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Cedar Lawn Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 26 July 2018

The inspection took place on 21 and 22 June 2018 and was unannounced.

Cedar Lawn Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Cedar Lawn Nursing Home is a converted property and accommodates up to 30 people who require nursing care. When we inspected there were 26 people living in the home. There were three shared rooms in the property, the rest being single occupancy rooms of varying sizes. Most rooms had ensuite toilet and wash basin facilities.

There was a registered manager in post. A registered manager 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. The registered manager had completed notifications as required and was in the process of completing the PIR for the service.

At our last inspection we were concerned there were not enough staff to support people. There were now sufficient staff deployed to ensure that care was safely delivered and the service was now compliant with regulations.

We had also been concerned at aspects of medicines management. This had improved and medicines were safely managed.

Risks were assessed and well-known assessment tools were used to maintain people’s health and well-being.

Equipment and systems such as the fire alarm, hoists and passenger lifts were regularly serviced and maintained.

Risks of harm from legionella was minimised with a robust risk assessment and management plan.

People were protected from being cared for by unsuitable staff by a thorough recruitment process.

Staff were knowledgeable about safeguarding and were able to identify possible signs of abuse and knew what actions to take if they suspected it had occurred.

People’s needs were assessed and care plans devised to meet their needs.

The service complied with the requirements of the Mental Capacity Act (MCA) and when necessary applied for authorisation to restrict peoples freedom under Deprivation of Liberties legislation.

Peoples nutritional needs were met and the service provided appetising meals to the requirements of individuals.

We made a recommendation that the provider reviewed staff deployment at lunchtimes.

The service was proactive in promoting people’s dignity.

Life profiles were completed for all residents which showed what people liked to do at particular times of the day.

End of life care was dealt with sensitively and people were supported to have a respectful and dignified death.

There were robust quality audits which were completed regularly and acted upon.

Policies and procedures were comprehensive, readily available and reflected good practice.

Inspection areas

Safe

Good

Updated 26 July 2018

The service was safe

Sufficient staff were deployed to meet the needs of people living in the home.

Medicines were managed safely.

Equipment was well maintained and regularly serviced.

Effective

Good

Updated 26 July 2018

The service was effective.

Staff received regular training and updates relevant to their role.

Staff were supported through regular supervisions and appraisals with the registered manager.

People were supported to meet their nutritional needs.

Caring

Good

Updated 26 July 2018

The service was caring.

Dignity champions had been appointed to promote dignity and respect in the service.

The service supported people in meeting their spiritual needs.

Staff supported people and their relatives in a kind and caring manner.

Responsive

Good

Updated 26 July 2018

The service was responsive.

A range of activities and outings were provided in line with people�s interests.

Relative and resident�s meetings took place regularly.

End-of-life care was planned for in an empathetic way.

Well-led

Good

Updated 26 July 2018

The service was well-led.

Robust audits were carried out and findings acted upon.

Staff spoke highly of the management team and told us they were very supportive.

People living in the home and their relatives were invited to participate in questionnaires and meetings about the service.