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Review carried out on 8 July 2021

During a monthly review of our data

We carried out a review of the data available to us about Eden View on 8 July 2021. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.

This could change at any time if we receive new information. We will continue to monitor data about this service.

If you have concerns about Eden View, you can give feedback on this service.

Inspection carried out on 15 September 2017

During a routine inspection

Eden View provides accommodation, nursing and personal care for up to 10 people, who have a learning disability or acquired brain injury. The home is built on two floors and has a number of both large and small sitting and dining areas where people can choose to sit. At the time of this inspection there were nine people living at the service.

At our last inspection the service was rated as good. At this inspection we found the service remained good.

At the time of our inspection, the two people who were registered as the managers of the service were no longer working in the service. We were still waiting to receive an application to cancel their registration. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. There was a newly appointed manager in post who was in the process of applying for registration.

People continued to be safe because potential risks to people were assessed and minimised and staff understood their responsibility to protect people from avoidable harm. There were enough staff on duty to meet people's needs and staff recruitment ensured that only staff suitable to work at this service were employed. Staff continued to receive an induction, training and support that ensured they could do their job well.

Medicines continued to be managed safely and people received their medicines as prescribed.

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

People's nutritional needs continued to be met and people were supported to have enough to eat and drink. A range of healthcare professionals visited the service to support people to maintain good health.

People were cared for by staff who treated them with warmth, kindness and compassion. Staff showed they genuinely cared about the people they were looking after. They respected people's privacy and dignity and encouraged people to be as independent as they could be. Visitors were welcomed and also had warm, friendly relationships with the staff.

Care plans were personalised and gave staff guidance on the care each person needed. People were encouraged to participate in activities and interests of their choice.

People and their relatives knew who to speak to if they were not happy with the service and were confident their complaints would be addressed.

People, staff and visitors to the service were encouraged to put forward their views about the service being provided. The quality of the care was monitored by a range of audits that were carried out regularly.

Further information is in the detailed findings below.

Inspection carried out on 22 July 2015

During a routine inspection

Eden View is registered to provide accommodation for up to 10 people who require nursing or personal care. The service is provided for people who have acquired brain injuries or other very complex care needs. At the time of our inspection there were 10 people living at the service. The service is located in the village of Bottisham and offers ample parking and accessible premises for people, staff and visitors.

Accommodation is provided on both floors of the two storey building and all bedrooms are single rooms with en suite facilities.

This unannounced inspection took place on 22 July 2015.

At our previous inspection on 24 October 2013 the provider was meeting the regulations that we assessed.

The service did not have a registered manager in post. The manager had been managing the service since October 2014 and was in the process of becoming the registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The provider had a robust recruitment process in place which ensured that only staff who were deemed suitable to work with people living in the service were offered employment. There was a sufficient number of suitably experienced staff working at the service. An effective induction process was in place to help support and develop new staff.

Staff were trained in medicines administration and had their competence regularly assessed to ensure they adhered to safe practice. Staff had been trained in protecting people from harm and were confident in their understanding of what safe care meant.

The CQC is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) and to report on what we find. The manager and staff were knowledgeable about assessing people’s ability to make specific decisions about their care needs. Authorisations to lawfully deprive people of their liberty were in place.

People’s care was provided with compassion by dedicated staff who knew and understood people’s needs very well. People’s privacy and dignity was maintained by staff using appropriate means. People were supported to make decisions about the subjects which were important to them.

People, their relatives or representatives were involved in planning their care provision. Regular reviews of care were completed. This was to help ensure that people were provided with care and support based upon the person’s latest and most up-to-date care information. Advocacy for people using the service was provided by families and friends.

People were supported to access a range of health care professionals including their GP, dentist, dietician or physiotherapist. Health care professional advice was followed and adhered to by staff. Prompt action was taken in response to the people’s changing health care needs. Health risks to people were regularly assessed and managed according to each person’s needs.

People were supported to have sufficient quantities of the food and drinks that they preferred and staff encouraged people to eat healthily. People were supported with their nutritional and hydration needs with diets which were appropriate for their needs to help ensure they achieved or maintained a healthy weight.

People were supported to raise concerns or suggestions. Staff recognised and knew how to respond to any changes in people’s well-being which could indicate if a person was not happy. Information and guidance about how to raise compliments or concerns was clearly displayed.

Audits and quality assurance procedures in place helped identify areas for improvement and what worked well. Good practice was shared through a range of forums including managers’ meetings any staff meetings. Staff were supported to develop their skills, increase their knowledge and obtain additional care related qualifications.

Inspection carried out on 24 October 2013

During a routine inspection

When we visited we found Eden View to be a safe, busy but organised home. There were staff on the ground and first floor and we saw that people living in the home were either in their bedrooms or other communal areas. One visiting professional told us that people were provided with care from a good mix of consistent staff. They told us that they checked the competency of staff after giving instructions on exercises for some people in the home.

There was evidence that care plans and risk assessments were well written and staff provided effective care for those living in the home. We saw that other professional�s visited when necessary and there was a private physiotherapist in the home during the inspection. One person said: "Staff had got to grips with the vac pump and had training before I arrived and afterwards the staff were checked to make sure they were competent."

One person told us: "It�s lovely here". Another person said: "Staff are my friends. We have a laugh. It's a great place".

Inspection carried out on 28 June 2012

During a routine inspection

All the evidence we received from people using the service, their relatives and visiting health care professionals clearly demonstrated that this was a well run unit where people received good quality care. People particularly liked the unit�s environment and facilities and one person described it as �A palace�. They told us it had been designed well for people who used wheelchairs, making it very easy for them to mobilise around. We received several comments about the good quality of the food: one person was pleased that, despite having to have a liquidised gluten free diet, the food she was given was, �Very tasty�. One person told us, �It�s excellent here- it�s the combination of nice staff, good care, a fantastic building and tasty food�.

We received many positive comments from people�s relatives that we spoke with. One told us, �My wife�s had respite care in many places, and Eden View is by far the best, I really can�t think of anything they could do better�. They told us that staff were really good at communicating with them and always rang them if there was a problem, one commented, �They don�t do anything without my knowledge�. Another stated, �We�ve had no problems in the three years my wife�s been in there, it really is a good place and my wife�s content there�.

A community based tissue viability nurse (a nurse who specialises in managing people�s pressure ulcers) told us that her team had a very good opinion of the unit and one of her patients there had been, �Extremely well looked after�. A visiting chiropodist told us, �It�s one of the best places I visit and people are always really cheerful�.

Inspection carried out on 31 December 2010

During an inspection in response to concerns

Some people were unable to communicate verbally and we needed staff to help us understand. One person indicated they were happy in the home, another that there were things to do. One person who was able to communicate verbally told us "The staff are very friendly, I love it here. Staff are very kind and I feel safe"

One person told us that they do some medical procedures for themselves but other medication is administered by staff. The person was very happy with this arrangement.

Reports under our old system of regulation (including those from before CQC was created)