CQC report explained · a nursing home
What the CQC found at The Cedars
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, November 2017
The Cedars is rated Good overall, but inspectors found that quality checks and care records needed improvement.
Inspectors visited without warning on 23 August 2017. They spoke with people living at the home, relatives and staff, observed care, and checked care plans, medicines, staffing, training and quality records.
The home was rated Good for safe, effective, caring and responsive care. People said they felt safe and well cared for. Staff were kind, supported people's choices, and provided personalised care and activities.
The well-led rating was Requires Improvement. Quality checks had not picked up problems with wound records, continence records and the management of creams. The inspectors recommended following best practice guidance in these areas.
People felt safe
People and relatives said they felt safe. Staff understood how to recognise and report abuse, and risks were recorded with plans to reduce them.
“People told us they felt safe living at the home.” from the report
Kind and respectful staff
People described staff as kind and caring. Inspectors saw staff respecting privacy, dignity and people's personal choices.
“Everyone we spoke with told us that the staff were kind and caring.” from the report
Personalised activities
People could choose whether to take part in activities and outings. Staff also helped people achieve individual experiences they had asked for.
“We saw that there was a wide range of activities for people to take part in” from the report
Good staff support
Staff received an induction, ongoing training and supervision. Inspectors found there were enough staff to meet people's needs.
“The training matrix showed that training had been delivered in line with the provider's plan.” from the report
Quality checks missed record problems
needs fixingAudits did not identify weaknesses in wound records, continence records or the management of creams. The provider was recommended to follow best practice guidance.
“However, we identified areas where the provider and registered manger had not ensured that the care records met current guidelines” from the report
Some medicines records were incomplete
needs fixingFor medicines given only when needed, the main medicines record was not completed. Staff therefore could not use that record to check the prescribed dose.
“However, we saw that for medicines prescribed to be administered as required the MAR had not been completed.” from the report
Some delays at mealtimes
minorSome people waited for their meals, and people at the same table were not always served together. The report also noted that the menu may not have been easy for people with impaired vision to read.
“In one dining room people did have a wait for their meals and people sitting on the same table were not always served their meal together” from the report
- 01What changes have been made to the recording of wounds, including wound photographs and measurements?
- 02How are continence needs, including catheter and pad sizes, recorded and checked?
- 03How are creams managed and recorded to make sure they are used correctly?
- 04How are medicines given only when needed recorded, including the prescribed dose?
- 05How do you monitor call-bell response times and delays in serving meals at busy times?
This was an unannounced inspection of the overall quality of the home, covering all five key questions. This explanation was written from the published report of 22 November 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 The Cedars
2 rated inspections over 3 years: the service has held its Good rating throughout.
- November 2017Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- February 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2014
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 13 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.
Weigh the report against the rest
Fees, photos and reviews from families
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9 live-in carers within about an hour of Lincolnshire
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.
8 can care for a couple. 10 years' experience on average.
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
“Magda was always positive and proactive about trying new things to keep dad busy. She also introduced new ideas for keeping dad healthy.”
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.