Updated 8 February 2023
The inspection
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 Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The service was inspected by 1 inspector
Service and service type
Eastham is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Eastham is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was not a registered manager in post. However, the service was being managed by a new manager.
Notice of inspection
This inspection was unannounced.
Inspection activity started on 7 December 2022 and ended on 21 December 2022. We visited the service on 12 December 2022.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We used observation of people’s care and the outcomes for them during the inspection visit. This was to help us understand the experience of people who could not talk with us.
We spoke with 4 people who used the service about their experience of the care provided. We spoke with 3 care staff, a domestic and maintenance staff member, the manager, regional operations director and the person responsible for providing external management support to the new manager.
We looked at 2 people’s care plans to see people's risk assessments and recorded care needs and 2 staff recruitment files to review the provider’s recruitment practices. We reviewed the service’s quality assurance systems and health and safety information and audits.
Following the inspection visit, we continued to seek further clarification from the manager and regional operations director to validate evidence found and additional information was provided.