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Eastwood House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 29 October 2019

About the service

Eastwood House is a residential care home providing personal care for up to 19 people. At the time of our inspection there were 12 people living at the home.

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

The home was clean and free from unpleasant odours. Some parts of the building would benefit from being redecorated and some of the lounge chairs need to be replaced as they are stained and ripped. The moving mechanism on some dining chairs was broken.The service has a refurbishment plan in place. All servicing of equipment had been completed, apart from the fire extinguishers. This was out of date.

Medicines were managed and administered safely, although there was not always someone trained in medicines administration on duty at night. This meant a senior person on-call had to attend the home if someone needed medicines, such as pain relief, during the night. The temperature of the medicines room was occasionally higher than recommended for the safe storage of medicines.

Risks to people’s health and safety had been assessed. People had detailed and person-centred care plans in place. However, two people who were at risk of choking did not have information in their care plans about how staff should thicken their drinks and staff did not record that they had added thickener. Staff we spoke with were aware of how much thickener to add.

There were enough staff to provide people with the appropriate level of support. The correct recruitment checks had been carried out when new staff joined the service. Staff had completed training in a range of different topics. The registered manager told us dementia and end of life care would be added to the training programme. Staff had received regular supervision meetings.

There was a relaxed and happy atmosphere in the home. People were cared for by staff who showed kindness, compassion and respect. 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. There were many opportunities for people to take part in activities to occupy their time and provide enjoyment and stimulation. Staff helped people to access healthcare services and receive ongoing healthcare support.

The home had a registered manager, although they had only been in post for six months. Staff were complimentary about the way the home was managed and about the recent changes that had been implemented. Some audits were in place to monitor the quality of the service and the environment. However, these needed to be more robust as they had not identified all the concerns we found during our inspection. The registered manager was aware that further improvements were needed and took immediate steps during our inspection to make some of the required changes.

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 good (report published February 2017).

Why we inspected

This was a planned inspection based on the previous rating. We have found evidence that the provider needs to make improvements.

Enforcement

We have identified one breach of the regulations. This is in the management of risks to people's health and safety.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and 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.

Inspection areas

Safe

Requires improvement

Updated 29 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 29 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 29 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 29 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 29 October 2019

The service was not always well-led.

Details are in our well-led findings below.