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Inspection Summary


Overall summary & rating

Good

Updated 5 November 2019

About the service

Eastbury Nursing Home is a care home with nursing for up to 20 people. The home supports people who are over the age of 40 and who have both physical and mental health needs. The home can also care for people who have disabilities or nursing needs as the home provides 24-hour nursing care. At the time of this inspection 18 people were using the service.

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

People were supported by kind and caring staff and people told us they liked living at the home.

The home was clean, and it had a welcoming environment and nice space for people to socialise with each other.

Staff were recruited in line with the providers policies. Staff received training throughout their employment to ensure they had the skills to provide good care and support.

Systems were in place to safeguard people. When risks were identified the home had clear systems to manage the potential risk. People told us they liked the food and they helped to choose the menu. The menu was varied and helped people to have a balanced diet.

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

People were supported to access their healthcare appointments. Staff worked in partnership with health care professionals to ensure people had appropriate support. Referrals were appropriately made to health care professionals if people’s needs changed.

People’s care plans reflected their needs but also their likes and dislikes. Positive behaviour support plans were used by staff to help staff support people and pre-empt incidents. People’s privacy, dignity and independence was respected and maintained by staff.

People were supported to engage in a variety of activities which were individualised to their interests and hobbies. Systems were in place to deal with concerns and complaints. This enabled people to raise concerns about their care if needed.

The home was well managed, the registered manager had implemented a variety of audits which were completed on a weekly or a monthly basis. If an issue was identified an action plan was developed which was clear and highlighted the work which was required to improve the service.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.

The service used no restrictive practices and supported people in line with positive behaviour support principles.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The rating at the last inspection was good (published 8 April 2017)

Why we inspected

This was a planned inspection based on the previous rating.

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

Good

Updated 5 November 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 5 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 5 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 5 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 5 November 2019

The service was well-led.

Details are in our well-Led findings below.