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Edward House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 4 September 2020

About the service

Edward House is a residential care home based in Burgess Hill, West Sussex. It provided personal care to 12 older people at the time of the inspection. Some of whom were living with dementia and other health conditions which included diabetes. The home is registered to support up to 22 people. The home accommodated people over two floors. People had individual rooms and had access to communal bathrooms, lounges and a dining room.

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

Oversight of risks, although improved, required further embedding in practice to ensure all risks, for all people, were minimised. This related to the oversight of people’s fluid intake, infection, prevention and control practices of senior staff and the accuracy of records to document staff’s actions and provide assurances of the care people had received.

The leadership and management of the home had significantly improved. The registered manager had improved oversight of people’s care and the running of the home. Actions were taken in a timely manner when there were issues or concerns. There was increased emphasis on improving the culture to improve people’s experiences and care. People, relatives and staff were involved in on-going discussions and were complimentary about the changes made. They told us the atmosphere was happier, and more pleasant. The registered manager welcomed feedback and used this to drive improvements within the home and to people’s care. Staff worked alongside external healthcare professionals to ensure people received appropriate and coordinated care.

People’s care and the management of risks associated to it, had improved since the last inspection. People and relatives told us people felt safe and there were enough staff to meet their needs, and our observations confirmed this. People were supported by suitably qualified staff and received safe and appropriate support which included access to their prescribed medicines. Incidents and accidents were analysed and lessons learned to inform changes in people’s care. When there were concerns about people’s well-being, the registered manager had liaised with the local authority for them to consider as part of their safeguarding duties.

People’s care was person-centred and tailored to their needs and preferences. Staff were provided with improved information about what was important to the person and what they enjoyed doing. Changes had been made to the environment and they spent time in the garden enjoying the outside space. Events had been organised to increase people’s social experiences such as barbecues and themed events. People received care that met their interests and preferences and told us they were happy living at the home.

Rating at last inspection and update

The last overall rating for the home was requires improvement (Supplementary report published 29 May 2020). The home was rated as Inadequate in the key question of Well Led and has been in Special Measures since 28 June 2019. During this inspection the registered manager demonstrated that improvements have been made. The home is no longer rated as Inadequate in any of the key questions. Therefore, the home is no longer in Special Measures.

Why we inspected

We carried out an announced focused inspection on 22 July 2020. We contacted staff and relatives on 20, 21 and 22 July 2020 and undertook a site visit to the home on 22 July 2020. We gave the registered manager and provider notice of the inspection to enable CQC and the registered manager to consider any infection prevention and control protocols due to the COVID-19 pandemic. We also established if people had COVID-19 or associated symptoms.

The provider completed an action plan after the last inspection to show what they would do and by when to improve in relation to the breaches of Regulations 9 (Person-centred care) and 12 (Safe care and treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regu

Inspection areas

Safe

Requires improvement

Updated 4 September 2020

The home was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 4 September 2020

Caring

Requires improvement

Updated 4 September 2020

Responsive

Good

Updated 4 September 2020

The home was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 4 September 2020

The home was not always well-led.

Details are in our well-led findings below.