Background to this inspection
Updated
26 October 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was conducted by two inspectors and a member of the CQC medicines team.
Service and service type
Ealing Manor is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with eight people who used the service and the relative of one person. We also observed how people were being cared for and supported. We spoke with staff on duty who included, care workers, nurses, the chef, activities coordinator, registered manager and one of the partners of the registered provider.
We conducted a partial tour of the building and looked at how infection, prevention and control was being managed.
We looked at care records for four people, five staff records, and other records used by the provider to manage the service, which included audits, quality checks and meeting minutes.
We looked at how medicines were being managed, including administration, storage and record keeping.
After the inspection
We spoke with the relative of one person who used the service and a visiting healthcare professional.
Updated
26 October 2021
About the service
Ealing Manor Nursing Home is a care home for up to 33 older people with nursing needs. At the time of our inspection, 30 people were living at the service. Some people were living with the experience of dementia.
The care home was owned and managed by a private partnership, and this was their only care home.
People’s experience of using this service and what we found
People using the service were happy and well cared for. They had been involved in planning their care and staff understood their needs and supported them well. People had access to healthcare services and the staff monitored changes in their conditions and needs. They had enough to eat and drink and took part in a range of different social activities.
Staff assessed risks to people's safety and wellbeing and planned for these. They provided support for people to have their medicines as prescribed and monitored any accidents or incidents to make sure people were safely cared for.
People were cared for by enough staff and did not have to wait for care. Staff were well trained and supported. Procedures for recruiting staff made sure they were appropriately qualified and had the right attitude and skills.
The registered manager and provider had a good understanding of the service and their regulatory requirements. They had systems for monitoring quality and for investigating complaints and safeguarding alerts. People using the service, staff and visitors felt the management team were approachable and responsive.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was requires improvement (published 7 March 2020). The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.