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Everley Residential Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 22 August 2019

About the service

Everley Residential Home is a residential care home providing personal care and accommodation to people aged 65 and over who may also be living with dementia. The care home is registered to provide support to 16 people in one adapted building, at the time of inspection 15 people lived at the home.

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

The manager lacked oversight and had no access to action plans and finances. Systems were not effective for monitoring the quality and safety of the services provided. There was good involvement with community professionals. Staff knew how to raise concerns about poor staff practice.

Concerns were identified with infection control, environmental health and lack of maintenance. People received medicines as required however stocks did not always balance meaning medicines were not always safely managed. Improvements were required with recruitment checks and assessment of staffing levels. People told us they felt safe and staff knew people well.

Peoples social needs were not always met, and activities were lacking. The number of complaints were recorded but the detail of what the complaint was, was not always documented. People felt able to talk to staff who would listen to them. End of life preferences were recorded for people.

The provider could not demonstrate that they promoted people’s privacy and dignity. People liked the staff. Peoples religious wishes and beliefs were recorded. Relationships with family were encouraged and maintained.

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 had choice over what they ate, and their nutritional needs were met.

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 requires improvement. (report published 29 August 2018)

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to the premises and equipment and governance at this inspection.

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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 22 August 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 22 August 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 22 August 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 22 August 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 22 August 2019

The service was not always well-led.

Details are in our well-Led findings below.