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Inspection carried out on 4 April 2018

During a routine inspection

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 carried out on 13 June 2016

During a routine inspection

The inspection took place on the 13 and 14 June 2016 and was unannounced.

Edenvale Nursing Home is registered to provide care for up to 35 people. The home is registered with the Care Quality Commission to provide nursing or personal care for older people, physical disability, mental health conditions or people living with a dementia. At the time of our inspection there were 34 people in receipt of care from the provider. The home consisted of two units spread over three floors. The first floor had 10 beds commissioned by the clinical commissioning group as a step up and step down unit. People were admitted to these beds from their home or hospital to enable a period of re-enablement. This reduced the need for people to be admitted to hospital or remain in hospital longer than required.

The home had a manager in place who was in the process of applying to become the registered manager. 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 2008 and associated Regulations about how the service is run.

People using the service we spoke with told us they felt safe in the home and staff were aware of the procedure to take if abuse was suspected.

Staff were recruited safely and records included appropriate checks on them as well as proof of identity to ensure they were appropriate for the role they were employed to undertake.

Medicines were stored and secured appropriately. People told us that they received their medicines on time.

The registered manager was knowledgeable about the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). When people were assessed as unable to make decisions for themselves the MCA process had been followed. DoLS are put in place to protect people where their freedom of movement is restricted to prevent them from possible harm. The registered manager had taken appropriate action for people who needed their movement restricted.

People had sufficient to eat and drink and were supported to maintain a balanced diet. They had access to a range of healthcare professionals and services.

People were looked after by kind and caring staff who knew them well. They were supported to express their views and to be involved in all aspects of their care. People were treated with dignity and respect.

There were a number of quality audits in place to assist the provider in assessing and reviewing the delivery of care in the home. The manager who had recently commenced at the home had identified several areas of improvement that would improve the quality of the service provided. The manager had developed an action plan to address these and set completion dates for each area.

Inspection carried out on 15 January 2014

During a routine inspection

We carried out a routine inspection on 15 January 2014 and there were 34 people living at the home. During our inspection we spoke with the registered manager, four staff members, five people who lived at the home and four visitors.

Care was provided over three floors and all rooms were en suite and single occupancy. The home also provided a short term support facility for people who had recently been in hospital or were admitted from the community requiring additional support to maintain their independence. This was in conjunction with the NHS.

People were able to personalise their rooms with their own possessions and could access their rooms whenever they chose. Many people chose to remain in their rooms throughout the day, however there were three communal lounge or dining areas available for people to use.

We saw that person-centred care plans were in place to support people and staff had a good awareness of people’s needs. People had their care discussed and agreed with them or their representative. Where people were unable to consent to the care they required we saw that the provider had acted in accordance with the legal requirements.

Staff treated people in a kind and gentle manner respecting their dignity at all times.

People we spoke with told us they were happy living at this home. One person said, “The staff are wonderful, they look after me beautifully and I love them all.”

Inspection carried out on 10 January 2013

During a routine inspection

The people we spoke to told us they liked living at the home. They said they were looked after by a caring staff team who listened and spoke to them in a respectful way.

They told us if they had any concerns or wished to raise a complaint they would tell the manager. One person said that that the staff treated them well and were always available to help them with their care.

Visitors we spoke with made us aware they were happy with the care their relatives received. One visitor told us: "This is a beautiful place they really look after my wife and keep me informed with her care”.

We saw that people's privacy and independence were respected. People experienced care based on detailed care plans and risk assessments that documented people’s preferences and met individual needs. We also saw examples of records and delivery of care where improvements were required.

People using the service were protected from abuse as they were supported by a staff team who had appropriate knowledge and training on safeguarding adults. We saw policies on whistle blowing and safeguarding.

There were sufficient numbers of staff. Records showed that staff had received ongoing training and supervision; however, we saw that the frequency of supervision to ensure consistency could be improved.

The Provider had effective systems in place to monitor quality assurance and compliance.

Inspection carried out on 21 February 2012

During an inspection to make sure that the improvements required had been made

People we spoke with told us that they were happy with the care that they received and felt that if they wanted to change anything they could. They told us that the staff were caring and treated them well and were quick to respond to the call bell. They said they liked the food and that they were pleased with the choice. Some people said there was not enough for them to do in the home and that they would like some other entertainment but they were not sure what. They also said that the staff were very friendly and that they had no complaints. We observed that staff were polite, friendly and considerate and their interactions with people were positive.

Inspection carried out on 12 December 2011

During an inspection in response to concerns

Due to an ongoing situation in the service involving other agencies, it was not possible to view all relevant records in connection with the service.

People we spoke with said that staff were respectful and polite. During our visit people were observed being spoken with and supported by staff in a friendly and respectful manner. Some of the people we spoke with told us that the Home Manager had visited them prior to their admission to discuss the support they required. They also told us that their relatives had been able to visit the home first and had received information about the service. They said that when they arrived the Home Manager had been there to meet and greet them.

Some people said they had not been made aware that many of the people they would be sharing the home with had dementia. They said they had not expected this when they moved into the home. Some people told us that they chose to stay upstairs in their rooms as they found the communal areas “noisy” and “a bit frightening”.

People we spoke with told us they were getting most of the care and support they needed and that staff treated them well. They said that staff responded quickly enough if they pressed the call bell, so they were not left waiting for assistance. They told us that a GP visited the home once a week and that the food provided was satisfactory and there was always plenty to eat and drink. Some people told us that staff were kind and did their best, but they were often too busy to talk to them and support them in ways that they would like.