Cedar Court Care Home

Updated 6 May 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

This inspection was carried out by two inspectors.

Service and service type

Cedar Court 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.

There was no registered manager in post. The service provider told us they had recruited new manager who was awaiting their starting date. The service was run by an experienced deputy manager with the help of an operations manager and a regional director.

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. 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 five people using the service. We spoke with two agency nurses, a senior carer and three healthcare assistants. We reviewed a range of records. These included care records for four people and multiple medication records. A variety of records relating to the management of the service, including policies and procedures, were reviewed.

After the inspection

We contacted six relatives of people to obtain their opinion on quality of care provided by the service. We sought feedback from the local authority and professionals working with the service.

Updated 6 May 2022

About the service

Cedar Court Care Home is a purpose-built nursing care home providing personal and nursing care for up to 63 people. At the time of the inspection the service was supporting 46 people.

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

Staff understood their responsibilities to protect people from harm. Staff were encouraged and supported to raise any concerns they may have. Incidents and accidents were recorded and checked by the provider to see what steps could be taken to prevent these from happening again.

Medication administration records (MAR) confirmed people had received their medicines as prescribed. We received mixed but mainly positive feedback regarding staffing levels from people, their relatives and staff. Robust recruitment processes aimed to ensure only suitable staff were selected to work with people.

There was no registered manager in post. The service provider told us they had recruited new manager who was awaiting their starting date. The service was run by an experienced deputy manager with the help of an operations manager and a regional director. The provider carried out regular checks on the quality of care and services to identify any areas that required improvement. Policies, procedures and other documentation were reviewed regularly to ensure staff were provided with up-to-date information.

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 good (published 28 March 2020).

Why we inspected

We received concerns in relation to poor infection prevention control, medication errors, low staffing numbers and unlawful restraint. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions, and therefore we did not inspect them. Ratings from the previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has remained good. This is based on the findings obtained at this inspection.

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.