Background to this inspection
Updated
13 March 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
This inspection was carried out by two inspectors and an Expert-by-Experience. An Expert-by-Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Cedar Court Nursing and Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and the quality and safety of the care provided.
Notice of inspection
This inspection was announced. We gave the service 24 hours’ notice of the inspection. This supported the home and us to manage any potential risks associated with COVID-19. We visited the home on 21 January 2021 and collected further information until 25 January 2021.
What we did before the inspection
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who worked with the service and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.
During the inspection
We spoke with three people and seven relatives about their experience of the care provided. We contacted seven members of staff my email. We visited the home and spoke with the registered manager, peripatetic manager, regional manager, quality manager and an activities co-ordinator.
We observed how people were being cared for and reviewed a range of records. This included
four people’s care and medicines records. We looked at the personnel files for two staff and we reviewed records related to the management and quality assurance of the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
13 March 2021
About the service
Cedar Court Nursing and Residential Home is a residential care home which can provide personal care and nursing for up to 68 people in a single, purpose-built building. At the time of this inspection there were 54 people living at the home.
People’s experience of using this service and what we found
People told us they felt safe and were happy with their care. Risks to individuals and the environment were well managed. People were safeguarded from abuse. Medicines were administered and managed safely. Staff were recruited in a safe way and there were enough staff to meet people’s needs. The home was clean and tidy.
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. Staff received training, supervision and appraisal. People's health was well managed. Staff worked closely with other professionals to provide effective care.
People’s care was based on detailed assessments and person-centred care plans. A range of activities were available. People felt confident raising concerns. Complaints had been dealt with effectively. Staff were aware of good practice in end of life care.
The provider and registered manager monitored the quality of the service to make sure they delivered a high standard of care. People and relatives were encouraged to provide feedback.
For more details, please see the full report which is on the Care Quality Commission’s (CQC) website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 5 March 2020) and there were two breaches of regulation. These were breaches of regulation 12 (safe care and treatment) and regulation 17 (good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions safe, effective, responsive and well-led which contain those requirements.
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 coronavirus and other infection outbreaks effectively.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has improved to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Cedar Court Nursing and Residential Home on our website at www.cqc.org.uk.
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.