Cedar Park Nursing Home

Updated 12 April 2023

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 Health and Social Care Act 2008.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by 2 inspectors and an Expert by Experience. 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 Park Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Cedar Park Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 8 people and 4 relatives about their experiences of care received. We spoke with 4 staff, the registered manager and regional manager. Following our site visit we also telephoned a further 4 members of staff.

We reviewed 4 staff files in relation to recruitment, care and support records for 6 people, multiple medicines records, meeting minutes, fire safety records, health and safety records for the premises and equipment, personal emergency evacuation plans for people, quality monitoring records and policies and procedures.

We contacted 4 healthcare professionals for their feedback about the service and received 3 responses.

Updated 12 April 2023

About the service

Cedar Park Nursing Home provides accommodation for people who require nursing and personal care for up to 30 people. The service provides support to adults over and under 65 years. At the time of our inspection there were 26 people using the service.

Accommodation is provided on 3 floors which are accessed by a lift or stairs. People had their own rooms and access to communal bathrooms. On the ground floor there was communal space such as lounges, dining rooms and a conservatory. There was a large garden to the rear of the property.

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

People told us they felt safe as the staff looked after them well and were able to raise any concern if needed. Staff had safeguarding training and told us they would not hesitate to report any concerns. Medicines were safely managed, and people told us they had their medicines when they needed them. Risks to people’s safety were assessed and guidance was available for staff to follow. Where needed staff contacted healthcare professionals for additional advice.

During our visit the home was experiencing a COVID-19 outbreak. This had impacted on staff availability, and people told us at times there had not been enough staff. During our inspection we found there was enough staff available, however, we shared people’s feedback about staffing numbers with the provider. The registered manager used a dependency tool to calculate staff numbers, and this was reviewed regularly. Staff had been recruited safely.

Staff had personal protective equipment available, and we observed them wearing it appropriately. The home was clean, and audits were carried out to check infection prevention and control safety measures. The registered manager was aware of who to contact when they needed advice on working safely during COVID-19. People had visitors from family and friends who were informed about any precautions where needed.

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 was a registered manager in post and feedback about their approach was positive. People and relatives knew where to go with any concerns and told us the service was well managed. Staff felt supported by the management and felt welcomed by the team at the service. We were told there was good teamwork and good communication amongst the staff. Healthcare professionals told us the staff acted professionally and worked in partnership. This helped to make sure people’s health needs were met.

Quality monitoring systems were in place and were effective in driving improvements. The provider had good oversight of the service and carried out checks for quality and safety. Health and safety systems were in place to make sure the premises and equipment were maintained and serviced.

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

Rating at last inspection

The last rating for this service was good (published 20 November 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service. We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.