Random inspection report
Care homes for older people
Name: Address: Cedar Court 37 New Road Whittlesey Cambridgeshire PE7 1SU two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Janie Buchanan Date: 1 5 1 0 2 0 0 9 Information about the care home
Name of care home: Address: Cedar Court 37 New Road Whittlesey Cambridgeshire PE7 1SU 01733350320 01733205930 cedarcourtcare@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Cedar Court Care Limited care home 25 Number of places (if applicable): Under 65 Over 65 3 24 24 dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 1 1 named female with physical disabilities under 65 years of age (PD) for the duration of her residency only 24 older people (OP) for the duration of condition 1 The 3 places registered for DE(E) will have their mental health nursing care needs met by the community psychiatric service The maximum number of places not to exceed 25 Date of last inspection Brief description of the care home Cedar Court is a single storey purpose-built home that provides personal and nursing care and support for up to 25 people over the age of 65 years. It is owned by Cedar
Care Homes for Older People Page 2 of 9 Brief description of the care home Court Care Ltd The building is situated in the market town of Whittlesey and is within reach of shops, pubs and other local amenities. Accommodation comprises 21 single bedrooms, all but two of which have en-suite facilities, and 2 double rooms, which also have en-suite facilities. There are a total of three day/quiet rooms and the home has bathing and toilet facilities, which are provided with aids to enable the needs of the residents to be met. The home has transport available to service users, including two wheelchair accessible vehicles, for visits into the community. Residents have access to a garden and patio area at the front of the building. Weekly fees are £560. Residents pay additionally for newspapers, private chiropody and hairdressing. Basic toiletries are provided. Care Homes for Older People Page 3 of 9 What we found:
We undertook this inspection to investigate concerns raised about the home following a strategy meeting held under local safeguarding procedures. We looked at the following areas: hoisting procedures, infection control and care plans. We also looked for evidence that requirements made at our last key inspection concerning staff recruitment, residents involvement in their care planning and staff supervision had been met. HOISTING We viewed care plans for four residents which stated that they were to be hoisted by two care staff for all their transfers. We then talked to these residents who told us that they were hoisted and always by two , and sometimes even, three staff. One resident stated: two staff help with the hoist, never one, theyre not allowed. Staff we interviewed stated that they always hoisted with two people and they had never witnessed any staff member using the hoist alone. One staff member commented: its just not possible to hoist with one, as you need one carer to operate the controls and the other to guide the residents in the sling. Another told us: were not supposed to hoist alone and I never would. However we were concerned that one resident was allegedly moved without the use of the hoist at all and this is being investigated further under safeguarding procedures. INFECTION CONTROL We interviewed 5 staff and asked them in what practical ways they reduced the risk of infection to residents. Their answers were good and they talked knowledgeably about the importance of wearing gloves and aprons when helping residents, of how laundry is handled and of additional precautions they took for residents with MRSA. We viewed antibacterial hand gel available in all residents bedrooms, the laundry, the sluice room and in bathrooms. We also viewed latex gloves easily available for staff in the corridor and two staff showed us the many gloves they carried around in their pockets. STAFF RECRUITMENT We checked the personnel files for two recently employed members of staff which showed us that appropriate references and CRB checks had been obtained before the person started working at the home. SUPERVISION We checked the supervision files for a number of staff. These showed us that day care staff and night care night staff received regular supervision. However there were no records available to show that the bank night nurses received any supervision.There was no record of these nurses training records or certificates for us to know that they had the required and up to date training to look after people. CARE PLANS Care Homes for Older People Page 4 of 9 At our last inspection we made a requirement that residents were actively involved in planning and reviewing their care. We found no evidence of this in the plans we viewed, despite talking to two residents who were very able to contribute to and understand their plans. A visiting nurse specialist informed us during our inspection that the turning charts and bowel charts for one resident were poorly completed and did not show that the person had been turned regularly, despite having a number of pressures sores. NOTIFICATION OF INCIDENTS We viewed your accident and incident book and noted that a resident had been admitted to hospital following a stroke. We had not been informed of this event. We also did not receive a notification of another serious incident affecting the well being of another resident until we rang the home to ask for it. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 7 15 (2) Residents must be actively 01/03/2008 involved in drawing up and reviewing their care plans so that their views are sought in how they would like to be cared for. All staff must receive regular 01/03/2008 supervision, so that their working practices are reviewed. Timescale of 01/05/07 not met. 2 36 18(2) Care Homes for Older People Page 6 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 7 15 You must maintain accurate and detailed records in relation to residents turning charts and bowel movements. You must do this to ensure that they are receiving appropriate care and that their health needs are maintained 01/12/2009 2 30 19 You must keep a record of all 01/12/2009 training that is undertaken by staff. You must do this to ensure that staff have relevant and up to date training for the people they support. 3 38 37 You must inform us of any events affecting the wellbeing of residents You must do this so we can monitor incidents. 01/12/2009 Care Homes for Older People Page 7 of 9 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
