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Inspection Summary


Overall summary & rating

Good

Updated 26 March 2020

About the service

Edgeview Nursing Home is a nursing home. Edgeview Nursing Home is registered to accommodate 24 people. At the time of our inspection 19 people were using the service. Edgeview Nursing Home accommodates people in three buildings. The main building, a bungalow where three people live and a converted stable building for a further three people. All areas are accessible from the main building. Some of the people living at Edgeview Nursing Home have learning disabilities or mental health needs.

The care service has not been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

People’s experience of using this service and what we found

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The outcomes for people did not fully reflect the principles and values of Registering the Right Support as the service was created several years before this guidance was published. The location and structure of the current building did not reflect the values of Registering the Right Support although the provider had tried to minimise the impact as far as possible by giving people choice and independence in so far as this was possible. The provider was also considering what changes they could make to develop the service so that it would meet best practice guidance through redevelopment of the building, subject to local authority planning requirements.

People were cared for by staff who were trained in recognising and understanding how to report potential abuse. Staff knew how to raise concerns about people's safety and share information so that people were safe. Accidents and incidents were monitored so any trends could be identified, and action taken to reduce any risks.

Staff were available to people and demonstrated good knowledge about people living at the home. People were supported by staff to have their medicines and records were maintained of medicines administered. Staff maintained good hygiene and used protective clothing when appropriate.

Staff told us they were well trained, and this helped them meet people’s needs. They said training updates were regular, so their knowledge was up to date. Staff understood the importance of ensuring people consented to the care and support they received, or where they lacked capacity was in their best interests. The registered manager was aware of their responsibilities regarding the action they should take if there were any restrictions needed to promote people’s safety and the person may lack capacity to consent to these.

People enjoyed a choice of meals and were supported to access professional healthcare outside of the home, for example, visits from or to their doctor and community health teams. Any changes to their care needs due to healthcare involvement were noted and followed through by staff.

We saw people were relaxed around the staff supporting them. We saw positive interactions and staff showed us that they knew the interests, likes and dislikes of people. People were supported to enjoy various activities and staff ensured that they were respectful of people's choices and decisions.

People and staff told us that the management team were approachable and if they had any concerns they would be listened to. People and staff and were positive about the overall service.

The provider ensured there were regular checks completed to monitor the quality of the care that people received, and we saw continued improvements had been made since the last inspection.

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

Inspection areas

Safe

Good

Updated 26 March 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 26 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 26 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 26 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 26 March 2020

The service was well-led.

Details are in our well-led findings below.