Cedar Falls Care Home

There were enough staff to meet people's needs and the provider had effective recruitment practices which ensured staff were safe to work at the home. However, staff lacked the knowledge of good dementia care and needed further training in this area.

The lack of dementia knowledge and training impacted on the care people received with care becoming task focused instead of tailored to people's individual needs. This meant at times people's dignity and privacy were not respected.

Medicines were not managed safely. Some medicines administered "as required" were not given in line with the prescription and where medicine had to be hidden in food and drink there was not always advice from a pharmacist to ensure it did not affect the efficacy of the medicine.

People were supported to eat and drink safely and to maintain a healthy weight. However, more could be done on the dementia floor to ensure people had a positive mealtime experience.

Most risks were identified, and care was planned to keep people safe. However, risks relating to people living with dementia becoming distressed had not been identified and staff had no guidance to support them to care for people safely. Activities were not used effectively to support people living with dementia.

Staff had not always followed the provider's policies to minimise the risk of infection. Some furniture needed attention to reduce the risk of cross infection. The maintenance of the home and not been completed to ensure it was a pleasant environment for people to spend time in.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests. The provider's policies were in place, but staff had not followed them to support people's rights.

We raised all these concerns with the provider during and after the inspection. They took immediate action to begin to rectify the concerns.