CQC report explained · a residential care home
What the CQC found at Sedgemoor Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Risks were identified and managed, staffing levels were sufficient, recruitment checks were completed and medicines were stored and managed safely.
- Effective?
- Good
- The home worked closely with healthcare professionals through daily meetings and achieved good outcomes. Staff had detailed training and support plans focused on people's needs, choices and independence.
- Caring?
- Outstanding
- Staff were described and observed as kind, compassionate and empowering. People were actively involved in their support, treated with dignity and encouraged to regain confidence and independence.
- Responsive?
- Good
- Care plans contained detailed information and were updated when needs changed. Staff adapted their approach to communication, learning difficulties and other individual needs, but this rating had fallen from Outstanding at the previous inspection.
- Well-led?
- Good
- Inspectors found an open, positive culture focused on people's outcomes. Staff worked well together, relatives were involved and management checks identified actions for improvement.
What inspectors found, December 2019
Rated Good; inspectors found exceptionally caring, safe and personalised support, while the responsive rating fell from Outstanding to Good.
This was an unannounced inspection on 24 October 2019. Inspectors spoke with seven people, six relatives and eight staff. They reviewed care records, medicines records, staff recruitment and supervision files, and management records.
The home supported up to 30 people for short-term reablement, with 29 people living there at the inspection. Inspectors found people felt safe, staff were attentive, medicines were managed safely and the home was clean. Care was tailored to people's needs and focused strongly on independence and returning home.
The overall rating was Good. Safe, Effective, Responsive and Well-led were rated Good. Caring was rated Outstanding, which meant people were exceptionally respected, valued and involved in their care. The previous overall rating was also Good, while Caring improved from Good to Outstanding and Responsive changed from Outstanding to Good.
Exceptional kindness and dignity
Staff supported people in a compassionate and empowering way. People were treated as individuals and encouraged to do as much as possible for themselves.
“People were truly respected and valued as individuals; and empowered as partners in their care in an exceptional service.” from the report
Strong focus on independence
Care and exercises were tailored to help people rebuild skills, confidence and independence.
“There was an exceptionally strong focus on maintaining and improving each person's skills and independence.” from the report
Good professional teamwork
The home worked closely with social care and healthcare professionals. Daily meetings helped staff review needs and coordinate support.
“There were daily meetings with all staff, including social care assessors, physiotherapists and Sedgemoor re-ablement staff.” from the report
Clean and safe environment
The home was clean and well maintained. Inspectors also saw staff using protective equipment to help reduce infection risks.
“The home was immaculately clean and well maintained throughout.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you set and review my relative's reablement goals and plans for returning home?
- 02How would you support my relative's communication needs, including if they need large print, photos, communication aids or a translator?
- 03How would you assess and support my relative if they wanted to manage some of their own medicines?
- 04How often would my relative's care plan be reviewed if their needs changed?
- 05How would you support my relative and our family if they needed end of life care?
This was an unannounced inspection covering the home, the care provided and all five CQC key questions. This explanation was written from the published report of 24 December 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, May 2017
Rated Good overall, with Outstanding support for recovery and return home; inspectors found safe, kind and well-managed care.
Inspectors visited without notice on 3 April 2017. They spoke with people living in the home, relatives, staff and health professionals. They also checked care records, staff files, medicines, complaints and management records.
The home was rated Good overall. Safe, Effective, Caring and Well-led were all rated Good. Responsive was rated Outstanding. People were protected from abuse, medicines were managed safely, and staff supported people with their health, food, therapies and daily care.
Inspectors found that staff treated people with kindness and respect. Care was tailored to people's needs, and weekly reviews tracked progress. The vast majority of people were supported to return to their own homes.
The home had improved staff supervision since the previous inspection. It was no longer in breach of the staffing regulation. However, not every planned supervision had taken place, and inspectors said written communication could be improved.
Safe medicines
Inspectors checked medicines on two of the three units. Stock levels and records were correct, and medicines were handled by trained staff.
“Medicines were safely managed within the service by trained staff and in accordance with best-practice guidance for care homes.” from the report
Kind, respectful care
Staff knew people well and adapted their approach to individual needs. People were supported to make choices and keep their privacy and dignity.
“The language and approach used by staff was gentle and caring.” from the report
Support to return home
The home provided short-term reablement, with regular reviews involving health and social care professionals. Inspectors saw strong evidence of people's progress and return home.
“We saw clear evidence in care records that people had made significant progress since arriving at Sedgemoor and the vast majority had been successfully supported to return to their homes.” from the report
Positive feedback
People, relatives, staff and health professionals gave positive feedback about the service. Exit surveys also showed high satisfaction.
“Of the surveys that we saw for 2017, 94% of the responses where at the highest (very good) rating.” from the report
Some staff supervisions missed
minorAlthough there had been sustained improvement since the previous inspection, not all planned staff supervisions had taken place. Staff said cancellations were partly linked to sickness and annual leave.
“It was clear that not all supervisions had been completed as planned.” from the report
Written communication
minorInspectors heard that written communication could be clearer because the joint approach created several records. Management said this had already improved and would be reviewed further.
“However, more than one person commented that written communication could be improved.” from the report
- 01How do you make sure missed staff supervisions are rearranged and completed?
- 02How do you keep records clear when several health and social care professionals are involved?
- 03How will you measure whether my relative is making progress towards returning home?
- 04How often will my relative's care and therapy progress be reviewed, and who will be involved?
- 05How can family members visit if there is a specific need outside the designated visiting hours?
This was an unannounced inspection of all five quality areas, including a check that the staffing improvements identified in January 2015 had been made. This explanation was written from the published report of 4 May 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.
Every inspection of Sedgemoor Care Home
3 rated inspections over 5 years: the service has held its Good rating throughout.
- December 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- May 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- April 2015GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: OutstandingWell-led: Good
- November 2013
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- January 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 12 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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
91 live-in carers within about an hour of Liverpool
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 £980 to £1,260 a week. 83 can care for a couple. 10 years' experience on average.
“It was clear that she genuinely cared and her warm approach really helped put our minds at ease.”
“All in all Kama b cared for the owner really well, every aspect of her care was of the highest standard.”
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.