CQC report explained · a residential care home
What the CQC found at The Cedars
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Staff managed risks, monitored health, followed infection control procedures and gave medicines as prescribed.
- Effective?
- Good
- This area was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This area was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Managers had clear governance systems, checked care quality and used learning, feedback and improvement plans to develop the service.
What inspectors found, December 2023
Turning Point - The Cedars is rated Good; inspectors found people were safe and well supported, with staffing levels being monitored during a change.
This was an announced, focused inspection on 29 November 2023. One inspector reviewed information, spoke with a relative, an advocate and six staff, observed care, and checked care, medicine, recruitment and management records.
The home was rated Good overall. Safe and Well-led were both rated Good. Inspectors found that staff understood people's needs, managed risks, gave medicines as prescribed and supported people's choices and independence.
The inspection found a caring and inclusive culture. Staff received training and support, people were referred to health professionals when needed, and managers used checks, incidents and feedback to improve care.
This was not a full inspection of all five areas. The ratings for Effective, Caring and Responsive were carried forward from the previous inspection, published in 2018.
People's choices
Staff supported people to have choice and control, while using the least restrictive approach and acting in people's best interests.
“People were supported to have maximum choice and control of their lives” from the report
Staff knew people well
Staff understood people's individual risks and noticed changes that could show someone was becoming unwell. They referred people to health professionals promptly.
“Staff knew people well and understood how to mitigate risks associated with people's care.” from the report
Medicines and rights
Trained staff gave medicines as prescribed. The home reviewed medicines with prescribers and followed the Mental Capacity Act when restrictions were used.
“People received their medicines as prescribed from staff who were trained to administer them.” from the report
Open management
Staff felt able to speak up and managers used audits, incidents, feedback and an improvement plan to improve care.
“The registered manager and provider made checks on the quality of care people received.” from the report
Staffing changes
minorStaffing levels were being reduced because fewer people were living at the home. Managers said they would monitor this closely to make sure staffing remained safe.
“At the time of our inspection, the provider was reducing staffing levels due to a change in the number of people in the home.” from the report
Medicine guidance still being checked
needs fixingOne person's medicines were crushed with agreement and best-interest discussion, but the home was still obtaining pharmacist guidance about whether each medicine was safe to crush.
“The provider was obtaining guidance from the pharmacist to confirm each of the person's medicines was safe to crush.” from the report
- 01Have you now received the pharmacist's guidance confirming that each medicine being crushed is safe to crush?
- 02How have staffing levels changed, and how will you check that there are still enough staff to meet people's care and social needs?
- 03What were the current ratings for Effective, Caring and Responsive at the last full inspection?
- 04How are changes in people's health, including subtle signs of deterioration, recorded and followed up?
- 05How can relatives and advocates give feedback or raise a concern about the care?
This was a focused inspection of Safe and Well-led only; the other ratings were carried forward from the previous inspection published on 1 June 2018. This explanation was written from the published report of 15 December 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, June 2018
Turning Point - The Cedars is rated Good; inspectors found safe, kind and personalised care with effective management.
An unannounced inspection took place on 1 May 2018. One inspector visited, spoke with managers and care staff, observed how people were supported, and reviewed two care records and quality checks.
The home supported four people with physical and/or learning disabilities. Inspectors found enough experienced staff, safe medicines management, suitable risk assessments and clean, accessible premises. People were supported by staff who knew them well and encouraged their independence.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The report says the evidence supported the same overall Good rating as the previous comprehensive inspection in December 2015, with no serious risks or concerns found.
Staff knew people well
The home had a consistent and experienced staff team. This helped staff understand people's risks, communication and individual preferences.
“People were cared for by a consistent and experienced staff team who knew people well.” from the report
Safe medicines support
Medicines were stored and given safely by trained staff. Stock checks were used to identify and act on errors.
“People's medicines continued to be administered safely by trained and competent staff.” from the report
Personalised care
Care plans included people's histories, routines, preferences and health needs. Staff used visual cues, touch and sounds to help people communicate and make choices.
“Each person had a care and support plan with detailed information and guidance personal to them.” from the report
Kind and respectful care
Inspectors saw staff supporting people with patience and compassion. Staff paid attention to privacy, dignity and the ways each person expressed themselves.
“People continued to be cared for and supported by kind and compassionate staff.” from the report
Activities and independence
People were supported to go shopping, eat out and take part in community activities. Staff also helped people keep their own transport where possible.
“People continued to be encouraged to take part in activities which supported their interests.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you communicate with my relative and recognise when they are unhappy or trying to make a complaint?
- 02What restrictions or monitoring apply to my relative, and how will you make sure their DoLS authorisation stays current?
- 03How do you assess and review risks such as choking, moving safely, eating and drinking, or going out into the community?
- 04How are medicines checked, including time-critical medicines and medicines given when needed?
- 05How will you support my relative to keep taking part in activities, outings and personal interests?
This was an unannounced inspection covering all five key questions; inspectors could not speak directly with people because of their health conditions and reviewed two people's care records. This explanation was written from the published report of 1 June 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of The Cedars
3 rated inspections over 8 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2018Goodstayed GoodSafe: GoodWell-led: Good
- January 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- July 2011
Registered with the Care Quality Commission on 5 July 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Warwickshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £950 to £1,260 a week. 77 can care for a couple. 11 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.