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CQC report explained · a nursing home

What the CQC found at The Cedar Gardens Care Limited

Goodpublished 26 June 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home had effective infection prevention and control arrangements, including visitor screening, PPE, testing, cleaning and ventilation. They found that staff testing did not fully reflect government guidance.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, February 2022

Inspected but not rated; inspectors found strong infection control and safe visiting arrangements, but staff testing did not fully follow government guidance.

This was an announced, targeted inspection on 3 February 2022. Inspectors looked at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected care.

Inspectors were assured that the home was managing infection risks. This included screening visitors, providing PPE and rapid testing, cleaning and disinfecting premises, using ventilation and supporting social distancing.

The home also met the requirement for non-exempt staff and visiting professionals to be vaccinated against COVID-19. However, staff testing was not as frequent as government guidance recommended, and the manager said this would be reviewed immediately.

The home was inspected but not rated. This means the inspection did not give an overall quality rating or a rated judgement for the five main areas of care.

What inspectors praised
  • Infection control

    The home had measures to reduce the risk of infections spreading. Inspectors were assured about its policies, cleaning, ventilation, PPE and outbreak arrangements.

    “The service had implemented effective infection prevention and control measures to ensure people, their relatives and staff were protected from infections.” from the report
  • Safe visiting

    Visitors were screened and had access to PPE and rapid testing. The home provided designated visiting areas and followed up-to-date visiting guidance.

    “Relatives who visited their loved ones had access to appropriate Personal Protective Equipment (PPE) and rapid testing on-site.” from the report
What inspectors were concerned about
  • Staff testing frequency

    needs fixing

    The frequency of staff testing did not fully reflect government guidance. The manager said the approach would be reviewed immediately.

    “We found that the frequency of testing for staff did not fully reflect government guidance.” from the report
Questions to ask them, based on this report
  1. 01How often are staff tested now, and what changed after the inspection?
  2. 02How do you check that visitors complete screening and use the required PPE?
  3. 03How are you managing any COVID-19-related staffing pressures?
  4. 04How are infection outbreaks prevented and managed now?
  5. 05What visiting arrangements and testing are currently available for relatives?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; the home was inspected but not rated overall. This explanation was written from the published report of 17 February 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.

An earlier report, explained

What inspectors found, June 2019

The Cedar Gardens Care Limited was rated Good; inspectors found safe, kind and personalised care, with only minor concerns about food feedback and tired areas.

This was an unannounced inspection over two days. Inspectors spoke with people living at the home, relatives, staff, volunteers and a health and social care professional. They also observed care and checked care, medicine, staff and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People were treated with dignity and respect, felt safe, and received support with medicines, food, drink and healthcare.

Inspectors found suitable staffing, safe recruitment, regular training and systems for managing risks, complaints and incidents. They also found that people were involved in decisions, and that care plans reflected their needs and preferences.

The home had been rated Good at the previous inspection, published in October 2016. This inspection found that the good rating continued.

What inspectors praised
  • People felt safe

    People and relatives told inspectors they felt safe. Staff understood safeguarding procedures and how to report concerns.

    “People told us they felt safe living at the home.” from the report
  • Safe medicines support

    Medicines were securely stored, checked and audited. Inspectors saw people receiving appropriate support, and records showed medicines were given as prescribed.

    “Medicine administration records showed that people had received their medicines as prescribed.” from the report
  • Personalised care

    People and relatives were involved in care planning. Plans covered individual needs, preferences, cultural needs and interests.

    “People, and where appropriate their relatives, had been involved in the development of care plans.” from the report
  • Kind and respectful staff

    Inspectors observed compassionate interactions. People were supported with privacy, dignity, independence and contact with relatives and friends.

    “Staff treated people kindly.” from the report
  • Open management

    The management team was described as approachable and supportive. Quality checks and systems for learning from incidents and complaints were in place.

    “The management team was open and transparent throughout the inspection process and demonstrated a commitment to the ongoing development of the service.” from the report
What inspectors were concerned about
  • Some areas looked tired

    minor

    Inspectors noted that some parts of the home, including the front entrance, looked tired. Management said specific areas were planned for refurbishment.

    “We observed some areas of the home looked tired, for example, the front entrance.” from the report
  • Mixed feedback about food

    minor

    Most feedback about food was positive, but one relative said it could be improved. Management said they would work with the relative to address the concern.

    “One relative told us the food was not so good and could improve.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made to the food since the concern raised at the inspection?
  2. 02Has the planned refurbishment of the front entrance and other tired areas been completed?
  3. 03How would you meet my relative's specific nursing, dementia, swallowing or dietary needs?
  4. 04How are relatives involved in reviewing care plans and decisions about care?
  5. 05What activities and support would be available to match my relative's interests and communication needs?

This was a planned, unannounced inspection covering all five quality areas and the overall rating; the previous overall rating was Good, published on 28 October 2016. This explanation was written from the published report of 26 June 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.

The story over the years

Every inspection of The Cedar Gardens Care Limited

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at The Cedar Gardens Care Limited →

  2. June 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Cedar Gardens Care Limited →

  3. October 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. July 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2010

    Registered with the Care Quality Commission on 7 December 2010.

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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