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CQC report explained · a residential care home

What the CQC found at Cordelia House Ltd

Goodpublished 12 January 2023, 3 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People told inspectors they felt safe. Staffing levels, safeguarding, risk management, medicines and infection control were found to be suitable, although employment gaps needed further checking.
Effective?
Good
People's needs were assessed and care plans gave staff guidance about their support. Staff had relevant training, people received suitable food and drink, and the home worked with health professionals.
Caring?
Good
Inspectors saw kind, respectful and person-centred care. Staff supported people's choices, dignity, privacy, culture and religion.
Responsive?
Outstanding
Care was highly personalised and activities were shaped around people's interests and needs. Inspectors found strong support for relationships, communication, emotional wellbeing and avoiding social isolation.
Well-led?
Good
The management team was visible and approachable, with audits and feedback systems in place. The home acted on concerns, shared information appropriately and worked with outside professionals.
The latest report, explained

What inspectors found, January 2023

Cordelia House Ltd rated Good; inspectors found exceptionally caring, personalised support, with activities rated Outstanding and a small recruitment-record shortfall.

Inspectors visited without notice on 16 and 21 November 2022. They spoke with people, a relative, staff and professionals, observed care, and checked care, training and recruitment records.

The home was rated Good overall. Safe, Effective, Caring and Well-led were rated Good. Responsive was rated Outstanding, reflecting highly personalised care, strong activities and support that helped people stay involved and avoid isolation.

People and relatives gave very positive feedback. Inspectors found kind staff, enough staff on shifts, safe medicines practice, suitable care plans, good links with health professionals and an open management team.

The report says some further work was needed to make sure all gaps in staff employment histories were explored. The last rating under the previous provider was Requires Improvement in August 2018.

What inspectors praised
  • Kind, person-centred care

    Staff were described as compassionate, respectful and attentive to people's individual wishes, needs and histories.

    “People received a consistently high standard of care because staff and management put people first and at the heart of the service” from the report
  • Meaningful activities

    Activities were based on people's interests and could support friendship, confidence, physical wellbeing and a sense of purpose.

    “The programme of activities was planned around people's mutual and individual interests, preferences and therapeutic benefits.” from the report
  • Good safety arrangements

    Inspectors found suitable systems for safeguarding, risk management, medicines, staffing levels, fire safety and infection control.

    “There were systems in place to check that medicines were administered correctly and safely.” from the report
  • Food and drink support

    The home understood people's dietary needs, allergies, preferences and dislikes, and staff supported people at their own pace.

    “People had their eating and drinking needs understood and met. This included specialist diets, allergies and likes and dislikes.” from the report
What inspectors were concerned about
  • Employment history checks

    needs fixing

    The required recruitment checks were in place, but the home needed to make sure all gaps in employment histories were explored.

    “Required safety checks when employing staff were in place but further work was needed to ensure all gaps in employment were explored.” from the report
Questions to ask them, based on this report
  1. 01How do you now make sure every gap in a job applicant's employment history is explored and recorded?
  2. 02How will you assess and personalise activities for my relative's interests, abilities and communication needs?
  3. 03How are my relative's medicines checked, reviewed and recorded?
  4. 04How will you involve our family in care planning and reviews?
  5. 05How do you use complaints, accidents and feedback to make improvements?

This was an unannounced inspection of the newly registered service covering all five key questions, with infection prevention and control also checked under Safe. This explanation was written from the published report of 12 January 2023 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 story over the years

Every inspection of Cordelia House Ltd

4 rated inspections over 7 years: the service has improved, from Requires improvement to Good.

  1. January 2023Goodcurrent ratingup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    Read what inspectors found at Cordelia House Ltd →

  2. August 2018Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
  3. December 2016Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
  4. September 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
  5. June 2019

    Registered with the Care Quality Commission on 18 June 2019.

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.

Next steps

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Most charge £1,020 to £1,260 a week. 23 can care for a couple. 14 years' experience on average.

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