We carried out a review of the data available to us about Visiting Christian Science Nursing Service on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Visiting Christian Science Nursing Service, you can give feedback on this service.
Cedar House is a domiciliary care agency that provides personal care and support to people who live in their own home. At the time of the inspection there were two people who were receiving personal care.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
Cedar House is a service based on the teachings of Christian Science. Most people using the service were members of the Christian Science Church. Throughout this report we have referred to Christian Science nurses. They are individuals who have specifically trained in accordance with an accredited training program, implemented and managed by an independent organisation. They are not medical nurses, registered with the Nursing and Midwifery Council.
People's experience of using this service and what we found
The one person we spoke with told us they felt safe. They spoke positively about the care they received and about the staff. They had confidence in their knowledge and skills. The people that the staff supported did not take medicines due to their own beliefs. They followed the teachings and practice of Christian Science. Incidents and accidents were reported, investigated and actions taken to prevent recurrence. The staff team had received safeguarding training and were aware of how to act on any concerns. Staff attended regular meetings and had supervision. Staff were provided appropriate personal protective equipment (PPE) which they used effectively to prevent spread of infection.
People benefitted from a service that was well led. The manager, nominated individual, and the staff were knowledgeable and enthusiastic about the service. Quality assurance systems were in place and based upon regular, scheduled audits which identified any action required to make improvements. This meant the quality of service people received was monitored on a regular basis and, where shortfalls were identified they were acted upon.
Rating at last inspection
The last rating for this service was Good (published 30 November 2017). At this inspection the rating had remained Good.
Why we inspected
This inspection was carried out as the service had not been inspected since the 31 October 2017. We undertook this focused inspection to check the service was safe and well-led.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Cedar House on our website at www.cqc.org.uk
Not everyone using Cedar House receives regulated activity; CQC only inspects the service being received by people provided with ‘personal care’; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of our inspection, two people were receiving support with personal care.
There was a registered manager for the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’
Cedar house is a service based on the teachings of Christian Science. People using the service were established members of the organisation.
People using the service chose not to speak to us to give their feedback. However it was clear from the service’s own quality monitoring that people were happy with the service they received.
The service was safe. Any risks associated with people’s care were highlighted in their care plans, this included an assessment of the environment. The registered manager was the only member of staff carrying out visits at the time of our inspection; it was clear that checks had been carried out on them to ensure they were safe to attend to people in their home. This included a disclosure and barring service check. They had completed safeguarding vulnerable adults training and understood the process to follow if they were concerned about a person’s wellbeing.
The registered manager had completed training to enable them to practice as a Christian Science Nurse and in addition to this had completed training relevant to their role, including moving and handling and mental capacity act. They were supervised by other members of the Christian Science organisation.
People had clear support plans in place and it was evident these had been produced with people’s full involvement. They were reviewed regularly to ensure they were reflective of people’s current needs. There was a system in place to manage complaints and people were made aware of organisations they could contact if they wanted to raise concerns.
The service was well led. The registered manager received support from the wider organisation. They understood the responsibilities of their role.