About the service Cedar Bungalows is a residential care home providing personal care to up to four people. There were two people living at the service at the time of the inspection. There are seven individual bungalows, of which a maximum of four are lived in at any one time. The service supports people with mental health and behavioural support needs, learning disabilities and / or autism who are transitioning from acute or secure services.
People’s experience of using this service and what we found
People were supported to stay safe. Potential risks to people’s health, safety and welfare, including COVID-19, were identified and there was guidance, followed by staff, to mitigate risks. People’s medicines were safely managed, and they received them as prescribed.
People were supported by a core team of staff who knew them well. Staff were kind and compassionate. Staff completed regular training to keep up to date with best practice.
Care was planned with people, their relatives and health care professionals. Assessments considered people’s protected characteristics, such as sexuality, disability, religion and culture.
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 maintain contact with their loved ones. Relatives spoke positively about the support their loved ones received. A relative said, “[My loved one] is doing a lot more than he was a year ago. He is really happy and definitely settled there.”
Checks and audits were completed to monitor the quality and safety of the service. There was an open culture where people and staff were valued as individuals. The management and staff worked as a cohesive team. Staff said, “[The service manager] is firm, fair and friendly. A brilliant corrective coach.”.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports the Care Quality Commission (CQC) to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Each person lived in a bungalow and was supported by a small, consistent team of staff who knew them well. People had built strong relationships with the staff. People’s relatives spoke positively about the changes in their loved ones since moving to the service. There was clear leadership at the service.
Right support:
• Model of care and setting maximises people’s choice, control and independence. People were supported to stay active and follow their interests both at the service and in the wider community.
Right care:
• Care was person-centred and promoted people’s dignity, privacy and human rights. People were supported by staff who knew them well and treated them with kindness. Staff showed genuine compassion for the people they supported.
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. The management and staff worked as a cohesive team. People’s relatives, staff and health care professionals worked collaboratively to ensure there were good outcomes people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 30 November 2020 and this is the first inspection.
Why we inspected
This was a planned inspection based on the length of time since the service registered with CQC.
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.
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.