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Cedar House Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 12 November 2020

About the service

Cedar House offers accommodation and personal or nursing care for up to 42 older people, some of whom are living with dementia. Accommodation is provided on the ground floor and first floor of a purpose-built building. There were 31 people using the service at the time of our inspection.

Cedar House is part of HC-One Oval Limited, a large organisation which owns over 300 care homes across the United Kingdom.

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

People’s needs were not always met. The provider sought advice from external professionals where people’s needs required this. However, staff did not always follow instructions from them or take prompt actions as advised.

Improvements have been made to the management of medicines, for example in relation to people who were given medicines covertly. However, further improvements were needed to ensure robust arrangements were in place to ensure people received their medicines safely.

Systems for monitoring the quality of the service, gathering feedback from others and making continuous improvements had improved, but had failed to identify the issues we found during our inspection.

Risks to people's health and wellbeing were assessed, and there were guidelines for staff to follow to deliver safe care to people who used the service. This included risks in relation to COVID-19.

There were systems in place to protect people from the risk of infection and cross contamination and staff had received appropriate training in this. There were good measures in place in relation to COVID-19 and staff adhered to guidelines.

There was a policy and procedure for the recording of incidents and accidents, and these were recorded and investigated appropriately. Lessons were learnt when things went wrong.

Staff were recruited safely and the provider had employed new care staff to fill all vacancies.

Staff felt supported by the management team and said they worked well together. There were regular staff meetings where all important information was shared. Issues raised were being addressed more consistently.

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

Rating at last inspection and update

The last rating for this service was inadequate (published 11 June 2020) and there were multiple breaches of regulation. The service was placed in special measures as it was rated inadequate in the safe, caring and well-led key questions and overall. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

While some improvements have been made at this inspection, the provider was still in breach of regulations.

Why we inspected

We undertook this targeted inspection to check whether the Warning Notices we previously served in relation to Regulations 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. During the inspection, we made the decision to widen the scope of the inspection to become a focused inspection which included the key questions of safe and well-led.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

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 coronavirus and other infection outbreaks effectively.

Enforcement

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 wh

Inspection areas

Safe

Requires improvement

Updated 12 November 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 12 November 2020

Caring

Inadequate

Updated 12 November 2020

Responsive

Requires improvement

Updated 12 November 2020

At our last inspection we rated this key question requires improvement. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Well-led

Requires improvement

Updated 12 November 2020

The service was not always well-led.

Details are in our well-Led findings below.