The Care Quality Commission

Archived: Cedar Vale

93 Kneeton Road, East Bridgford, Nottingham, Nottinghamshire, NG13 8PJ (01949) 829378

Provided and run by:
Castlebeck Care (Teesdale) Limited

Important: The provider of this service changed. See new profile

All Inspections

29 August 2012

During a routine inspection

On the day of our inspection we spoke with two patients and three members of staff. We also spoke with the relatives of two patients via telephone conversations to gain further information about the quality of service provision.

Patients told us that care staff involved them in their care, treatment and support programme. They also told us that they received input and treatment from other health care professionals when required.

Patients told us that they were encouraged to undertake a range of social activities within the home and the broader community and said they were satisfied with the activities provided.

Patients told us that they felt safe in the home and felt that the staff would always promote their safety. They also felt there were sufficient numbers of staff who had the right qualifications, skills and knowledge to perform their duties in a safe manner.

Patients told us that they were provided with the opportunity to comment on the quality of service provision and felt their views and opinions were respected.

7 September 2011

During an inspection in response to concerns

During the site visit we spoke with five people who live at Cedar Vale and three members of staff.

People who are living at Cedar Vale told us that they were happy with the care they were receiving. Among the comments we received were: 'It's alright, the staff are OK, and I'm quite happy.' 'We are going out this afternoon; we are going to buy a camera and some sweets.'

Some of the people we saw were unable or unwilling to talk to us; however observations of body language and staff interactions showed that people were relaxed and engaged in organised activities with the staff.

We asked several people if they felt safe, and everyone we spoke with said that they did.

We were told that people thought there were enough staff to meet their needs. One person told us: 'It's got better because there are more staff, so we can do more, and we can go out more too.'

We were also told that there was a house meeting on a Friday when people can talk about what's happening and raise any issues.

7 June 2011

During an inspection in response to concerns

There were 16 male patients aged between 18 and 65 at the independent hospital; 13 of whom were detained under the Mental Health Act 1983, and one was subject to a Deprivation of Liberty Safeguards (DoLS) authorisation. We saw positive interactions between staff and patients who were taking part in recreational activities.

We carried out our visit with a Mental Health Act Commissioner, who produced a separate report that was shared with the provider on 22 June 2011. When we visited, the registered manager was on maternity leave. She was due to return to work in

early July and came to the hospital whilst we were there to support the acting manager.

On the day of our visit an independent advocate, commissioned by the registered provider, was in the hospital interviewing all the patients about their experience of care and treatment. Independent advocates represent the interests of people who may find it difficult to be heard or speak out for themselves, including people with learning disabilities. We did not wish to interview people twice on the same day.

On 8 June 2011 Nottinghamshire County and Nottingham City primary care trusts (PCTs) carried out a joint visit. They told us the patients they spoke with were happy and making progress. A parent told them she was happy with the care and support provided for her relative by Cedar Vale.

Mental Health Act Commissioner reports

Each year, we visit all NHS trusts and independent providers who care for people whose rights are restricted under the Mental Health Act to monitor the care they provide and check that patients' rights are met. Immediate concerns raised by patients on those visits are discussed, if appropriate, with hospital staff.

Our Mental Health Act Commissioners may carry out a number of visits to each provider over a 12-month period, during which they talk to detained patients, staff and managers about how services are provided. In the past, we summarised themes from the visits and published an annual statement followed by the provider's response where applicable. We are looking at different ways to indicate the outcomes of our monitoring in the future.