Eversleigh Nursing Home

Updated 19 June 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: The inspection was carried out by two inspectors and a specialist advisor. A specialist advisor is a qualified health professional.

Service and service type: Eversleigh Nursing Home is a care and nursing 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. The registered manager was unavailable on the day of our inspection visit.

Notice of inspection: The inspection visit took place on 15 May 2019 and was unannounced.

What we did: Before the inspection we reviewed information we held about the service. This included notifications the provider is required by law to send us about events that happen within the service such as serious injuries. The registered manager had completed a Provider Information Return (PIR). The PIR is a form that asks the registered provider to give some key information about the service, what the service does well and improvements they plan to make.

We sought feedback from the local authority who work with the service. The feedback was used in planning for the inspection and helped identify some key lines of enquiry.

To gain people’s views and experiences of the service provided, we spoke with eight people who used the service and five people’s relatives/friends. We looked at the six people's care records, including risk assessments and care plans. We looked at 32 people’s records relating to medicines administration. We also observed the care and support provided and the interaction between people and staff throughout our inspection visit.

We spoke with the operations manager, the development and delivery manager and 10 members of staff, including the deputy manager, a nurse, three care staff, an activities co-ordinator, two catering staff and two domestic staff.

We reviewed information the service held about how they monitored the service they provided and assured themselves it was meeting the needs of the people they supported. This included audits, staff training and accident/incident records.

Updated 19 June 2019

About the service: Eversleigh Nursing Home is a care home with nursing that provides accommodation and personal care for up to 42 older people. At the time of our visit, 33 people lived at the home.

People's experience of using this service:

People felt safe and were protected from avoidable harm. Staff were trained in safeguarding and knew what to do and who to tell if they had concerns about people’s well-being.

Risk management plans informed staff how to manage risks associated with people's care. However, systems to check the environment and equipment were safe for people were not always effective. Immediate action was taken to address this.

There were enough clinical and care staff with the appropriate skills, knowledge and experience to meet people’s needs and provide effective care. Staff had defined responsibilities and received the training and guidance they needed to complete their role well.

The service had built good relationships with other healthcare professionals to ensure people received safe consistent care.

People's nutrition and hydration needs were met, and they received their medicines as prescribed.

Staff followed people’s personalised care plans to ensure people had the care and support they needed.

Staff were committed to ensuring people’s needs were met in a welcoming and friendly environment and motivated to have a positive impact on people’s lives.

Staff understood the principles of the Mental Capacity Act 2005, so people could continue to have maximum choice and control of their lives.

People were offered opportunities to engage in activities and events they were interested in.

The registered manager understood their regulatory responsibilities and shared information with stakeholders in a timely way. They had introduced several initiatives at the home to improve outcomes for people and to raise quality standards.

Rating at last inspection: At the last inspection the service was rated as good overall. (The last report was published on 21 December 2016). At this inspection we found the service required improvement within the safe domain but remained good overall.

Why we inspected: This was a planned inspection based on the date and the rating of the previous inspection.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk