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Eshcol House Nursing Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 March 2021

About the service

Eshcol House Nursing Home provides personal care for up to 31 predominantly older people. At the time of our inspection the service was supporting 28 people.

The service is a detached three-story building set into a hillside, with ground level access to each floor and sea views.

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

Prior to our inspection we received information of concern that staff were not using surgical face masks while supporting people during the Covid-19 pandemic. We gave notice of our intention to inspect the service from the car park. On entry to the building, we found that current infection control guidance was not being consistently followed. One staff member providing care was wearing a cloth face covering, administrative staff were not wearing face masks and social distancing measures were not respected during staff breaks.

These issues were reported to the registered manager. The registered manager subsequently informed staff that they had to wear surgical face masks, and subsequently we observed staff doing this. In addition, two staff were subsequently appointed as PPE champions with specific responsibilities for challenging staff practices in relation to the use of face masks.

The service was clean and there were additional cleaning procedures in place to limit infection control risks within the service. Additional hand washing facilities had been provided at the service’s entrance and arrangements had been made to enable relatives to visit people safely.

Staff understood their role in protecting people from harm or possible abuse. Accidents had been investigated to identify areas of learning and similar incidents from being repeated. Medicines were managed safely and records regularly audited.

At our previous inspection we made a recommendation in relation to systems for the updating of people’s care plans. At this inspection, we found people’s care plans were accurate and up to date. People were supported to engage with a variety of activities they enjoyed. Complaints received had been addressed and resolved.

The staff team were well motivated and relatives were complimentary of the quality of care provided at Eshcol House. The roles and responsibilities of the staff team, registered manager and provider were clearly defined and well understood. Audits had been completed and quality assurance systems were in the process of being updated.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at the last inspection

The last overall rating for this service was good. (Report published 5 October 2018)

Why we inspected

We undertook this focused inspection in response to information of concern that we had received. This information indicated staff were not following current government infection control guidance.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

We have found evidence that the provider needs to make improvements. Please see the; Safe, and Well led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will request an action plan for 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 11 March 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 11 March 2021

Caring

Good

Updated 11 March 2021

Responsive

Good

Updated 11 March 2021

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 11 March 2021

The service was not always well-led.

Details are in our well-Led findings below.