Sedgley Court

Updated 22 June 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was undertaken by one inspector.

Service and service type

Sedgley Court is a ‘care home’. 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 inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the nominated individual are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority and professionals who regularly visit the service. The provider had completed a provider information return on 25 October 2021. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. This information helps support our inspections. We took this into account when we inspected the service and made the judgements in this report. We used all this information to plan our inspection.

During the inspection

We spoke with five people who used the service and three relatives about their experience of the care provided. We also reviewed compliments, nomination cards and surveys, which gave us further insight

into the quality of people's care and what it was like to live or work at Sedgley Court. We also spoke with six members of staff including the registered manager, two deputy managers, the chef and two care workers.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. The registered manager was self-isolating due to Covid-19 restrictions, so contact was over the telephone with them.

We also spoke with the Commissioning Director who attended on behalf of the Nominated Individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at five staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

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.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. The registered manager sent us additional information including people’s individual stories and activities which were specifically designed to support people manage the concerns around Covid-19 and the sense of isolation. We spoke with one healthcare professional who regularly visits the service.

Updated 22 June 2022

About the service

Sedgley Court is a residential care home providing personal care for up to 66 older people and some of those people are living with dementia. At the time of inspection 27 people were living in the home with 39 vacancies.

Sedgley Court accommodates up to 66 people in one purpose-built building. The home has a cinema room, a hairdresser, a bar, a library and extensive communal seating/dining across three floors. People had en-suite bedrooms. There are usually nine staff on day shifts including deputy managers, a chef, as well as the registered manager. Nights are covered by three staff with management on-call as required.

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

Staff used an electronic system to record the contact and support given to people. This meant that staff coming into shift had access to up to date information about the care and support provided. Care plans and risk assessments identified people's support needs and staff had a good understanding of the support people needed.

There was no diversity care plan to help staff understand the religious or cultural differences in people and their lived experience. Some aspects of diversity were covered in other care plans such as sex and sexuality as well as people’s interests.

Feedback about the service, from people who lived at the home and those close to them, as well as professionals who often visited was remarkably consistent and exceptionally positive. People and relatives praised the staff, the facilities and management.

Distinctive leadership decisions about activities and inclusive decision-making with people who lived at the home had achieved a service that was very responsive. The service was innovative and made great effort to give people a person-centred care experience which led to positive outcomes. People and their relatives were encouraged to be involved in care planning and reviews.

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.

People were treated with kindness and compassion. People felt well-supported. People were listened to and could express their views. People's privacy and dignity was maintained.

People, relatives and staff expressed confidence in the registered manager, and were given the opportunity to provide feedback. Audits took place to ensure the quality of the service was maintained.

People, staff and relatives knew how to complain. The registered manager and nominated individual understood their responsibilities under the duty of candour.

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

This service was registered with us on 10 December 2020 and this is the first inspection.

Why we inspected

This was a planned inspection because this service is unrated .

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.