Background to this inspection
Updated
5 October 2021
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
Our inspection was completed by three inspectors.
Service and service type
Cedar 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 they and the Provider 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 since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. 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. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with twelve people who used the service about their experience of the care provided. We also observed care and interaction between people and staff. We spoke with six members of staff including nursing and care staff and the registered manager. We reviewed a range of records including complaint records, care plans and daily notes.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at policies, audits and meeting minutes.
Updated
5 October 2021
About the service
Cedar Court is a nursing home providing personal and nursing care for up to 75 older people some of whom had a physical disability or were living with dementia. The home is a large adapted building. At the time of the inspection there were 60 people living at the service.
People’s experience of using this service and what we found
Staff and the management team ensured that people and their families were at the centre of the delivery of care. People were treated as individuals whose life and experiences were considered and factored into care planning. Staff looked after people in a kind and compassionate manner and treated them with dignity and respect. People and relatives were at the centre of decision making about their care.
Staff at the service took steps to find out what people had done in the past and looked at ways to accommodate activities that there important to people. There were a range of activities available within the service and outside. Staff ensured that people who were nearing the end of their life were provided with care and compassion and that people’s last wishes were fulfilled where possible. The registered manager told us they would take steps to include more detail in people’s care plans around their specific care and end of life wishes.
The service had a strong, visible person-centred culture to help people to live their lives to the fullest. People and staff told us the registered manager and the senior staff were supportive and valued their input. The registered manager and staff worked in partnership with people's families and outside organisations to improve the care and support people received. The management team was proactive with regard to how people's support could be improved.
Rating at last inspection (and update)
The last rating for this service was Requires Improvement (published 4 November 2020). Prior to this we inspected the service in October 2019 and there were three breaches of regulation that we looked at this latest inspection. The provider completed an action plan to show what they would do and by when to improve. At this inspection we found there were improvements and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
We carried out an unannounced comprehensive inspection of this service in October 2019. Breaches of legal requirements were found in relation to people not always being treated with dignity and respect, planning of care was not always detailed and complaints were not always being investigated appropriately. The provider completed an action plan after this inspection to show what they would do and by when to improve.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Caring, Responsive and Well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Cedar 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.