Archived: Eboracum House

Updated 2 May 2025

Date of assessment 8 May 2025 to May 28 2025. Eboracum House is a residential care home providing personal care for up to 18 people. There were 16 people living at the home at the time of the inspection. Accommodation is provided over two floors in a detached period building with a large garden. The inspection was prompted in part by notification of an incident following which a person using the service sustained a serious injury. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of risk, environmental safety, the accuracy of written documents and the standard of care.

At this assessment we found 3 breaches of the legal regulations in relation to safe care and treatment, person centred care and good governance. Since our last inspection the service has deteriorated. We found the service did not meet people's needs safely in relation to medication management and infection prevention and control, and did not ensure that records were accurate. The environment and equipment had not been maintained to an acceptable standard. Governance processes at the service had not been effective at monitoring and responding to risk. Our finding’s showed people were not given choices or consulted, and support was task orientated. People were not always encouraged to be as independent as possible. The culture at the service required improvement to ensure people received person-centred care.

We have rated this service inadequate, and this service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.

Updated 2 May 2025

We received mixed feedback from people living in the home and their visiting relatives. most of the feedback was very complimentary regarding how nice the staff were and about the care that people received, however, we found several areas for concern including where risks to people's health and people’s safety and welfare were not appropriately managed.

Relatives spoken with felt their family members were safe. One person said, “[Relative] feels happy there, they can’t do enough for them. [Relative] feels safe.” Most people spoken with made positive comments about the staff. Comments included, “The staff and everything are lovely its personalised care” and “It is a good home really; it is a lovely home with personalised care. Really good staff they ring if anything is wrong.”

People had individual risk assessments in place. However, people’s risks were not always managed effectively. People made positive comments about the quality of food. However, some people’s nutrition and hydration needs were not always being met.Our finding’s showed people were not given choices or consulted and some support was task orientated. People were not always encouraged to be as independent as possible. People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

We identified serious concerns, that impacted on people’s care and support they received. For example, care plans lacked detail for staff to be able to deliver safe care and treatment that met people’s needs, and we found medicines were not safely managed, people did not receive their medicines as prescribed.