Cedar House - The Annex

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

There was room to improve written guidance to staff. However, people received support from a small staff team who knew their needs well, and we found minimal impact from the lack of detail in care plans.

The registered manager and provider were passionate about serving the local community. They engaged well with people and their families. Senior staff were involved in providing care and checked the quality of care regularly, making improvements where necessary. Concerns were dealt with promptly.

There were enough staff to meet people's needs. Staff knew how to support people from the risk of abuse. The registered manager and staff supported people and families to manage risk. People received their medicines as prescribed. Staff supported people to minimise the risk of infection.

The registered manager enabled staff to develop their skills and provide good quality care. Staff supported people to eat and drink in line with their preferences. Staff worked well with people, families and professionals to promote people's health and wellbeing.

Care was respectful and unrushed and focused on supporting people to remain independent. Staff supported people to engage in their local community. Care was personalised around people's needs and preferences. Staff reviewed and adapted support as people's needs changed.

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.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people

and providers must have regard to it.

At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

Right Support: Staff focused on people's strengths and promoted what they could do.

Right Care: People could communicate with staff and understand information given to them because staff supported them consistently.

Right Culture: People and those important to them, were involved in planning their care.