Background to this inspection
Updated
17 October 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. 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.
Inspection team
The inspection was carried out by one inspector.
Service and service type
This service is a 'care home'. People in care homes receive accommodation and nursing or personal care as 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 did not have a manager registered with the Care Quality Commission. This means the provider is legally responsible for how the service is run and for the quality and safety of the care provided. At the time of the inspection a new manager, who was yet to register with CQC, was managing the service.
Notice of inspection
This inspection was unannounced and took place on 18 September 2019
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We reviewed the information we already held about this service. This included details of its registration, previous inspection reports and notifications. A notification is information about important events, which the provider is required to tell us about by law. We sought feedback from the local authority and professionals who work with the service. This information helps support our inspections. We used all this information to plan our inspection.
During the inspection
People did not give us verbal feedback due to communication difficulties. However, we observed how staff provided care and interacted with them. We spoke with one relative by telephone, and two care staff and the acting manager. We also spoke with one care professional who was visiting people during the inspection. We reviewed two people’s care files, which included their care plans, risk assessments and medicine records. We looked at four staff files in relation to recruitment, training and supervision. We reviewed various documents relating to the management of the service, including policies and procedures.
Updated
17 October 2019
Eden Supported Services is a small residential care home providing personal and nursing care to three people with learning disabilities aged 18 to 65 at the time of the inspection. The service can support up to four people.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service
People were safe in the service. Staff understood how to protect people from abuse. Each person had a risk assessment, which identified possible risks and how to manage them. The service provided enough staff, who were properly recruited, trained, supervised and supported to ensure people received safe care.
Medicines were managed safely ensuring people received their medicines as prescribed by their doctors. Incidents and accidents were monitored, reviewed and learnt from to ensure people were safe.
All parts of the service were clean and staff had attended training in infection control. Staff audited aspects of health and safety at the service to ensure the facilities and equipment were maintained and safe to use.
Relatives told us staff were caring and knew what they were doing. They told us staff ensured people's privacy and dignity was respected.
People enjoyed meals of their choice. However, improvements were required to include more varieties to reflect people's culture and preferences.
Staff supported people to access healthcare. They also provided activities, which ensured people engaged within and outside the care home.
People benefited from care plans, which were person-centred and reviewed regularly. People's relatives were involved and people were supported and encouraged to make decisions about their care. They were supported to have maximum choice and control in their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.
Staff understood equality and diversity. They knew discrimination of any kind was not acceptable. People's communication needs were recorded and staff had experience and knowledge of how to communicate with people effectively. There was a complaints policy in place and relatives told us they knew how to make a complaint.
Relatives were complimentary about staff and management of the service. They had opportunities to give feedback to ensure their views were considered in the service's quality assurance system. Regular audits of various aspects of the service were undertaken.
Rating at last inspection
At the last inspection the service was rated Good (report published on 21 April 2017)
Why we inspected
This was a planned inspection based on the previous rating.
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.