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Inspection Summary


Overall summary & rating

Good

Updated 17 May 2018

This inspection took place on the 04 and 05 April 2018. The inspection was unannounced.

Edenvale Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Edenvale Nursing Home provides accommodation and personal care for up to 35 older people some of whom may be living with dementia. There were 29 people living at the home at the time of this inspection. Accommodation at the home is provided over three floors. There are large gardens and patio area’s which provide a safe and secure private leisure area for people living at the home.

There was a registered manager in place. 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 and associated Regulations about how the service is run.

Relevant recruitment checks were conducted before staff started working at Edenvale Nursing Home to make sure they were of good character and had the necessary skills. However, there were unexplained gaps in staff employment histories.

Staff sought consent from people before providing care or support. The ability of people to make decisions was assessed in line with legal requirements to ensure their liberty was not restricted unlawfully. Decisions were taken in the best interests of people. However, we had not been informed where people had a Deprivation of Liberty safeguarding authorisation in place.

People and their families expressed the view staffing levels needed to be improved especially at weekends. The registered manager and provider were actively recruiting to fill a staff vacancy for a cleaner at the weekend.

People told us they liked the food. People received varied meals including a choice of fresh food and drinks. People were supported and encouraged to make choices and had access to a range of activities.

People felt safe living at Edenvale Nursing Home and risks to people were minimized through risk assessments. There were plans in place for foreseeable emergencies.

Staff had received training in safeguarding adults and knew how to identify, prevent and report abuse. People were supported to take their medicines safely from suitably trained staff. Staff were aware of people’s likes and dislikes and went out of their way to provide people with what they wanted.

Staff received support and one to one sessions or supervision to discuss areas of development. They completed a range of training and felt it supported them in their job role. New staff completed an induction programme before being permitted to work unsupervised.

People were cared for with kindness, compassion and sensitivity. Care plans provided comprehensive information about how people wished to receive care and support. This helped ensure people received personalised care in a way that met their individual needs.

The registered manager maintained a high level of communication with people through a range of surveys and meetings. ‘Residents meetings’ and surveys allowed people and their families to provide feedback, which was used to improve the service. People felt listened to and a complaints procedure was in place.

There were appropriate management arrangements in place. Regular audits of the service were carried out to assess and monitor the quality of the service.

Inspection areas

Safe

Requires improvement

Updated 17 May 2018

The service had deteriorated to requires improvement.

Improvements were needed to ensure recruitment practices were safe.

People and their relatives expressed the view staffing levels were not always safe at weekends and felt more management presence was required at weekends.

Effective

Good

Updated 17 May 2018

The service remains good.

Caring

Good

Updated 17 May 2018

The service remains good.

Responsive

Good

Updated 17 May 2018

The service remains good.

Well-led

Good

Updated 17 May 2018

The service remains good.