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CQC report explained · a residential care home

What the CQC found at Sedgley Court

Goodpublished 22 June 2022, 4 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. Risk assessments, safeguarding training, staffing and recruitment checks were satisfactory, but guidance for some medicines given when needed was not always clear.
Effective?
Good
Staff supported people's health, eating and drinking, and worked with health professionals. Staff training and support were described as effective, although the design did not consistently meet the needs of people with dementia or visual impairments.
Caring?
Good
People were treated with kindness, compassion, dignity and respect. They were listened to and involved in decisions, but there were no dedicated diversity care plans.
Responsive?
Good
Care was personalised and activities were adapted to people's interests and abilities. People and relatives were involved in care reviews, and complaints systems were in place.
Well-led?
Good
People, relatives and staff expressed confidence in the management team. Audits and action plans were used, but auditing had not identified the gaps in diversity plans and some medicines records.
The latest report, explained

What inspectors found, June 2022

Rated Good; inspectors found kind, personalised care, with some gaps in medicines guidance, diversity planning and dementia-friendly design.

This was the first inspection of the home. It was unannounced and took place on 29 and 30 March 2022. One inspector spoke with people, relatives, staff and a health professional. They also observed care and checked care plans, medicines records, staff files and quality records.

Inspectors found people were safe, treated with kindness and supported by staff who knew their needs. Care was personalised and people and relatives were involved in care planning. Activities were varied and creative, including events designed around people's interests. Staff worked well with health professionals and supported people to make choices.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means inspectors found the home consistently met the expected standards at the time of the inspection. They also identified some improvements needed, including clearer guidance for some medicines, better recording of cultural and religious needs, and more suitable design for people living with dementia or visual impairments.

What inspectors praised
  • Kind and respectful care

    People and relatives consistently described staff as kind, patient and caring. Inspectors saw that staff listened, protected privacy and supported independence.

    “People felt well supported and relatives felt their family members were treated with kindness and compassion.” from the report
  • Personalised support

    Care plans reflected people's preferences, needs and interests. Staff knew people well and adjusted support when their needs or mood changed.

    “People received personalised care that was responsive to their needs.” from the report
  • Creative activities

    The home made strong efforts to reduce isolation and provide activities that mattered to people. Inspectors saw examples such as a cruise-themed event and an ice cream van visit.

    “Staff were innovative in how they tried to enrich people's lives.” from the report
  • Good teamwork and health support

    Staff shared information and worked with health and social care professionals. Changes in people's health were recorded and passed on to families and professionals.

    “Staff worked well as a team, sharing information with each other as necessary to ensure effective care was consistently provided.” from the report
What inspectors were concerned about
  • Medicines given when needed

    needs fixing

    Instructions for some medicines given when needed were not always clear, so staff might not have had a consistent approach. Inspectors also found that audits had not identified these recording problems.

    “Some people had medicines prescribed 'as required'. However, protocols in place to ensure staff took a consistent approach when supporting people with these medicines was not always clear.” from the report
  • Cultural and religious needs

    needs fixing

    The home did not have dedicated diversity care plans. Some information appeared elsewhere, but inspectors said important cultural and religious information was not available in one clear care plan for staff to use.

    “There were no diversity plans in people's care planning.” from the report
  • Dementia-friendly design

    minor

    Although the building was well maintained, its decoration did not consistently meet the needs of people living with dementia or people with visual impairments.

    “Whilst well-maintained, the décor did not consistently meet the needs of people living with dementia or for those with visual impairments.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made to the instructions and audits for medicines prescribed 'as required'?
  2. 02Have dedicated care plans for people's cultural and religious needs now been introduced?
  3. 03What changes have been made to the décor and layout for people living with dementia or visual impairments?
  4. 04How many staff are usually working on day and night shifts, and how is this adjusted when people's needs change?
  5. 05How will my relative and our family be involved in care planning, reviews and decisions about activities?

This was the first inspection and covered all five CQC areas: Safe, Effective, Caring, Responsive and Well-led. This explanation was written from the published report of 22 June 2022 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 Sedgley Court

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. June 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Sedgley Court →

  2. December 2020

    Registered with the Care Quality Commission on 10 December 2020.

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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