Background to this inspection
Updated
13 November 2019
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 carried out by one inspector, an assistant inspector, a specialist advisor and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Cedar lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 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 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. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and four relatives about their experience of the care provided. We spoke with six members of staff including the registered manager, nurse on duty, administrator, care workers and the chef. We observed the interactions between people and the staff team throughout the day.
We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at two 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.
Updated
13 November 2019
About the service
Cedar Lodge is a nursing home providing personal and nursing care to 29 people aged 65 and over at the time of the inspection. The service can support up to 36 people.
There is a large communal lounge area and adjoining dining room. People’s bedrooms are situated on both the ground and first floor. Some bedrooms were for single occupancy and others were for shared occupancy. The service accommodates several people living with dementia.
People’s experience of using this service and what we found
People were supported by sufficient numbers of staff who were able to keep them safe. Risks to people’s safety had been assessed and the staff had been safely recruited. All staff received training in recognising abuse.
People received their medicine as prescribed and staff adopted effective infection and prevention control measures. Lessons were learnt when things went wrong, and information was shared with the staff team.
People’s care needs were holistically assessed, and staff received training to meet people’s needs. People were supported to maintain a balanced diet and had good access to drinks throughout the day. People had access to healthcare and the staff team shared information to ensure consistent and effective care.
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.
The building had been adapted to meet people’s needs however it was in the middle of a period of refurbishment.
People told us they were well treated, and staff worked to ensure people were involved in decisions about their care. People’s privacy and dignity was respected.
People’s care had been personalised to their needs, as far as possible. Support was given to ensure people were not isolated and able to interact with others. The accessible information standard had been met and people could access a complaints procedure should they need to. The systems were in place to support people with end of life care.
The service had a positive culture and effective governance systems were in place. Staff understood their duty of candour and managers and staff were clear about their roles. People were engaged with the service to ensure their feedback was received and there was a clear focus on working with others and continual learning to improve the outcomes for all.
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 good (published 26 April 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.