Marloes Walk
Leamington Spa, CV31
Residential
Rated 2 years agoReport explained
CQC report explained · a residential care home, run by Turning Point
The Cedars
4 Chequer Street, Bulkington, Bedworth, CV12 9NH
Goodpublished 15 December 2023, 2 years ago
Rated Good: inspectors found the service performing well and meeting their expectations.
The five questions inspectors ask
- Safe?
- Good
- People were protected from abuse and avoidable harm. Staff managed risks, monitored health, followed infection control procedures and gave medicines as prescribed.
- Effective?
- Good
- This area was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This area was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Managers had clear governance systems, checked care quality and used learning, feedback and improvement plans to develop the service.
The latest report, explained
What inspectors found, December 2023
Turning Point - The Cedars is rated Good; inspectors found people were safe and well supported, with staffing levels being monitored during a change.
This was an announced, focused inspection on 29 November 2023. One inspector reviewed information, spoke with a relative, an advocate and six staff, observed care, and checked care, medicine, recruitment and management records.
The home was rated Good overall. Safe and Well-led were both rated Good. Inspectors found that staff understood people's needs, managed risks, gave medicines as prescribed and supported people's choices and independence.
The inspection found a caring and inclusive culture. Staff received training and support, people were referred to health professionals when needed, and managers used checks, incidents and feedback to improve care.
This was not a full inspection of all five areas. The ratings for Effective, Caring and Responsive were carried forward from the previous inspection, published in 2018.
What inspectors praised
People's choices
Staff supported people to have choice and control, while using the least restrictive approach and acting in people's best interests.
“People were supported to have maximum choice and control of their lives” from the report
Staff knew people well
Staff understood people's individual risks and noticed changes that could show someone was becoming unwell. They referred people to health professionals promptly.
“Staff knew people well and understood how to mitigate risks associated with people's care.” from the report
Medicines and rights
Trained staff gave medicines as prescribed. The home reviewed medicines with prescribers and followed the Mental Capacity Act when restrictions were used.
“People received their medicines as prescribed from staff who were trained to administer them.” from the report
Open management
Staff felt able to speak up and managers used audits, incidents, feedback and an improvement plan to improve care.
“The registered manager and provider made checks on the quality of care people received.” from the report
What inspectors were concerned about
Staffing changes
minorStaffing levels were being reduced because fewer people were living at the home. Managers said they would monitor this closely to make sure staffing remained safe.
“At the time of our inspection, the provider was reducing staffing levels due to a change in the number of people in the home.” from the report
Medicine guidance still being checked
needs fixingOne person's medicines were crushed with agreement and best-interest discussion, but the home was still obtaining pharmacist guidance about whether each medicine was safe to crush.
“The provider was obtaining guidance from the pharmacist to confirm each of the person's medicines was safe to crush.” from the report
Questions to ask them, based on this report
- 01Have you now received the pharmacist's guidance confirming that each medicine being crushed is safe to crush?
- 02How have staffing levels changed, and how will you check that there are still enough staff to meet people's care and social needs?
- 03What were the current ratings for Effective, Caring and Responsive at the last full inspection?
- 04How are changes in people's health, including subtle signs of deterioration, recorded and followed up?
- 05How can relatives and advocates give feedback or raise a concern about the care?
This was a focused inspection of Safe and Well-led only; the other ratings were carried forward from the previous inspection published on 1 June 2018. This explanation was written from the published report of 15 December 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
The story over the years
Every inspection of The Cedars
3 rated inspections over 8 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2018Goodstayed GoodSafe: GoodWell-led: Good
- January 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- July 2011
Registered with the Care Quality Commission on 5 July 2011.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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