Eversley Rest Home

Updated 5 December 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 2 inspectors.

Service and service type

Eversley Rest Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Eversley Rest Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. Although there was a manager in post who had submitted their application to register with CQC.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 3 people living in the service and 3 relatives. We spoke with 8 members of staff including the director, the manager, the deputy manager, senior care staff, care staff, domestic staff and administrative staff. We looked at 4 people's care records and multiple medicine records. We looked at how medicines were stored, administered and recorded. We looked at 3 staff files in relation to recruitment. A variety of records relating to the management of the service, including building safety records, audits and accident and incident records were also reviewed.

After the inspection we continued to seek clarification from the provider to validate evidence found. We held a virtual meeting with the manager to ask further questions.

Updated 5 December 2023

About the service

Eversley Rest Home is a residential care home providing personal care to up to 28 people. The service provides support to adults with a range of needs including people who have dementia. At the time of our inspection there were 21 people using the service.

People’s experience of the service and what we found:

People were not always protected from environmental and building risks. People’s medicines were not always safely managed. It was not clear if there was on-going learning from incidents that had taken place. There were some infection control risks identified. People were supported by enough staff who understood how to keep people safe from harm. People were able to see visitors in the home.

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 did not always support this practice.

The provider had not always identified risks to people and systems in place were not always robust enough in supporting the provider with this. People’s care plans and risk assessments were not always detailed enough. The provider notified CQC about any safety events in line with their responsibilities. The manager understood their responsibilities under the duty of candour. People and their relatives felt involved in care planning. Staff worked well with other health and social care organisations. There was an open culture and the provider was responsive in addressing concerns identified to improve care.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

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 6 May 2021).

Why we inspected

The inspection was prompted in part due to concerns received about the management of people’s care and support needs as well as the management of the service. A decision was made for us to inspect and examine those risks.

We undertook a focused inspection to review the key questions of safe and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Eversley Rest Home on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to people’s safety and the management oversight.

Please see the action we have told the provider to take at the end of this report.

Follow Up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.