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Eothen Residential Homes - Wallsend Good

Inspection Summary


Overall summary & rating

Good

Updated 10 October 2017

This inspection took place on 28 and 30 June 2017 and was unannounced. This was the first inspection of the service which was registered with the Care Quality Commission in May 2016. Eothen Residential Homes - Wallsend is a care home for people who are living with dementia. It is registered to provide accommodation for up to 52 people. At the time of the inspection there were 42 people using the service.

The home had a registered manager who had been registered since May 2016. 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.

The provider displayed a clear commitment to providing innovative dementia care through research, design, training and support. Working together with a dementia care organisation, the provider designed the environment to maximise people’s independence and wellbeing. People had constant access to safe, enclosed landscaped gardens. People lived in 'households' of up to thirteen people, each with their own kitchen area. This inclusive design meant people could maintain and improve upon their independent skills.

People who used the service and staff dined together to promote the culture of a family home. Staff prepared breakfasts in the household kitchens which enabled people to see and smell their meal being made. People told us the food available in the home was varied and of a good quality. The chef was aware of people's needs. People were able to assist staff with household tasks such as washing or drying up if they wanted to. We saw a number of examples of the provider’s strong emphasis on delivering a home from home experience.

The provider had designed a creative and thorough training program to ensure staff had the skills and knowledge to deliver their model of care. Training focussed on feelings and connecting emotionally with people living with dementia. Staff were animated and passionate when describing the care provided in the home. They told us about dementia experiential training they had attended which included distorting people’s vision and dexterity to help staff to understand how people with dementia may feel.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Applications had been made for Deprivation of Liberty Safeguards (DoLS), where it was considered that people would be unable to keep themselves safe if they were to leave the home unaccompanied.

People had access to a range of healthcare professionals to maintain their health and wellbeing. Staff accompanied people to appointments at the hospital, or at their GPs or dentist. Healthcare professionals we spoke with, who visited the home regularly, were very positive about the care provided at the home.

Appropriate arrangements were in place to protect people using the service from abuse or any concerns in relation to their safety. Staff we spoke with were clear on their responsibilities in identifying and identifying and responding to safeguarding concerns. All staff we spoke with told us they felt any concerns would be properly dealt with by the registered manager.

Risks were well managed. Risk assessments showed a positive response to risk taking where it enriched people's lives. People were supported to be independent and any risks were assessed with mitigating actions identified to ensure people's care was delivered as safely as possible.

There were enough staff to meet people's needs. During our inspection we saw the atmosphere in the home was calm and relaxed and this was confirmed by people and relatives’ feedback. Comments received throughout the inspection were that there were enough st

Inspection areas

Safe

Good

Updated 10 October 2017

The service was safe.

Staff were trained in how to protect people from unnecessary harm. Risks had been appropriately assessed and steps were taken to minimise risks whilst encouraging people to live fulfilled, independent lives. .

Accidents and incidents were monitored and there were enough staff to meet people's needs. Safe recruitment processes had been followed.

Medicines were managed appropriately.

Effective

Outstanding

Updated 10 October 2017

The service was exceptionally effective.

The home had exhibited a commitment to following best practice in dementia care. The environment enabled people to be as independent as possible and staff to provide people with the most effective care. The grounds were spacious, tranquil and provided people with ample choices for where they wanted to spend their time. People had free access to large landscaped enclosed gardens whenever they wished.

Staff ate their meals with people to promote the culture of family living. Breakfasts were prepared in the 'households' so people could see and smell the food on offer. People spoke highly of the food in the home.

The provider placed a strong emphasis on training staff on the needs of people with dementia, focussing on understanding people’s feelings.

Caring

Good

Updated 10 October 2017

The service was caring.

People and relatives described staff as 'kind', 'friendly' and 'caring'. Staff we spoke with displayed a real sense of pride at working in the home, and told us they thought the organisation was very caring.

Relatives told us they felt involved and welcomed at the home. The home organised regular social events for people who used the service and their families.

We saw people were encouraged to be independent. Care records promoted people's dignity and right to privacy.

People's cultural and spiritual needs were taken into account.

Responsive

Good

Updated 10 October 2017

The service was responsive.

People's needs had been assessed and care was planned to meet those needs. Care was provided by a small team of staff who knew people's needs well.

There were a range of activities on offer in the home. Staff supported people to maintain their hobbies and explore new areas of interest.

People and their relatives were aware of how to make a complaint. Records showed the complaints procedure had been followed.

Well-led

Requires improvement

Updated 10 October 2017

The service not always well-led.

A number of notifiable events had not been notified to the Care Quality Commission.

The service was committed to delivering a culture of loving, family orientated care. During the inspection people, relatives, and staff provided us with examples of how this culture was embedded within the care provided.

Staff told us they felt well supported. People and relatives told us they thought the quality of the service was very good.

A registered manager was in place. Feedback about the registered manager and the provider was very positive.

A range of tools were used to monitor, assess and improve the service provided.