Cedar Mews

Updated 4 November 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 was carried out by 3 inspectors and an Expert by Experience. 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 Mews 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. Cedar Mews 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

This inspection was unannounced.

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 7 people using the service, 5 relatives and a visiting professional. We spoke with the registered manager, lead quality and risk manager, dementia care manager, a team leader, a senior care assistant and 2 care assistants. We sought feedback from a health care professional via e-mail.

We reviewed a range of records. This included 8 people's care records and multiple medication records. We looked at 2 staff files in relation to recruitment and a variety of records relating to the management of the service. Following our site visit the provider continued to provide information, which included data to support quality monitoring, the outcome of consultation with people and their relatives, staff training, policies and procedures.

Updated 4 November 2023

About the service

Cedar Mews is a residential care home providing accommodation for people who require personal and nursing care for up to 73 people. The service provides support to older people, some of whom are living with dementia, people with a physical disability and younger adults. At the time of our inspection there were 71 people using the service.

Cedar Mews was purpose built. Communal facilities, assisted toilets, bathing facilities, and bedrooms with en-suite facilities were sited over 3 floors, known as Rosemary Walk, Lavender Lane and Cinnamon Way. The home has an accessible garden, which included seating.

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

People’s safety was underpinned by the provider’s policies and processes. Potential risks to people were assessed and measures put in place to reduce these. Lessons were learnt, supported by clinical risk meetings and reflective practice for staff. Medicines were managed safely following recent changes to some aspects of medicine administration. People lived in an environment which was well maintained and clean, with safe infection and prevention measures.

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 involved in key decisions about their day to day lives, and chose how they spent their day, which included their involvement in recreational activities.

People’s health and wellbeing needs were assessed, and their health and welfare monitored by staff. Staff liaised effectively with health care professionals to achieve good outcomes for people. Staff had the knowledge and experience to meet people’s needs. People’s dietary needs were met, assisted by staff’s commitment to create an enjoyable dining experience for people.

The provider had systems in place to monitor and improve the quality of the service provided, and worked collaboratively with partner agencies to bring about improvements. Staff spoke positively of the management team, and of the collective approach to continually improve the service.

People and family members were complimentary about the service, and spoke positively of the friendly atmosphere at Cedar Mews. External professionals provided positive feedback about the quality of the care people received, and the knowledge and commitment of staff in meeting people’s needs.

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 the service under the previous provider was good, published on 22 November 2017.

Why we inspected

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

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained good, based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Cedar Mews 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.