Latest Inspection
This is the latest available inspection report for this service, carried out on 18th January 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Cedar Lodge.
Annual service review
Name of Service: Cedar Lodge The quality rating for this care home is: The rating was made on: two star good service 1 0 1 2 2 0 0 8 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Jane Poole Date of this annual service review: 0 8 1 2 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Hope Corner Lane Taunton Somerset TA2 7PB 01823286158 Telephone number: Fax number: Email address: Provider web address:
claire@notarohomes.co.uk www.notarohomes.co.uk N Notaro Homes Limited Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia Conditions of registration: Number of places (if applicable): Under 65 Over 65 42 15 0 0 The maximum number of service users who can be accommodated is 57 The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Dementia (Code DE) Maximum of 42 places Mental Disorder (Code MD) - Maximum of 15 places Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Cedar Lodge is a large, detached, extended property, set in good size grounds in a quiet residential area, approximately 1.5 miles from Taunton town centre. The home is Registered with the Care Quality Commission (CQC) for up to 57 people. The home has been split into two areas. The Limes provides care to people who have a mental health difficulty and the main part of the home cares for people over the age of 65 years who require personal care due to a dementia. Notaro Homes Ltd owns the
Annual Service Review Page 2 of 6 1 0 1 2 2 0 0 8 home. The registered manager is Matthew Parrish. Amenities are close at hand, including a Post Office, shops and pubs. Personal accommodation is on three floors. Bedrooms are found on all three floors, a lift gives access to all but 3 of the bedrooms, which are approached by a staircase. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at information that we have received and requested since the last inspection. The Annual Quality Assurance Assessment (AQAA) was sent out to the home and was completed and returned to CQC. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys were sent out to people who use the service, and other interested parties, to seek their views on the quality of the service provided. We received 10 completed questionnaires from people who live at the home, 9 from members of staff and 1 from a health and social care professional. The home informs the Commission of all significant incidents that occur in the home and make regular contact to share information. What has this told us about the service? The registered manager has the appropriate skills and experience to manage the home. The AQAA was completed to a good standard and gave evidence that there is a commitment to listening to the views of people who use the service and making ongoing improvements. One person wrote on their questionnaire Since Mr Parrish has managed the home he has built up teamwork and bought about changes for the good. The home is divided into two parts, the main area of the home cares for people who require care due to a dementia and there is a smaller unit for people experiencing other mental health difficulties. The AQAA shows that in the past year the home has made many changes to ensure that the care and the environment are person centred and specialist to the people who live there. The AQAA states that more signage has been put in place to enable people to orientate themselves around the home independently. It also states that the home has been made more interactive with the addition of a sensory wall, an interactive courtyard and a household corner. A new care plan system has been introduced. Staff who completed questionnaires all answered ALWAYS to the question Are you given up to date information about the needs of the people you support? One member of staff wrote Person centred care has improved greatly in the last year and the new care plan system has helped with this. People living at the home answered ALWAYS (3) or USUALLY (7) to the question Do you receive the care and support that you need? All staff were very happy with the training that they received commenting that training is of a high standard and comprehensive. Everyone felt that they were being given training that was relevant to their job. The AQAA states that all new staff complete a comprehensive induction programme and staff confirmed this. 67 of care staff have a National Vocational Qualification (NVQ) in care at level 2 or above. Annual Service Review Page 4 of 6 There are policies and procedures in place to minimise the risks of abuse to people who live at the home. There is a robust recruitment procedure and all staff said that they had undergone appropriate checks before they began work. The majority of people (8) who completed a questionnaire said that they knew who to speak with if they were unhappy but only 4 people knew how to make a formal complaint. One complaint has been made within the past 12 months and the AQAA states that it was fully investigated within the agreed timescales. All staff answered ALWAYS to the question Do you know what to do if someone has concerns about the home? and the AQAA states that a suitably qualified manager is on call at all times for advice and support. One person wrote on their questionnaire I am quite content with everything, if I had a problem someone would help me solve it. To ensure that people living at the home are able to voice their opinions and share ideas there are regular meetings for people and their relatives. As part of ongoing quality monitoring there are also annual satisfaction surveys. The manager wrote that they have day to day contact with people living at the home and make regular contact with family members. Generally people living at the home were very happy with the care that they received and staff felt that it was a good place to work. Comments from people living at the home included I think that it is excellent, all staff work well and its well run, and I think I am very lucky to be here and staff are all good. One member of staff wrote The diversity, family atmosphere and general good feeling makes it a pleasure for me to come to work. All information received gives evidence that the home continues to provide a good service. What are we going to do as a result of this annual service review? We are not going to change our inspection plan. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 5 of 6 Reader Information
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