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Cathedral Care Centre Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 5 March 2020

About the service

Cathedral Care Centre is a residential care home situated Lincoln, providing personal and nursing care to 26 people aged 65 and over at the time of the inspection. The service can support up to 36 people.

The service did not have enough staff to meet people’s needs and did not always use sufficient cover when shortfalls arose. Some potential risks were not always identified. People received their prescribed medicines. Accident and incidents were analysed, and action was taken to reduce reoccurrence. Staff received infection control training and used protective equipment to reduce the spread of infection. Safeguarding concerns had been referred to the relevant authority. We found a breach in regulation.

There was an on-going refurbishment and the environment was being improved. However, concerns had been identified in the kitchen and no action had been taken at the time of inspection. People did not always have a choice at meal times. The service did not always have enough food to meet people’s requests. Staff did not always have oversight of people. Staff received training. People’s needs had been assessed prior to admission to the service. Staff worked with other health care professionals. Peoples capacity had been assessed where required. We made a recommendation around the kitchen environment and meal choices.

People were not always supported to have maximum choice and control of their lives. However, staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff did not receive end of life care and felt they were unable to give quality end of life care. Some information was accessible to people, however, other picture boards in communal areas was not complete. The registered provider had a complaints policy. Staff felt they were able to raise a complaint. People’s cultural beliefs were respected. People received a choice of activities.

Some staff did not support people when they displayed distress. People told us they did have choice with elements of their care. Other staff interacted positively with people. Peoples dignity was considered by staff and they felt were treated well.

There was not a positive culture in the service and values were not embedded in to the staff team. Quality assurance processes did not always effectively address shortfalls in the service, however there were plans to improve this. Areas which required improvement were not prioritised to ensure timely action had been taken. The registered manager understood their responsibilities to be open and honest.

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 requires improvement (published 6 March 2019).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We identified a breach of regulation in relation to staffing at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 5 March 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 5 March 2020

The service was always not effective.

Details are in our effective findings below.

Caring

Good

Updated 5 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 5 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 5 March 2020

The service was not always well-led.

Details are in our well-led findings below.