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Archived: Ecclesholme

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Inspection Summary


Overall summary & rating

Updated 17 September 2014

Ecclesholme Care Home is situated in the Eccles area of Manchester and provides care and support for 50 adults. The home does not provide nursing care. The home is a three storey purpose built home set in its own grounds with safe and secure garden areas. Car parking at the front of the home is available.  The home is close to shops and other local amenities.

Below is a summary of what we found. The summary is based on our observations during the inspection, discussions with people who use the service, their relatives, the staff supporting them and the records we looked at.

At the time of our inspection 46 people were living at the home. The manager told us 36 of those people had a dementia related illness.

Systems were in place to ensure that people were protected against the risk of potential harm or abuse. Staff had access to policies and procedures to guide them in areas such as safeguarding from abuse, Mental Capacity Act 2005 (MCA), deprivation of liberty safeguards (DoLS), confidentiality and recruitment.

Effective recruitment procedures were in place so people were safe and their health and welfare needs were met by appropriately recruited staff.

Sufficient numbers of staff were on duty to ensure people were supported. Staff had undertaken appropriate training in areas such as moving and handling, dementia awareness, infection control and end of life care.

We found the care records provided staff with information about the individual needs of people and directed staff on how care and support was to be delivered.  We saw care records were safely and securely stored to maintain confidentiality.

We saw arrangements were in place to ensure people were supported to have adequate nutrition and hydration. People were provided with a choice of food and drinks.

We saw people were offered a wide range of activities both in the home and within the local community.

We saw privacy and dignity was respected when staff supported people with their personal care needs. Staff were seen to escort people to their own room or bathroom so care could be provided in private.

Suitable arrangements were in place to monitor the quality of the service to check people were receiving a good quality service. The home was maintained to a good standard with a rolling programme of decoration and refurbishment. Maintenance checks were made to premises and to the servicing of equipment helping to ensure people were kept safe.

Inspection areas

Safe

No action required

Updated 17 September 2014

Staff received training in a number of areas, including moving and handling, dementia and first aid in order to enable them to deliver care safely. Staff had received training in the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. The manager was aware of the procedures and the legal requirements to follow if a situation arose where a person needed to be deprived of their liberty ensuring their human rights were upheld.

Staff had undertaken training in safeguarding; this had been updated as required. Staff with whom we spoke with had a good understanding of whistleblowing procedures and knew who to speak with if they had any concerns. 

We saw staff responded quickly and efficiently to attend to people’s needs. There were enough staff on duty to meet the needs of the people living at the home. This meant staff had time to sit and spend time with people chatting.

Risk assessments were in place for each person who used the service. There was clear guidance for staff on how to manage each individual risk so that people were protected against potential harm or injury.

Checks were carried out at regular intervals to ensure staff were following people’s care plans and that the information was current and up to date.

We saw rigorous recruitment procedures were in place when employing new staff. Information was accurate and suitable checks had been carried out to help protect people from any form of abuse.

Effective

No action required

Updated 17 September 2014

People had an individual care plan in place. Information included personal details, health, and medication and identified areas of risk and how these were to be managed. This helped ensure people received safe and effective care. We saw staff responded to people’s needs effectively and efficiently.

We saw in the care plans where people were able to make their own decisions about their care and welfare. Systems were in place for people who required assistance with decision making.

We saw evidence within the care plans of people’s individual abilities and strengths and what assistance was required by staff to help people achieve their goals. We saw the care plans had been regularly updated and any amends to the plan of care had been documented.

People’s needs were taken into account with appropriate signage to help with orientation around the building. The layout and design of the building enabled people to move freely around the home. There were quiet areas so people could have time alone or to meet with their visitors.

Ecclesholme is a Masonic home, therefore fellowship meetings were arranged so masons could still participate in group meetings. The home welcomes people who are not masons.

The programmed TV set in the reception area provided people with daily information of who was visiting the home and events taking place. Other information and leaflets were available about the service and the care and support provided.

We saw systems were in place to ensure staff received training and support. Staff had undertaken health and safety training and refresher dates were planned on the training matrix as required.

Staff meetings were held on a regular basis and minutes of the meetings had been recorded. Staff supervisions and annual appraisals had been completed and recorded. These meetings enabled staff to discuss any concerns and further training and development they wished to be considered for.

Caring

No action required

Updated 17 September 2014

We saw staff interacting with people in a kind and respectful manner. They took time to observe body language and facial expressions so that they to ensure they were delivered care in accordance with people’s wishes.  People told us the staff were very kind and they were caring.

We saw staff had time to engage with people and staff were seen sat chatting and helping with activities.

We observed staff treated people with dignity and respect when supporting them with care and when entering their bedrooms. We saw staff knocking on doors and waiting for a response before entering.

We spoke with one of the district nurses who was visiting some people at the home. They told us they had no concerns about the care their patients received.

Responsive

No action required

Updated 17 September 2014

People were encouraged and supported to make decisions for themselves. For others were decision making was difficult the staff worked closely with family members and healthcare professionals to help ensure they were supporting people appropriately. If required independent advocates would be involved to act in people’s best interests.

The home had a complaints procedure advising so people and visitors how they could raise any concerns or complaints and know how these would be dealt with.

We saw a wide range of activities were available both in and outside the home. We saw people enjoying a reminiscence session with a member of staff and displays of arts and crafts were on view around the home

We saw arranged visit dates from local churches when clergy would be visiting the home for holy communion and prayers so people’s spiritual and religious needs were met.

Well-led

No action required

Updated 17 September 2014

Communication between the management and staff was good and we were told the manager had an’ open door’ policy so people living at the home, their relatives and staff could approach the manager at any time. Staff with whom we spoke told us they felt confident in approaching the manager if they had any concerns. We saw evidence of staff supervisions and appraisals for all staff throughout the year.

The quality assurance systems evidenced a significant amount of monitoring, analysis and response to any shortfalls or improvements identified so people living at the home received a good quality of care.

The manager was well supported by senior management who visited the home on a regular basis to carry their own internal audits and monitoring.

The manager notified the Care Quality Commission as required by legislation of any accidents or incidents which may occur at the home and what actions had been taken to ensure people safety.

We saw an adequate number of staff on duty. The manager confirmed staffing levels were regularly reviewed to meet the needs of people living at the home.