About the service: Cedar Grange provides support for up to 31 older people. Accommodation is provided across two buildings. Twenty-seven people were receiving a service at the time of this inspection.

People’s experience of using this service: We received very positive views from people about the support provided to them. People said they felt safe and staff were respectful.

People received their medicines safely and on time and their health was well managed. Staff had positive links with health care professionals which promoted people’s wellbeing.

Care and support was tailored to each person's needs and preferences. People and their relatives were fully involved in developing and updating their planned care.

Staff had received appropriate induction, training and support to enable them to carry out their role. Appropriate recruitment checks were carried out to ensure staff were suitable to work in the service.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

The registered manager with the staff team and led by example to ensure people received a good service. People and staff told us the registered manager and senior team were approachable and listened to them when they had any concerns. All feedback was used to make continuous improvements to the service.

More information is in the Detailed Findings section below. For more details, please see the full report which is on CQC website at www.cqc.org.uk.

Rating at last inspection: Good (report was published 25 August 2016).

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

This inspection took place on 12 July 2016 and was unannounced. We previously visited the service on 21 January 2014. Since that time the registered provider has changed the company name and their registration with the Care Quality Commission. This is the first inspection under the new registration.

The home is registered to provide accommodation and care for up to 31 older people, including people who are living with dementia. On the day of the inspection there were 29 people living at the home, including one person who was having respite care. The home is situated in the village of Cherry Burton, close to the town of Beverley, in the East Riding of Yorkshire. There are various communal areas where people can spend the day and a large garden. There is a passenger lift so people can access the first floor of the premises.

The registered provider is required to have a registered manager in post and on the day of the inspection there was a manager who was registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

On the day of the inspection we saw that there were sufficient numbers of staff employed to meet people's individual needs. New staff had been employed following robust recruitment and selection policies and this ensured that only people considered suitable to work with vulnerable people worked at Cedar Grange.

People told us that they felt safe living at the home. People were protected from the risks of harm or abuse because there were effective systems in place to manage any safeguarding concerns. The registered manager and care staff were trained in safeguarding adults from abuse and understood their responsibilities in respect of protecting people from the risk of harm.

Risk assessments identified any areas of concern in respect of people’s care and support needs, and there were strategies in place to reduce these risks but still promote independence.

Staff confirmed that they received induction training when they were new in post and told us that they were happy with the induction and on-going training provided for them. This included training on the Mental Capacity Act 2015 (MCA) and Deprivation of Liberty Safeguards (DoLS).

We checked medication systems and saw that medicines were recorded, stored, administered and disposed of safely. Staff who had responsibility for the administration of medication had received appropriate training and no-one who we spoke with raised any concerns about how they received their medicines.

People who lived at the home, visitors and social care professionals told us that staff were caring and that they respected people’s privacy and dignity. We saw that there were positive relationships between people who lived at the home, visitors and staff. Visitors told us they were made welcome at the home and were kept informed about their relative’s well-being.

Care plans recorded people’s individual needs and how these should be met by staff. It was clear that staff had a good understanding of people’s specific needs and how they wished to be supported.

We saw that people’s nutritional needs had been assessed and people told us that they were very happy with the food provided. We observed that people’s individual food and drink requirements were met and that they were offered a choice at each meal time.

The complaints procedure was clearly displayed in the home and people told us that any complaints they made or concerns they expressed were listened to and acted on. There were also systems in place to seek feedback from people who lived at the home, visitors and staff.

People who lived at the home, visitors and staff told us that the home was