Random inspection report
Care homes for adults (18-65 years)
Name: Address: The Cedars The Cedars (2 - 4) The Old Grove Surrey GU26 6BW three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Geraldine Yates Date: 3 0 0 6 2 0 0 9 Information about the care home
Name of care home: Address: The Cedars The Cedars (2 - 4) The Old Grove Surrey GU26 6BW 01428609374 Telephone number: Fax number: Email address: Provider web address: cedars@robinia.co.uk Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Robinia Care South Limited care home 14 Number of places (if applicable): Under 65 Over 65 0 0 learning disability physical disability Conditions of registration: 14 14 The maximum number of service users who can be accommodated is: 14 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - LD Physical disability - PD Date of last inspection Brief description of the care home The Cedars consist of three bungalows, numbered 2, 3 and 4, that provide care and accommodation for fourteen adults with a learning disability and physical disability. Each of the bungalows provides single service user bedrooms and offers a communal lounge, two bathrooms or shower rooms, a large kitchen. Bungalow 2 provides accommodation for four service users, and also accommodates
Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home the office facility for the service. Bungalows 3 and 4 each provide accommodation for five service users. All bungalows are suitably equipped for wheelchair users. The laundry/utility room has been situated in the grounds of the home and the laundry is undertaken by the staff, from the three bungalows at different times of the day. The garden area has been landscaped and surrounds the three bungalows. A fence surrounds the garden area and this provides a safe environment for service users. The fees range from #1,159.87 per week depending on the assessment of the individual service user. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
Following concerns brought to the attention of The Commission the handling of medicines was assessed by one of the Commissions specialist pharmacist inspectors. We looked at staff training, policies and procedures, records of medicines given to people and talked to the senior member of staff on duty. The records and medicines supplies showed us that people were receiving their medicines correctly. Clear records were kept of all medicines coming into and leaving the home and of medicines that are given to people. The service has an open reporting culture when errors or problems are identified. Following the two recent occasions when medicines were not given as prescribed management and care staff met to discuss the issues and have jointly agreed on some changes to simplify processes with the aim of reducing the chance of future problems. Personalised care plans were available for all of the people whose records were checked. These described how people wish to take their medicines. In addition clear and detailed care plans were in place on how people were to be cared for should they have a seizure. These included when to give them any medicines that have been prescribed for them and when to seek medical help. People who use the service have their medicines given to them by care staff who have been trained. Staff had access to detailed written procedures on the safe handling of medicines. They did not however describe the practices in place in the home and referred staff to documentation that the home does not use. The procedures are currently under review and it is important that these issues are addressed so as to avoid any possible confusion in the way staff are expected to work. Some people were being given their medicines with food. In all cases this was done with multidisciplinary agreement and was seen to be in their best interests. All medicines were stored securely for the protection of people who use the service. There were no Controlled Drugs in stock when we visited. The home has cupboards that would meet the legal requirements for storing Controlled Drugs if they were correctly secured to the wall. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking
Care Homes for Adults (18-65 years) Page 4 of 8 following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
