures since 22 August 2022. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Enforcement and Recommendations
We have identified a breach in relation to Regulation 11 (Need for consent).
Please see the action we have told the provider to take at the end of this report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.