• Care Home
  • Care home

Archived: Cedar Court Residential and Nursing Home

Overall: Requires improvement read more about inspection ratings

Portland Avenue, Seaham, County Durham, SR7 8BT (0191) 581 8080

Provided and run by:
Sanctuary Care (England) Limited

Important: We have removed an inspection report for Cedar Court Residential and Nursing Home from 11 June 2019. The removal of the report is not related to the provider or the quality of this service. We found an issue with some of the information gathered by an individual who supported our inspection. We will reinspect this service as soon as possible and publish a new inspection report.

Latest inspection summary

On this page

Background to this inspection

Updated 5 March 2020

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

An inspector, an assistant inspector, a specialist advisor nurse and an Expert by Experience carried out this inspection. 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 who was applying for their registration with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. The manager was on planned leave during our inspection. We were assisted at the inspection by an area manager and a peripatetic manager.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we held about the service, including the notifications we had received from the provider. Notifications are changes, events or incidents the provider is legally obliged to send us within required timescales.

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service.

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 of this information to plan our inspection

During the inspection

We spoke with five people who used the service and three relatives about their experience of the care provided. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with 12 members of staff, including the area manager, a peripatetic manager, a deputy manager, nursing, care, kitchen and maintenance staff. We reviewed a range of records. This included five people’s care records and six medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Overall inspection

Requires improvement

Updated 5 March 2020

About the service

Cedar Court Nursing and Residential Home is a residential nursing home providing personal and nursing care to older people and people living with a dementia. It can support up to 68 people in a single, purpose-built building. There were 55 people using the service when we inspected.

People’s experience of using this service and what we found

Risks to people were not always effectively recorded, monitored or acted on. Care records were not always consistent or person-centred. Improvements were needed in adapting the service to meet the needs of people living with a dementia.

We made a recommendation around activities for people living with a dementia.

Staffing levels were monitored and recruitment checks carried out. People were safeguarded from abuse. Effective infection control processes were in place.

Staff received training, supervisions and appraisals. 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 received kind and caring support from staff who knew them well. People and relatives told us staff treated people with dignity and respect and promoted their independence.

The provider had an established complaints process. Systems were in place to provide end of life care where needed.

Feedback was sought and acted on. Staff spoke positively about the culture and values of the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 31 October 2017).

There was also an inspection on 8 May 2019 however, the report following that inspection was withdrawn as there was an issue with some of the information that we gathered.

Why we inspected

This was a planned re-inspection because of the issue highlighted above.

Enforcement

We have identified breaches in relation to premises safety, monitoring and recording risk, care plans and good governance processes at this inspection. Please see the action we have told the provider to take at the end of this report.

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.