Cedar Lodge (Nuneaton)

Updated 5 January 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.

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

The on-site inspection visit was undertaken by one inspector and a specialist advisor. Another inspector made phone calls and reviewed documents off-site. The specialist advisor had experience in mental health nursing.

Service and service type

Vestige Healthcare (Nuneaton) is a ‘care home’. People in care homes receive accommodation and 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 provider are legally responsible for how the service is run and for the quality and safety of the care provided. The registered manager and operations director were at the service during the inspection.

Notice of inspection

We announced our inspection 48 hours before our visit. Notice of this inspection was given as we wanted to make sure we reduced any potential anxiety our visit may cause to people living at the home. In addition, we wanted to ensure the registered manager was available to meet us at our inspection visit.

What we did before the inspection

We reviewed information we had received about the service since it was registered with us. We sought feedback from the local authority and professionals who had worked with the service. We also sought feedback from Healthwatch regarding the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

The provider completed a provider information return. 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 used all of this information to plan our inspection.

During the inspection

We met with three people who used the service. We received feedback from one family members and two external health care professionals. We also received feedback from six members of staff including the operations director, registered manager, a nurse and members of the care team.

We reviewed a range of records. This included three people’s care records and risk assessments. We looked at staff training and competency records. We looked at two staff files and agency profiles to check safe recruitment was followed. We also reviewed a variety of records relating to the management of the service, including policies and procedures, training and quality audits.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 5 January 2022

About the service

Vestige Healthcare (Nuneaton) is a residential care home providing nursing, personal care and rehabilitation services for up to 20 people with their mental health. At the time of inspection eight people lived at the home. The home was divided over three floors. Two floors were designated for accommodation, whilst the third floor was dedicated to staff areas. The provider had named the home Cedar Lodge.

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

People were kept safe by staff who knew how to report concerns, manage risks and identify when people might need support. Staff knew how to raise safeguarding concerns. There were sufficient numbers of staff to meet people’s needs. We saw that medicines were managed in a safe way.

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. Staff had received training to ensure they had the skills and knowledge to support people safely with their individual needs. Staff told us they also received regular, supportive supervisions. People’s dietary needs were being met, and they had access to healthcare services including a psychologist where needed.

People was supported by staff in a kind and caring way. People were supported and encouraged to become more independent, where possible. The service offered people an opportunity to take managed risks to increase their independence and wellbeing.

Staff knew the people well and care records detailed people’s preferences, likes and dislikes.

People had access to social activities that met their interests and needs. A complaints procedure was available for people to access.

People received personalised care and support to meet their needs and wishes. People using the service, relatives and staff were given the opportunity to provide feedback on the service. Audits took place to ensure the quality of the service was maintained.

Why we inspected

This was a planned inspection based on the previous rating.

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.

Rating at last inspection and update

The service was registered with us on 11 April 2019, this was the first full inspection of the service to provide a rating in all five key areas. We previously inspected the service in September 2020 in the areas of Safe and Well Led only. At our previous inspection the service was given a rating of requires improvement in Safe and inadequate in Well Led. We identified two breaches of the regulations. 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.

For more details, please see the full report which is on the CQC 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.