Eastleigh Care Homes

Updated 23 August 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 completed by an inspector, assistant inspector, a member of the medicines team, specialist advisor and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. This expert had direct experience of their family members having received care in a residential care home.

Service and service type: Eastleigh East Street is a ‘care home’ for a maximum of 50 people. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (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 was legally responsible for how the service is run and for the quality and safety of the care provided. The manager was in the process of registering with CQC.

Notice of inspection:

This inspection was unannounced meaning no notice was given.

What we did:

Before the inspection we reviewed the information we held about the service and the service provider. The registered provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law.

During the inspection we spoke with 14 people who were able to tell us their views of the service they received. We observed the care and interactions between staff and other people using the service in the communal areas. We spoke with three relatives and one visitor. We also spoke with eleven members of staff including the nominated individual for the provider, manager, deputy manager, senior manager, administrator, housekeeping and the cook.

We looked at five people’s care records on the computerised care planning system and some paper records waiting to be transferred across. We reviewed the electronic medicine administration record system. We observed administration of medicines and checked storage arrangements, policies and procedures, medicines audits and incident records. We spoke with four members of staff about medicines.

Following the inspection, we received feedback from six relatives and four healthcare professionals.

Updated 23 August 2019

About the service: Eastleigh care Home is a residential care home that was providing personal care to 49 people aged 65 and over at the time of the inspection.

People’s experience of using this service:

People, relatives and visiting health and social care professionals were all extremely positive about the responsiveness of the care and support being provided. People consistently had a wide range of activities and outings to keep them engaged and enjoying a fulfilling life. People were enabled to remain part of their local community which was important. People's wishes and past hobbies were considered and incorporated into their daily life. The service thought outside the box to enable people to have enriching experiences. For example having regular contact and shared activities with local school children.

Staff were skilled and knowledgeable about people’s needs, preferences and wishes. They ensured a truly person-centred approach through detailed and collaborative care planning.

The provider understood the importance of ensuring staff were skilled and had opportunities for continuous learning and support to enable them to be effective and safe in their role. They had developed a dementia academy which enabled staff to use a variety of learning techniques to develop their skills in working with people with dementia.

People’s rights were fully protected through the effective use of the law and working in the least restrictive way.

People enjoyed a wide variety of meals, snacks and drinks throughout the day. Staff ensured people’s nutritional and hydration needs were met in creative ways.

People’s health and emotional wellbeing was closely monitored and responded to when needed. The service went the extra mile to ensure people’s physical and emotional well being was maintained. For example, they employed a physiotherapist to work with people and staff to develop and maintain exercise programmes. This helped people’s mobility and independence and had a positive impact for them.

People were protected because risks had been assessed and any measures needed to mitigate these were fully documented. New staff were only recruited once they had all their checks to ensure they were suitable to work with vulnerable people. People’s medicines were safely managed.

There were quality assurance systems in place to assess, monitor and improve the quality and safety of the service provided.

Rating at last inspection: At the last inspection the overall rating was GOOD with a requires improvement in Responsive (report published 13 December 2016)

Why we inspected: This inspection was a scheduled/planned inspection based on the previous rating.

At this inspection responsive had improved to Outstanding

Follow up: We will continue to monitor the intelligence we receive about the service. If any concerning information is received, we may inspect sooner.