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Evelyn May House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 25 January 2022

About the service

Evelyn May House is a care home providing personal care and accommodation for up to 59 people. On the day of inspection, 56 people were using the service. The service does not provide nursing care.

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

People and relatives mostly told us they had positive experiences of the service. One relative told us, “Staff are amazing so happy and patient in their work.” One person told us, “I have met some lovely people here. I enjoy knitting and being up and about with my friends.”

Documentation in care plans did not always contain all the information staff needed to support people safely. Some information required more detail to provide person centred care. Where information was in care records this was not always followed safely.

Systems had been put in place to make improvements to safeguarding referrals to the local authority where required for investigation. There was enough staff available to support people who had been safely recruited. Medication was managed safely by staff.

The manager was actively working to review the service and make improvements where needed. Systems at the service where being developed to provide oversight.

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 (published 21 November October 2019).

Why we inspected: We received concerns in relation to staffing levels. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection. We have found evidence that the provider needs to make improvement. Please see the safe and well led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Evelyn May House on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we 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 25 January 2022

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 25 January 2022

Caring

Good

Updated 25 January 2022

Responsive

Good

Updated 25 January 2022

Well-led

Requires improvement

Updated 25 January 2022

The service was not always well led.

Details are in our well led findings below.