CQC report explained · a residential care home
What the CQC found at Cedar Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Risks were assessed, staff understood how to reduce avoidable harm, medicines were managed safely and the home was clean.
- Effective?
- Good
- People received care based on detailed assessments and care plans. Staff were trained, worked with health professionals and supported people's nutrition, health needs and rights to make decisions.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. People and relatives were involved in decisions, and staff supported independence, relationships, faith and personal choices.
- Responsive?
- Outstanding
- Care was highly personalised and flexible. Activities were available seven days a week, communication needs were supported, and people were helped to pursue interests, maintain relationships and work towards greater independence.
- Well-led?
- Good
- The home had an open, inclusive culture and effective systems to monitor quality and improve care. People, relatives and staff were involved in decisions about the service.
What inspectors found, October 2019
Rated Good overall, with Outstanding responsiveness; inspectors found kind, personalised care and strong support for people's independence.
This was an unannounced inspection over two days. Inspectors spoke with people living in the home, visitors, staff and health professionals. They reviewed care, medicines, recruitment and management records, and observed people's experiences.
The home was rated Good overall. Safe, effective, caring and well-led were all rated Good. Inspectors found people were treated with kindness and respect, received appropriate support with their health and nutrition, and were protected from avoidable harm.
Responsive was rated Outstanding. The home offered highly personalised care, a wide range of activities and strong support for people to maintain relationships, develop skills and, where possible, move towards independent living. The rating had not changed since the previous inspection, published in January 2017.
Kind and respectful care
Inspectors found a welcoming, person-centred culture. People were treated as individuals and staff supported them with compassion, dignity and respect.
“People were treated with dignity and respect in a way that truly valued them as individuals.” from the report
Personalised support
Care plans and daily support were adapted to people's histories, preferences, communication needs and goals. People were involved in decisions about their care.
“People received person-centred care that truly valued them as individuals.” from the report
Activities and independence
The home offered activities based on people's interests and supported people to build skills, maintain relationships and move towards independent living where appropriate.
“There was a programme of activities seven days a week that was very much based in people's interests and preferences” from the report
Strong end of life support
Inspectors found people and relatives were treated with kindness and respect at the end of life. People could be involved in advance decisions and care planning if they wished.
“When people were nearing the end of their lives, people and their relatives were treated with kindness, compassion, dignity and respect.” from the report
Good leadership and oversight
The home had a visible management team, regular feedback arrangements and quality checks to monitor care and support improvement.
“There were effective and robust quality assurance systems in place to monitor and improve the service and to ensure legal requirements were met.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you adapt the care plan to my relative's particular needs, preferences and communication style?
- 02How do you support people who need help with eating, drinking or maintaining their weight?
- 03How do you make sure medicines are given safely and on time, including any medicines given covertly?
- 04What activities and community links would be available for my relative, based on their interests?
- 05How would you involve my relative and our family in decisions about care, future living arrangements and end of life wishes?
This was an unannounced inspection of the care and premises at Cedar Lodge and The Limes, covering all five CQC questions. This explanation was written from the published report of 17 October 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, January 2017
Cedar Lodge was rated Good overall, with Outstanding personalised support and inspectors finding safe, kind and well-managed care.
The inspection was unannounced and took place on 12 September 2016. One inspector visited both parts of the service. The inspection included speaking with people, relatives, staff and a health professional, observing care, and checking care, medicine, staff and safety records.
The home provided residential care for up to 42 people living with dementia. The adjoining unit provided shorter stays for up to 15 people, mainly younger people with mental health conditions, to help them move towards greater independence.
Inspectors rated Safe, Effective, Caring and Well-led as Good. Responsive care was rated Outstanding. They found that the problems identified at the December 2014 inspection had been addressed, including consent, privacy, access to food and how people could raise concerns.
Personalised care
Care plans focused on what people could do for themselves, their interests and their goals. Staff supported people to make choices and improve their quality of life.
“Staff provided individualised care to people which clearly had improved their quality of life and wellbeing.” from the report
Activities and independence
People had activities linked to their hobbies and interests, including community trips, cooking, music and exercise. The second unit supported people to build everyday skills and move towards community living.
“Staff had creative ways to support people to live as full a life as possible.” from the report
Kind and respectful staff
Inspectors saw staff spending time with people, listening to them and respecting their privacy and choices. Relationships between people and staff were strong.
“The staff cared deeply for the people they provided care for. They were kind, caring and compassionate and often went the extra mile to improve people's quality of life.” from the report
Safe staffing and medicines
Inspectors found enough staff to meet people's needs and support individual outings. Medicine records checked during the inspection showed that medicines had been given as intended.
“There were sufficient numbers of suitably qualified staff to keep people safe and meet their needs.” from the report
Improvements since 2014
Issues from the previous inspection about consent, privacy, food access and raising concerns had been addressed. Inspectors found no ongoing problems in these areas.
“We found that there were no issues in these areas and people were fully supported to live their lives to the full in an individualised way.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure there are enough staff to provide individual support and take people out into the community?
- 02How are people's care plans, risks and goals reviewed when their needs or wishes change?
- 03How do you support people to make decisions when they may not have the capacity to decide for themselves?
- 04How are medicine changes checked now that the electronic medicine system is in use?
- 05How can residents and relatives raise a concern, and how will they be kept informed about the response?
This was an unannounced inspection of both Cedar Lodge and the adjoining unit, covering all five CQC questions and the overall quality of the service. This explanation was written from the published report of 13 January 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk. The report was longer than we could read in one go; the later sections may not be reflected.
Every inspection of Cedar Lodge
3 rated inspections over 5 years: the service has improved, from Requires improvement to Good.
- October 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- January 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- March 2015Requires improvementSafe: GoodEffective: InadequateCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- November 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 25 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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76 live-in carers within about two hours of Somerset
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,370 a week. 62 can care for a couple. 12 years' experience on average.
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
“She was not phased by anything, she was adaptable, kind & gave us complete confidence to go away & not worry about a thing!”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.