What life was like for people using this service:

•A breach of Regulation 11 (1) of the Health and Social Care Act (Regulated Activities) Regulations 2014 was identified. This related to people who were subject to Deprivation of Liberty Safeguards not being appropriately transferred from the previous provider.

People received care from kind and compassionate staff.

• The service was clean, however some areas would benefit from redecoration and refurbishment.

• People were cared for by staff who were aware of the signs of abuse, neglect and discrimination.

• Staff knew people well. People and staff had a good relationship and were comfortable in each other’s company.

• People were enable to maintain their independence and have a say in some aspects of the service.

• Staff supported people to live their lives in the least restrictive way possible. The policies and systems at the service supported this practice.

• People were able to give their feedback on the service at resident meetings and were involved in staff interviews.

• People's care was personalised in response to their individual needs.

• The provider had processes in place to measure, document, assess and evaluate the quality of care. However, these processes did not always identify weaknesses in the assessment process.

• The service met the characteristics for requires improvement overall.

• More information about our inspection findings is in the full report.

Rating at last inspection: This was the first inspection for Cathedral Nursing Home since the current provider registered with CQC in October 2018.

About the service: The service provides accommodation and personal care 38 older adults, people living with dementia and younger adults. There were 29 people living in the service on the day of our inspection.

Why we inspected: Why we inspected: The inspection was prompted by a notification of an incident following which a person using the service was suffering abuse from the registered manager. This incident is subject to a criminal investigation and as a result this inspection did not examine the circumstances of the incident.

However, the information shared with CQC about the incident indicated potential concerns about the management of risk of abuse. This inspection examined those risks.

Follow up: We will continue to monitor the service to ensure that people received safe, high quality care. Further inspections will be planned for future dates.