Background to this inspection
Updated
24 December 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 one 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
Sedgemoor Care Home 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 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 seven people who used the service and six relatives about their experience of the care provided. We spoke with eight members of staff including the registered manager, deputy manager, senior care workers, reablement workers and the chef.
We reviewed a range of records. This included five people’s care records, and multiple medication records. We looked at three 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
24 December 2019
About the service
Sedgemoor Care Home is registered to provided accommodation and personal care for up to 30 people. At the time of the inspection 29 people were living at the service. Sedgemoor provides accommodation, personal care and therapies on a short-term basis to help people regain their independence and return to their own homes (re-ablement). The people living at the home have both physical and psychological support and care needs.
People’s experience of using this service and what we found
Feedback from people and relatives was overwhelmingly positive and they consistently praised the exceptional caring and supportive nature of the staff at the service. People told us it was the support of staff that had increased their confidence, wellbeing and independence.
The service had excellent working relationships with healthcare professionals who were also located at the service. Regular multi-disciplinary team meetings took place to review people’s support needs. This ensured a truly holistic approach to people’s care with excellent outcomes achieved as a result.
People and their relatives experienced a positive and inclusive approach to care and were encouraged to give their feedback to help improve the home. The staff worked with external professionals and communities to improve people's health and social wellbeing.
People told us they felt safe and secure and well cared for. People were safe because the registered manager had good systems for monitoring risk and staff had a good understanding of people's needs and how to keep them safe. People and their relatives told us there was enough staff on duty to meet their needs and they did not need to wait for support. People were supported to take their medicines safely.
People received exceptional care that was tailored to their needs and wishes. This was provided by caring, attentive and compassionate staff. The service's atmosphere was overwhelmingly positive, very welcoming, warm, and inclusive with friendly staff providing care and support in a way people liked and enjoyed. Positive interactions took place between people, staff and each-other throughout our visit. People had their privacy, dignity and confidentiality observed by staff, and they were both encouraged and supported to be independent.
People were placed at the centre of the service and were genuinely involved in relation to all decisions about their care and the service. Sedgemoor Care Home had a proven track record of providing exceptionally responsive personalised care and support.
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 told us they worked well together as a team, and there was good morale amongst them.
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 good (published 4 May 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.