Archived: Cedar Falls Care Home with Nursing

Updated 10 September 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection team consisted of an inspector, an assistant inspector, a specialist advisor and an Expert by Experience. The specialist advisor was a nurse as this was a nursing home. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Cedar Falls Care Home with Nursing is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with seven people who used the service and four relatives about their experience of the care provided. We spoke with the nominated individual, registered manager, the cook, the head housekeeper, three nurses and a care worker.

We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 10 September 2019

About the service

Cedar Falls Care Home with Nursing is a residential care home providing personal and nursing care to 91 people at the time of the inspection. The service can support up to 93 people who need nursing care, residential care due to old age or who may be living with dementia. The home has ten bungalows in the ground for people who wish to retain some independence, the rest of the people living at the home are in a purpose-built facility.

People’s experience of using this service and what we found

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

There were enough staff to meet people’s needs and they had received all the training and support necessary to ensure that the care they provided was safe and met best practice. People told us staff were kind and caring and supported them to maintain their dignity and encouraged their independence.

Care plans were up to date and recorded the care people needed and how risks to people should be managed. Medicines were ordered, stored, administered and disposed of in line with good practice guidelines. People were happy with the food provided and were able to make choices. In addition, Sandwiches, snacks and fruit were on display all day for people, which encouraged people living with dementia to eat.

The registered manager monitored the quality of care provided to ensure that staff worked to the best practice guidelines and used the used the skills provided through training. Accidents and incidents were investigated, and the registered manager and staff took action to try and prevent similar incidences occurring in the future.

The registered manager and provider had gathered the views of people living at the home about any changes made to the environment and the care they received. In addition, the registered manager worked collaboratively with research organisation to drive forwards knowledge and best practice in supporting people living with dementia.

Rating at last inspection

The last rating for this service was Good (published 17 December 2016). At this inspection we found the service had maintained a rating of good.

Why we inspected

This was a planned inspection based on the previous rating.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.