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Eversleigh Residential Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 21 August 2018

This inspection took place on the 12 July 2018 and was unannounced. Eversleigh Residential Care Home 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.

Eversleigh Residential Care Home provides personal care support and accommodation for up to 30 older people, some of whom have physical or mental health needs and/ or live with dementia. At the time of our inspection there were 20 people using the service. There was a manager in post and they were in the process of registering with the CQC to become the registered manager for the service. 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.

At our last inspection of the service on 25 and 30 August 2017 the service was rated as Requires Improvement. This was because we found a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Medicines were not always managed, stored and administered safely and appropriately.

At this inspection we found the service had made the required improvements and demonstrated that they met the regulations and fundamental standards.

Medicines were now managed, administered and stored safely. Risks to people were assessed and managed safely by staff. People were protected from the risk of abuse, because staff were aware of the types of abuse and the action to take. There were systems in place to ensure people were protected from the risk of infection. Accidents and incidents were recorded and acted on appropriately. There were safe staff recruitment practices in place and appropriate numbers of staff were deployed to meet people’s needs in a timely manner.

There were systems in place to ensure staff were inducted into the service appropriately. Staff received training, supervision and appraisals that enabled them to fulfil their roles effectively. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. Staff were aware of the importance of seeking consent and worked within the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. The home environment was suitably adapted to meet people’s needs and equipment was available for people who required it. People’s nutritional needs and preferences were met. People told us they had support to access to health and social care professionals when required.

People and their relatives told us staff treated them well and respected their privacy and dignity. People were involved in making decisions about their care and had care plans which reflected their needs and preferences. There was a range of activities available to meet people’s interests. The service worked in partnership to provided care and support to people at the end of their lives where possible. People’s care plans were reviewed and monitored on a regular basis to ensure they were reflective of their current needs. People and their relatives were provided with information on how to make a complaint. The service worked with health and social care professionals to ensure people’s needs were met. There were systems in place to monitor the quality of the service provided. People’s views about the service were sought and considered. People, relatives and staff spoke positively of the care and support provided and the management and running of the home.

Inspection areas

Safe

Good

Updated 21 August 2018

The service was Safe

People's medicines were managed, stored and administered safely.

People were protected from the risk of abuse. Staff had received safeguarding training and were aware of the action to take if they had any concerns.

Risks to people were assessed and manage appropriately.

Staff were aware of the action to take to reduce the risk of infection.

Accidents and incidents were managed and monitored appropriately to reduce the risk of repeat occurrence.

There were sufficient staff deployed to meet people's needs in a timely manner.

The provider followed safe recruitment practices.

Effective

Good

Updated 21 August 2018

The service was Effective

People's needs were assessed and documented.

Staff sought consent when offering people support. The provider complied with the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) where people lacked the capacity to make decisions for themselves.

People’s nutrition and hydration needs were met.

Staff were supported in their roles through training, supervision and appraisal of their performance.

People were supported to maintain good health and access a range of healthcare services when required.

Caring

Good

Updated 21 August 2018

The service was Caring

People and their relatives told us they were treated with kindness and consideration by staff.

Staff treated people with dignity and respected their privacy.

People were involved in day to day decisions about their care and treatment.

The provider provided people with information about the service through a service user guide.

Responsive

Good

Updated 21 August 2018

The service was Responsive

People received care and support which reflected their individual needs and preferences.

People’s diverse needs were supported and respected. Staff were knowledgeable about people's needs with regards to any protected characteristics under the Equality Act 2010 and supported them appropriately.

There was a range of activities to support people’s need for social stimulation.

People were supported to maintain relationships that were important to them.

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

Staff worked in partnership to support people with appropriate care at the end of their lives where possible.

Well-led

Good

Updated 21 August 2018

The service was Well-led

The home had a registered manager in post who was knowledgeable about their responsibilities under the Health and Social Care Act 2008.

The provider had systems in place for monitoring the quality and safety of the service which helped drive improvements.

People's views were sought through meetings, annual survey and comments and suggestions book.

People and staff spoke positively about the manager and the management of the home.

Staff were aware of their responsibilities and roles and told us they worked well as a team.

The home worked well with other professionals to ensure people received good quality care.