Cedardale Residential Home

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• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Systems were in place to monitor the quality of service people received. A range of checks and audits were completed by the management team. Action plans were developed and any necessary actions were taken to mitigate further risk. The manager had an open-door policy and encouraged feedback from people, staff and others in order to drive continuous improvements.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The manager had submitted an application to the Care Quality Commission (CQC) to be the registered manager. This application was in progress. People and relatives knew who the manager was and could approach them about any issues. The manager had an open-door policy and encouraged feedback from people in order to drive continuous improvements. People we spoke to said they had never had to make a complaint and that any minor issues they raised were dealt with promptly. Surveys for staff, relatives and people were completed every six months, the last surveys seen were overall positive, with every element rated good or excellent.

A range of audits were undertaken and were up to date with actions taken where required. Medication audits had identified concerns which were then addressed. The manager had plans to implement random, unannounced night audits to monitor the quality of care delivered at night. Accidents and incidents were reported through the care system and investigated by the manager or deputy. Any necessary actions were taken to mitigate further risk, for example one person had their medicines changed as a result of falls and the falls have decreased. The manager had an open-door approach and was proactive around the service, encouraging people, relatives and staff to talk to her at any time. The service had a friendly, homely and welcoming atmosphere.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.