About the service Cedar House is a residential care home registered to provide personal care for up to five people with learning disabilities and on the autism spectrum. The home accommodates people in one adapted building. At the time of our inspection there were five people using the service.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People felt safe living in the service and their belongings were protected. There were processes in place to ensure that staff knew how to protect people from abuse and where to escalate concerns if they needed to. There were systems in place to assess risks to people’s health and wellbeing which were individual to each person and staff were aware of how to keep people safe. .
Staff received training and development to be able to support people safely. Staff were supported to develop within the service and had been supported with additional training and qualifications. People were supported to maintain a balanced diet and received information about healthy eating choices. People were supported to maintain their health and wellbeing in line with recommended guidance.
Staff responded to people in a kind and caring manner and people were comfortable with staff. Staff knew people well and were able to communicate with people individually based on their abilities. People were involved in making decisions about their care. People had their privacy and dignity protected.
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. People were supported to access the community and maintain their hobbies and interests.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
We have made a recommendation about planning for end of life care.
People told us that they found the registered manager to be approachable. People said that they had their feedback listened to and felt involved in the service. There were systems in place which supported monitoring the quality of the service provided to drive improvement. The registered manager was actively involved in initiatives to improve the quality of care that people received.
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 16 May 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.