Cedar Court Care Home

Date of assessment: Between 2 to 11 September 2026. The service is a residential care home providing accommodation and personal care for older people and people living with dementia. The service can support a maximum of 47 people. There were 30 people living in the service at the time of inspection.
This inspection was prompted in part by concerns received by CQC about staff discontent, staffing levels and the potential impact on people’s care. We found there were issues around staff concerns but this had not impacted on people’s care and safety. At our last assessment, the service was rated requires improvement (published 30 January 2026) and we found the provider was in breach of 3 regulations. These related to safe care and treatment, dignity and respect and good governance.
At this assessment, we found some improvements had been made. The provider was now providing safer care and people’s dignity and respect were better maintained. The provider was no longer in breach of regulations in relation to safe care and treatment and dignity and respect. Staff knew people well and could anticipate their needs. Some care records were well written and gave a good indication of the needs of people. People were safeguarded by staff who knew their responsibilities in keeping people safe and the provider alerted the local authority and CQC when a safeguarding issue was identified. People were referred to the appropriate heath care professionals when they needed treatment or advice.
However, further improvements were still necessary to ensure a safe and good quality service.
The provider was not registered to provide accommodation and personal care services to people with a learning disability. However, people with a learning disability were living at the service. We therefore assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed autistic people and people with a learning disability respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. We found the provider’s care and support of people with a learning disability did not meet the principles of this guidance. We have reported on this through the quality statements in this report.
People’s care records were not always accurate or consistent in the information recorded leading to the potential for unsafe care, although we did not find any impact on people. Management and leadership was weak. Communication was poor and lacked openness with staff, resulting in discontent amongst staff with the potential to impact on people’s care. Staff culture was poor, the staff team did not always work well together leading to further potential impact on people’s care. The provider took steps following the assessment to start to tackle the issues and increased staffing levels to ensure people’s safety. The monitoring and oversight of the service was not robust and therefore ineffective which meant opportunities were missed to make timely improvements. Processes to evidence compliance with the Mental Capacity Act 2005,good care planning and risk management were inconsistent and this had not been identified.
There continued to be a breach of regulation in relation to accurate record keeping to ensure safe care and treatment and effective management, leadership and governance systems. We have asked the provider for an action plan in response to the concerns found at this assessment.

Date of inspection: 30 September 2025 to 24 November 2025. Cedar Court Care home is a residential home providing support to older adults and people living with dementia. CQC regulates both the premises and the care provided, and both were looked at during this inspection. At the time of the inspection, there were 41 people using the service.

At the time of our inspection there was not a registered manager in post. A new manager had been employed for 3 months at the time of the inspection, and they had submitted an application to register with CQC. We are currently assessing the application.

The inspection was unannounced. This inspection was based on emerging risk following CQC receiving a high number of cases and notifications of concern, and to check compliance with the special measures that had been imposed.

The service was not registered to support people with learning disabilities. However, at the time of our inspection, Cedar Court Care Home had 1 person with learning disabilities receiving regulated activity at the service. We have assessed the service against ‘right support, right care, right culture’ guidance to make judgements whether the provider guaranteed people with a learning disability or autistic people, respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

This service has been in Special Measures since 6 March 2025. The provider demonstrated improvements that have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Since the last inspection, the provider had carried out a lot of improvements on the building. The management team were working hard to make improvements for people using the service. However, we found there was a lot of improvement needed in the areas of communicating with people and relatives. Improvement was also required in ensuring the service was using a person-centred approach and ensuring the service was more dementia friendly. Focus was also needed to ensure the approach to people was caring and compassionate, and that staff culture was improved.

People had care plans in place which documented their care and support needs. We found some care plans were not person-centered and some did not have adequate risk of choking, diabetes and epilepsy documented. This was discussed with the management team.

The service was transitioning from a paper- based to an electronic system for storing and accessing care plans, risk assessments, medicines and daily care notes. This ensured all staff had access to people’s essential information as required.

The provider was previously in breach of the legal regulations in relation to person centred care, staffing, fit and proper persons employed. Improvements were found at this assessment, and the provider was no longer in breach of these regulations.

The provider was previously in breach of the legal regulations of safe care and treatment, dignity and respect and good governance. Not enough improvements were found at this inspection and the provider remained in breach of these regulations.

We have asked the provider for an action plan in response to the concerns found at this inspection.

Cedar court care home provides residential care for older people with dementia. 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 assessment. There were 44 people using the service at the time of this assessment.

Assessment activity started on 15/11/2024 and ended 06/03/2025. This assessment was prompted in part by concerns about infection control and staffing. There was a registered manager in post at the time of this assessment.

We looked at all the quality statements. During the site visit, we spoke with 6 people and 2 relatives, the registered manager, provider, activities co-ordinator, 2 senior staff members and 6 care staff. Following the site visit, we spoke with 10 relatives by telephone and received feedback from two healthcare professionals.

The last rating for the service under the previous provider was Good. The service was taken over by a new provider in 2023 and this is their first assessment. During this assessment, we found the quality of care had deteriorated. The service was found to be in breach of nine regulations in relation to person centred care, dignity and respect, need for consent, safe care and treatment, meeting nutritional and hydration needs, premises and equipment, staffing, good governance and fit and proper persons employed. CQC have decided to take enforcement action against the service, we will publish this information on our website after any representations and/or appeals have been concluded.

This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.