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We are carrying out checks at Edenvale Nursing Home using our new way of inspecting services. We will publish a report when our check is complete.

Inspection Summary

Overall summary & rating


Updated 3 August 2016

The inspection took place on the 13 and 14 June 2016 and was unannounced.

Edenvale Nursing Home is registered to provide care for up to 35 people. The home is registered with the Care Quality Commission to provide nursing or personal care for older people, physical disability, mental health conditions or people living with a dementia. At the time of our inspection there were 34 people in receipt of care from the provider. The home consisted of two units spread over three floors. The first floor had 10 beds commissioned by the clinical commissioning group as a step up and step down unit. People were admitted to these beds from their home or hospital to enable a period of re-enablement. This reduced the need for people to be admitted to hospital or remain in hospital longer than required.

The home had a manager in place who was in the process of applying to become the registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People using the service we spoke with told us they felt safe in the home and staff were aware of the procedure to take if abuse was suspected.

Staff were recruited safely and records included appropriate checks on them as well as proof of identity to ensure they were appropriate for the role they were employed to undertake.

Medicines were stored and secured appropriately. People told us that they received their medicines on time.

The registered manager was knowledgeable about the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). When people were assessed as unable to make decisions for themselves the MCA process had been followed. DoLS are put in place to protect people where their freedom of movement is restricted to prevent them from possible harm. The registered manager had taken appropriate action for people who needed their movement restricted.

People had sufficient to eat and drink and were supported to maintain a balanced diet. They had access to a range of healthcare professionals and services.

People were looked after by kind and caring staff who knew them well. They were supported to express their views and to be involved in all aspects of their care. People were treated with dignity and respect.

There were a number of quality audits in place to assist the provider in assessing and reviewing the delivery of care in the home. The manager who had recently commenced at the home had identified several areas of improvement that would improve the quality of the service provided. The manager had developed an action plan to address these and set completion dates for each area.

Inspection areas



Updated 3 August 2016

The service was safe

People told us they felt safe and risks to people were managed in a safe way. Staff knew how to recognise and report any potential abuse.

The provider had a safe recruitment procedure in place to ensure people were suitably employed

Medicines were managed safely and administered as prescribed. This kept people safe from the risks associated with them.



Updated 3 August 2016

The service was effective.

People received care and support from staff who had the skills and knowledge to meet their needs.

Staff had received appropriate training, and understood the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards.

People's healthcare needs were assessed and they were supported to have regular access to health care services.



Updated 3 August 2016

The service was caring.

People were treated with respect and the staff understood how to provide care in a dignified manner and respected people's right to privacy.

People using the services told us they found the staff caring and friendly. We saw staff treating people with kindness and compassion.



Updated 3 August 2016

The service was responsive

Care records were person-centred and reflective of people's needs. The manager had introduced a new care plan reviewing system.

Activities for people were planned.

The provider had a complaints procedure in place and people told us they knew how to make a complaint.



Updated 3 August 2016

The service was well led.

People and their relatives were consulted on the quality of the service they received.

Staff told us the management were supportive and they worked well as a team.

The manager had effective systems in place to monitor the quality of the service. Furthermore the manager had identified key areas for service improvement and was actively working on these.