You are here

Edensor Care Centre (Diagrama Healthcare) Good

The provider of this service changed - see old profile

Inspection Summary

Overall summary & rating


Updated 5 February 2020

About the service

Edensor is a residential nursing home, registered to support 48 older people in one building, some of whom may be living with dementia. On the date of our inspection, 34 people were being supported by the service.

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

Staff had a good understanding of how to protect people from abuse and policies and processes in place protected people.

People were supported by staff who understood the risks to their health and well being and how to mitigate these safely.

Medicines were stored and managed safely by competent nursing staff who carried out regular medicine audits.

The environment was safe and regular checks ensured this remained so.

Staff respected people’s right to choose how they were supported. Staff understood the principles of the mental capacity act 2005 and how to apply them.

People enjoyed good meal time experiences by staff who understood their nutritional needs and risks to people’s physical health.

The provider had invested in staff training which had a focus to improve person centred care provision, for those people living with dementia. Systems in place ensured staff remained updated for mandatory training.

Staff at all levels were exceptionally caring, and often went the extra mile to ensure people and their loved ones felt cared for. Staff respected people’s privacy and dignity and care practices supported this.

People were cared for by staff who understood the importance of individualised person-centred care. Training provided to staff focused on working with people’s strengths and being creative to manage those areas that caused distress.

The provider had created a service which ensured people had access to excellent activity staff who planned meaningful and engaging activity to promote independence and mitigate social isolation.

The registered manager and clinical leaders had worked hard to make improvements at the service and had robust action plans to continue to enhance people’s quality of lives.

Systems and processes in place to monitor the quality of the environment had improved and there was good oversight from the registered manager, provider and clinical leaders.

The service was open and transparent and worked well with external health care professionals, constantly seeking how to improve the care they provided.

Staff, people and relatives told us the service was well led and managers were visible, approachable and would act on any concerns they raised.

MCA all reports

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.

Rating at last inspection and update

The last rating for this service was requires improvement (published 24 October 2018) and there were two breaches of regulation. This was the second requires improvement rating for this provider. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas



Updated 5 February 2020

The service was safe.

Details are in our safe findings below.



Updated 5 February 2020

The service was effective.

Details are in our effective findings below.



Updated 5 February 2020

The service was exceptionally caring.

Details are in our caring findings below.



Updated 5 February 2020

The service was responsive.

Details are in our responsive findings below.



Updated 5 February 2020

The service was well-led.

Details are in our well-Led findings below.