Background to this inspection
Updated
23 April 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the COVID-19 pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 18 March 2021 and was announced.
Updated
23 April 2021
At the last inspection in June 2015, the service was rated as Good. At this inspection in January 2018 we found the service remained Good. The inspection was unannounced.
Cavendish Care Home provides accommodation and personal care as a single package under one contractual agreement for up to 21 people. CQC regulates both the premises and the care provided, and both were looked at during this inspection. There were 19 people living at the service in one building which consisted of two floors.
The service had a registered manager in post. 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.
People told us they felt safe when receiving care and were involved in developing and reviewing their care plans. Systems were in place to protect people from abuse and harm and staff knew their responsibilities for safeguarding people. Risk assessments had been completed so that staff knew how to keep people and themselves safe.
There were sufficient staff with the right knowledge and skills to meet people’s needs and staff had been recruited safely. Staff had the competence and skills to administer medicines as prescribed and there was a system in place to protect people from the risks of infection. Incidents and accidents were recorded, reviewed and investigated and the necessary action taken.
People’s needs were holistically assessed and support delivered in line with current guidelines. Training and supervision were provided to staff in order for them to carry out their role effectively. People received a balanced diet which met their nutritional needs and there was a choice of home cooked food. People’s health needs were met as staff liaised well with health and social care professionals.
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. People’s end of life wishes were taken into account and reviewed regularly.
The staff were very caring, supportive and kind. They respected people's privacy and dignity. The service was responsive to people’s needs and wishes as they listened and involved them in their care. People's sensory needs were taken into account and the service was meeting the Accessible Information Standard by ensuring people’s communication needs were met. Positive relationships were maintained and people were engaged in social and leisure activities of their choice, which provided stimulation and an interest in their own wellbeing.
There was an effective complaints procedure in place and people and their relatives knew how to make a complaint should they need to. Systems were in place to regularly assess and monitor the quality of the service provided. Feedback from people, their relatives and staff was encouraged with regular contact and reviews of people's care being very positive. This feedback was used to make ongoing improvements to the service.