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The Evergreens Care Centre Good

The provider of this service changed - see old profile

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Inspection report

Date of Inspection: 25 April 2014
Date of Publication: 26 June 2014
Inspection Report published 26 June 2014 PDF


Inspection carried out on 25 April 2014

During a routine inspection

At the time of the inspection there were 42 people living at the home. Due to their health conditions and complex needs not all people were able to share their views about the service they received. During our visit we spoke with 10 people who used the service and observed their experiences. We spoke with the registered manager, two nursing staff and six care staff and three relatives of people who used the service. We spoke to Healthwatch and there was no information on held record for this location.

We considered all the evidence we had gathered under the regulations we inspected. We used the information to answer the five questions we always ask;

� Is the service safe?

� Is the service effective?

� Is the service caring?

� Is the service responsive?

� Is the service well led?

This is a summary of what we have found.

Is the service safe?

The provider had effective systems in place to identify, assess and manage risks to the health, safety and welfare of people who used the service and others.

We saw risk assessments had been completed for people who were assessed as being at risk of falls. These risk assessments were held with the care plans of people who used the service and had been read by all members of staff.

We saw people were safe and protected from abuse.

The Care Quality Commission monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. No applications had needed to be submitted at the service. We saw policies and procedures were in place and all staff had received training in the Mental Capacity Act 2005 (MCA) and DoLS.

Is the service effective?

People were treated with respect and dignity. People who used the service were asked about the support they received and if they understood their rights. They were given the information they needed to make an informed decision about their care.

People were supported to have adequate nutrition and hydration and were provided with a choice of what they liked to eat and drink.

Is the service caring?

People's preferences, interests and needs were recorded and staff were able to give

examples of these when we spoke to them.

People's health and care needs were assessed with them and they were involved in this process.

People we spoke with were positive about the care they received from the service.

Comments included, "I have everything I need� and �I am looked after well here�.

Is the service responsive?

There was an effective system in place to record and monitor complaints. Complaints were taken seriously and responded to appropriately.

We saw evidence that care staff identified changes in people's needs and acted to make sure they received the care they needed.

Is the service well led?

We saw there was a manager in post who was registered with the Care Quality Commission.

The staff we spoke with were all aware of the complaints, safeguarding and whistle

blowing procedures. Staff demonstrated how to identify and report abuse. They told us they would immediately report any concerns they had about poor practice and were confident these would be addressed.

The service had a quality assurance system in place that included the use of surveys from people who used the service.