CQC report explained · a residential care home
What the CQC found at The Cedars Rest Home Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were assessed and reviewed, staffing levels met people's needs, medicines were managed safely and infection control measures were in place. They found no evidence during this inspection that people were at risk of harm from the staffing concern examined.
- 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
- The new manager and senior staff used audits and checks to monitor the service and staff felt supported. People, relatives and staff had confidence in the new leadership, although formal meetings with people and relatives had not happened for some time.
What inspectors found, January 2023
Rated Good; inspectors found safe care and effective leadership, but formal meetings with families had not happened for some time.
This was an unannounced inspection. The inspection team visited the home on 15 November 2022 and also gathered information before and after the visit. They spoke with people living there, relatives, staff and health professionals, and checked care files, medicines records, staff files, audits and safety records.
The home was rated Good for Safe and Well-led. Inspectors found enough staff, suitable risk assessments, safe medicines practice, infection control measures and required safety checks. People said they felt safe. They also found caring staff, positive leadership and systems for checking and improving the service.
The inspection was prompted partly by an incident in which a person was injured and concerns about staffing levels. The circumstances of that incident were not examined in this inspection and remain subject to further CQC investigation. The overall Good rating stayed the same as at the previous inspection in 2019. The other three question ratings were carried forward because they were not inspected.
Enough staff
Staffing levels were based on people's needs and were reviewed when needs changed. Inspectors observed enough staff on duty during their visit.
“During our visit, we looked at rotas and observed there were sufficient numbers of staff on shift to meet people’s care needs.” from the report
People felt safe
People said they felt safe with the staff. Risk assessments and care plans were updated when people's needs changed.
“People told us they felt safe in the home and with the staff who supported them.” from the report
Safe medicines practice
Staff who gave medicines were trained and checked for competence. Guidance was available for medicines given when needed.
“Senior staff who were trained to administer medicines, demonstrated their knowledge of the system and process.” from the report
Positive leadership
People, relatives and staff had confidence in the new manager. Audits were used to identify and improve practice.
“It was evident from our observations and conversations people, their relatives and staff had confidence in the new leadership of the home.” from the report
Kind and respectful care
Inspectors observed staff supporting people in a caring and respectful way. Staff knew the people they supported well.
“We observed and heard staff support people in a very caring and respectful way.” from the report
Family meetings had lapsed
minorFormal meetings with people and their relatives had not taken place for some time. The manager said they planned to arrange them.
“Formal meetings with people and their relatives had not happened for a while but the registered manager was planning to schedule these.” from the report
Incident still under investigation
needs fixingThe inspection was partly prompted by an injury to a person and concerns about staffing levels. This inspection did not examine the circumstances, and CQC was still considering whether regulatory action was needed.
“This incident is subject to further investigation by CQC as to whether any regulatory action should be taken.” from the report
- 01What changes have been made to staffing arrangements since the incident that prompted this inspection?
- 02How are staffing levels reviewed when people's needs change?
- 03When will formal meetings with people and relatives take place, and how will their feedback be used?
- 04What improvements has the new manager identified, and how will the home show that these have been completed?
- 05How are risk assessments and care plans updated when a person's mobility, health or other needs change?
This was a focused inspection of Safe and Well-led; the ratings for Effective, Caring and Responsive were carried forward from the previous inspection in 2019. This explanation was written from the published report of 6 January 2023 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, March 2022
Inspected but not rated; inspectors found strong infection-control arrangements, but social distancing was not always possible.
This was an announced, targeted inspection on 17 February 2022. Inspectors looked mainly at infection prevention and control during the COVID-19 pandemic, and asked about staffing pressures.
They found stocked PPE stations, regular COVID-19 testing, trained staff and a clean, well-ventilated home. Visits from relatives and friends were supported when government guidance allowed.
The home was meeting most infection-control measures. However, inspectors were only somewhat assured about shielding and social distancing because people sometimes sat four to a table. The service was inspected but not rated, so this report does not give an overall quality rating.
Testing and vaccination
People and staff were tested regularly. The report says all employed staff were fully vaccinated and that vaccination access was supported.
“People living in the home and staff were tested regularly for COVID-19.” from the report
Clean environment
Inspectors found the home clean and well ventilated, with regular cleaning of frequently touched areas.
“The service was clean and well-ventilated and had detailed cleaning schedules.” from the report
Family visits
Visits were maintained when guidance allowed, with checks, testing and PPE for visitors.
“Contact between people and their relatives and friends had been maintained.” from the report
Social distancing
minorInspectors saw four people sitting at each dining table. Because of the home's layout and people's increasing needs, social distancing was not always possible.
“Due to the layout of the home and people's increasing dependencies it was not always possible to follow social distancing rules.” from the report
- 01How do you now manage seating and social distancing during meals?
- 02What changes have you made since inspectors discussed the dining-room layout with the registered manager?
- 03How are relatives and professional visitors currently tested and checked before entering?
- 04How do you manage infection risks when staffing pressures increase?
- 05How often are high-touch areas cleaned and how is this recorded?
This was a targeted inspection of infection prevention and control, with questions about staffing pressures; it was not a full inspection of all five key areas and the service was inspected but not rated. This explanation was written from the published report of 11 March 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 Rest Home Limited
4 rated inspections over 6 years: the service has held its Good rating throughout.
- January 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at The Cedars Rest Home Limited →
- March 2022Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at The Cedars Rest Home Limited →
- November 2019Goodup from Requires improvementSafe: GoodWell-led: Good
- November 2018Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 25 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.
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At least 100 live-in carers within about an hour of Trafford
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. 91 can care for a couple. 10 years' experience on average.
“Primrose is a very kind and compassionate healthcare professional”
“She is an exemplary carer, she is knowledgable empathetic and very respectful in the home.”
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