Cedarwood House is a residential care home providing accommodation and personal care for up to 20 people. The service provides support to older people and people living with dementia. At the time of our inspection there were 17 people using the service.
People’s experience of using this service and what we found
Risks to people had not always been safely managed. Improvements were needed to ensure that people with diabetes were supported safely by staff. Care plans and risk assessments were not up to date and did not always reflect people’s needs. Medicine processes were not always robust. Systems were not in place for checking that staff had given people their medicines as prescribed and medicines had not always been stored correctly.
The management team and most staff were new to the home. More time was needed for this new team to be able to identify issues at the service and take action to make improvements. Audit systems were in place but had not been completed recently. Improvements were needed to documents to ensure that staff were accurately recording the support people received.
There were enough staff to support people and staff were recruited safely. Staff followed infection, prevention and control procedures and the home was clean and hygienic. Staff spoke to people with kindness and respect and people seemed comfortable around staff.
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.
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 26 March 2021).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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 COVID-19 and other infection outbreaks effectively.
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to safe care and treatment and governance at this inspection. Please see the action we have told the provider to take at the end of this report.
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.