Cadogan Court

Updated 3 March 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 10 February 2022 and was announced. We gave the service 48 hours’ notice of the inspection.

Updated 3 March 2022

About the service

Cadogan Court is registered to provide accommodation for up to 70 people who require

nursing and personal care. 46 people were being supported at the time of the inspection.

People were living in six units over three floors. Holman, Barrington, Colenso-Jones and Eliot were providing care for older people who required residential care; Kneel was providing nursing care for older people; and Osborn was providing care for older people living with dementia.

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

Significant improvements had been made in all aspects of the management of the service since the last inspection. However, the providers systems to monitor the quality of the service were not fully effective because they had not identified the issues we found.

Care plans did not consistently record people’s involvement in their development or review, or that they had been consulted about their end of life wishes. Some failings in the management of risks had not been identified. The manager was taking action to address these concerns, but these changes had yet to be fully established and embedded.

There had been significant changes to the management team. The current manager had been in post for eight days at the time of the inspection and was in the process of registering with the Care Quality Commission. Two new deputy managers were being recruited. The manager was open about the previous failings at the service, the work they were doing to address them and where improvements were still required. They were committed to building on the progress made by the previous manager, promoting effective monitoring and accountability and an open and transparent culture. Written feedback from a relative stated, “We think it is important to add to our grateful thanks a recognition that whilst there were some issues with management back in 2016/17, we have seen evidence of improvements in this area and believe that Cadogan Court is returning towards being well managed again.”

Overall people felt safe living at Cadogan Court. Staff were recruited safely, and safeguarding processes were in place to help protect people from abuse. Risks associated with people's care had been assessed and guidance was in place for staff to follow. Care plans were detailed, person centred and reviewed regularly. There were systems in place to ensure information about any changes in people’s needs was shared promptly across the staff team.

People received their medicines safely, and in the way prescribed for them. The provider had good systems to manage safeguarding concerns, accidents, infection control and environmental safety.

People benefitted from suitably trained, competent and skilled staff. This meant their healthcare and nutritional needs were met. External professionals were complimentary about how the service worked in partnership with them.

Cadogan Court provided a person-centred service. The management team and staff used activity and mental stimulation to reduce people's anxiety and depression and maintain cognitive functioning.

Staff were caring and kind and had developed positive and meaningful relationships with people. People were respected, included in decisions and their privacy and independence promoted. The care provided was sensitive to people's diverse needs. All information was available in an accessible format, which meant people could make a meaningful contribution to their community.

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 supported by suitably trained, competent and skilled staff. This meant their healthcare and nutritional needs were met. External professionals were complimentary about how the service worked in partnership with them.

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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 Requires Improvement (published 16 October 2018) and there was one breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Cadogan Court on our website at www.cqc.org.uk.

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.