25 February 2020
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.
The inspection was carried out by an inspector and an assistant inspector.
Service and service type
Eventide is a ‘care home’. 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 had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was asked to complete a provider information return just prior to this inspection and was yet to submit the document. 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 contacted the local authority commissioners for feedback. They had no concerns about the service.
During the inspection
We spoke with three people who used the service and two relatives about their experience of the care provided. We spoke with four members of staff including the registered manager, team leader and the chef.
We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We looked at the information the provider sent us in the provider information return.
25 February 2020
About the service
Northern Counties Eventide Home Limited (Eventide Home) is a residential care home providing personal care to 21 people aged 65 and over at the time of the inspection. The service can support up to 29 people in one adapted building.
People’s experience of using this service and what we found
The leadership of the service promoted a positive culture that was person-centred and inclusive. We received positive feedback about the quality of care and support people received and the overall management of the service from people and their relatives.
The registered manager and the staff team showed a desire to improve on the service provided and in turn the quality of life experiences for the people living at Eventide. However, the systems in place to monitor the quality and safety of the service were not comprehensive to ensure a quality service was being provided. Documentation in some people’s care records was not accurately recorded or was incomplete and checks had not identified this. Medication audits were not always completed regularly.
Staff treated people with kindness and compassion. The atmosphere was homely and staff knew people well and spoke about them fondly. A programme of activities was provided and access to a minibus enabled day trips to take place. People were supported to follow their faith and attend local churches if they wished.
There was a stable staff team who were knowledgeable about the people living at the service and had built trusting and meaningful relationships with them. People received enough to eat and drink and a diet suitable for their needs. People told us the food and drink on offer was good and that they were given a choice at mealtimes.
Safe recruitment procedures were followed by the provider to ensure staff were safe and suitable to work with vulnerable people. Staff received the training and support they needed to do their job effectively. The number of staff on duty was sufficient to meet people's needs. People told us they felt safe living in the home. Staff were kind and caring and knew how to safeguard people from the risk of abuse.
People were supported to have maximum choice and control of their lives and staff them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 14 February 2019). At their last inspection we identified breaches of regulations 12 (Safe care and treatment) and 17 (Good governance). The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulation 12 (Safe care and treatment). Enough improvement had not been made and the provider was still in breach of regulation 17 (Good governance).
The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.
Why we inspected
This was a planned inspection based on the previous rating.
Please see the action we have told the provider to take at the end of this report.
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.