CQC report explained · a nursing home
What the CQC found at The Cedars Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention, protective equipment, cleaning, testing, admissions, outbreak management and vaccination checks. They found that the visiting policy was initially not in line with current guidance.
- Effective?
- Good
- This area was not rated or covered in the inspection findings.
- Caring?
- Good
- This area was not rated or covered in the inspection findings.
- Responsive?
- Good
- This area was not rated or covered in the inspection findings.
- Well-led?
- Good
- This area was not rated or covered in the inspection findings.
What inspectors found, February 2022
Inspected but not rated; inspectors found good infection control, but visiting arrangements were not initially in line with guidance.
This was an unannounced, targeted inspection on 12 January 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected care.
Inspectors found good infection control measures. Visitors were screened, protective equipment was available and used, cleaning had increased, and testing was taking place. The home also checked COVID-19 vaccination for staff and professional visitors.
On the first day, the visiting policy did not follow current Government guidance. This stopped one person's family members visiting inside the home. After the inspection, the manager said the policy was being changed.
The service was inspected but not rated. This means the inspection did not give a standard overall quality rating or ratings for all five areas of care.
Infection screening
Visitors were screened for symptoms and given protective equipment. Staff had training and used protective equipment safely.
“Visitors were screened for symptoms of COVID-19 and were provided with personal protective equipment (PPE).” from the report
Cleaning
The home had added cleaning measures. Inspectors found all areas clean and saw records showing that extra cleaning had been completed.
“All areas of the home were clean, and records demonstrated the additional cleaning had been completed.” from the report
Testing and vaccination checks
Testing was being carried out for people and staff. The provider also checked vaccination status for staff and professional visitors.
“COVID-19 testing was being carried out for people using the service and staff in line with the latest guidance.” from the report
Up-to-date infection policy
The infection prevention and control policy had been updated for the COVID-19 pandemic and the extra measures being used.
“The provider had updated their infection prevention and control policy to reflect the COVID-19 pandemic and additional measures that had been introduced.” from the report
Visiting policy
needs fixingOn the first day, the visiting policy did not follow current Government guidance. This stopped one person's family members visiting inside the home, although the provider said changes were being made after the inspection.
“On the first day of the inspection the provider's visiting policy was not in line with current Government guidance.” from the report
- 01Has the visiting policy now been changed so that visits follow current Government guidance?
- 02How will the home support family visits when infection control measures are needed?
- 03What staffing pressures related to COVID-19 are currently affecting the home, and what measures are in place to manage them?
- 04How often are people and staff tested, and how are the results managed?
- 05How does the home check that staff and professional visitors meet the COVID-19 vaccination requirements or have an exemption?
This was an unannounced targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not rate the other areas of care. This explanation was written from the published report of 5 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.
What inspectors found, January 2022
Targeted inspection found no concerns about night staffing, early waking or monitoring; the home remained Good overall, but this inspection was not rated.
This was an unannounced targeted inspection on 3 December 2021. Two inspectors arrived at 05:30 to check concerns about night staffing, people being woken early and missing monitoring records.
The inspectors found appropriate staffing levels, including agency staff where needed. Staff responded quickly, knew people's needs and respected their privacy. Records showed people were not woken early unless necessary, and monitoring records were complete.
The inspection also looked at infection prevention. Inspectors were assured that visitors were protected from infection and that personal protective equipment was used safely. The previous overall rating was Good and remained unchanged, but this inspection was not rated because it only looked at specific parts of Safe.
Night staffing
Inspectors found a good staff presence at night and saw staff respond quickly when people needed help.
“There was a good staff presence and we saw staff responded quickly to any requests for assistance.” from the report
Risk monitoring
Records for risks linked to eating, drinking and skin integrity were in place. Hourly wellbeing checks had been completed.
“The service had appropriate records in place to manage risks associated with eating, drinking, and skin integrity.” from the report
Respectful care
Staff knew the people they supported and respected their privacy.
“Staff had a good knowledge of people they supported and respected their privacy.” from the report
Infection prevention
Inspectors were assured that the home was taking steps to prevent infection and using personal protective equipment safely.
“We were assured that the provider was using PPE effectively and safely.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you calculate the staffing levels needed for each shift, especially at night?
- 02How do you make sure people are not woken early unless this is necessary?
- 03How are hourly wellbeing checks recorded and checked for completeness?
- 04How do staff identify and manage risks linked to eating, drinking and skin integrity?
- 05What infection prevention measures and personal protective equipment are currently used?
This was a targeted inspection of specific parts of Safe and infection prevention, so it did not assess the whole service or change the previous Good rating. This explanation was written from the published report of 13 January 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.
Every inspection of The Cedars Nursing Home
7 rated inspections over 6 years: the service has improved, from Inadequate to Good.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2022Inspected but not ratedSafe: Inspected but not rated
- July 2021Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2020Goodup from Requires improvementSafe: GoodWell-led: Requires improvement
- March 2019Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- July 2017Requires improvementstayed Requires improvementSafe: GoodEffective: GoodCaring: Requires improvementResponsive: GoodWell-led: Requires improvement
- March 2016Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- September 2015Inadequatestayed InadequateSafe: InadequateWell-led: Inadequate
- July 2015InadequateSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- October 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 2 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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