We carried out a review of the data available to us about Eve House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Eve House, you can give feedback on this service.
We found the following examples of good practice.
¿ Visitors to the home (professional and relatives) must comply with rules to be allowed entry. These include having their temperature taken and the donning of Personal Protective Equipment (PPE). If relatives wished to visit their family member this would be enabled by making an appointment in advance.
¿ Staff encouraged people to social distance by encouraging them to spend their time in different rooms. Single occupancy bedrooms, en-suite facilities and good ventilation reduced infection risk.
¿ Staff would follow defined processes to ensure people could be admitted to the home safely. These processes included the person having a negative COVID-19 test and a period of self isolation.
¿ COVID-19 test kits were plentiful. Staff were required to take a COVID-19 test three times a week and people were tested every 28 days. Where people or staff tested positive, they were required to self-isolate in line with current guidance.
¿ Staff had access to plenty of PPE. PPE was available throughout the home.
¿ Two hourly cleaning of high touch areas such as door handles, light switches and handrails was maintained. The home had equipment and cleaning products to maintain a clean and safe environment.
¿ Staff received training which included, specific COVID-19 awareness, COVID-19 testing and donning and doffing of PPE.
¿ The provider's Infection Prevention Control (IPC) policy and risk assessments were reviewed and updated when new government guidance had been issued.
Improvement action plan issued following the previous inspection
Where we asked the provider to complete an improvement action plan following the last inspection, include the text below, adapting where necessary:
'Following the last inspection, Focused inspection 'We undertook an announced / unannounced focused inspection of No risks, concerns or significant improvement were identified in the remaining Key Questions through our ongoing monitoring or during our inspection activity so we did not inspect them. The ratings from the previous comprehensive inspection for these Key Questions were included in calculating the overall rating in this inspection' Comprehensive or focused inspection Where breach topic has moved to a different key question in Next Phase When we completed our previous inspection on DD/MM/YYYY we found concerns relating to Provide a brief overview of the service (e.g. Type of care provided, size, facilities, number of people using it, whether there is or should be a registered manager etc). Service Types and descriptions Care at Home services Domiciliary care agency This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats in the community [and specialist housing]. It provides a service to [older adults], [younger disabled adults], [children]. Provider of care to people living in specialist housing Location proving care to people housed under supported living arrangements This service provides care and support to people living in [a] [insert number of] 'supported living' setting[s], so that they can live in their own home as independently as possible. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support. Location proving care to people living in extra care housing This service provides care [and support] to people living in specialist 'extra care' housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is [bought] [or] [rented], and is the occupant’s own home. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people's personal care [and support] service. Describe the specialist housing setting[s] people live in, there are some examples below: People using the service lived in… [number] ordinary flats and bedsits across [town/city/area] a single 'house in multi-occupation' shared by [number] people [number] of [bedsits], [flats], [houses], [and] ['houses in multiple occupation'] across [town/city/area] a large gated community on the outskirts of [city] Where the service supports people living in houses in multiple occupation (HMOs), add: Houses in multiple occupation are properties where at least three people in more than one household share toilet, bathroom or kitchen facilities. Give a summary description of the houses, the facilities that are shared, and either the number or the range of numbers who share them. Include information about any office or sleep in arrangements. Give less detail and more summarised information where larger numbers of HMOs are supported. Do not provide a detailed, estate agent style description of the premises lived in by people using the service; only an outline summary able to broadly explain the context in which it provides regulated activity All Care at Home services Where needed, explain that not everyone using the service receives personal care, for example: Not everyone using [service name] receives regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. Residential care home [Care home name] is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Describe the care home's premises, for example: (The care home) accommodates xx people in one adapted building. (The care home) accommodates xx people across three separate units, each of which have separate adapted facilities. One of the units specialises in providing care to people living with dementia. Do not provide a detailed, estate agent style description of the premises; only an outline, broad summary. Services for people with learning disabilities and autism 'The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.' Registering the Right Support CQC policy You will need to reflect where a service does not conform to Building the Right Support and Registering the Right Support guidance. It is very difficult for large services for people with autism to meet the standards. Complex or multiple service location If you are inspecting a complex, multiple service type location you will need to adapt and edit the above paragraphs as needed, probably substantially. N.B. If there is or should be a registered manager include this statement to describe what a registered manager is: '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.' Give a summary of your findings for the service, highlighting what the service does well and drawing attention to areas where improvements could be made. Where a breach of regulation has been identified, summarise, in plain English, how the provider was not meeting the requirements of the law and state 'You can see what action we told the provider to take at the back of the full version of the report.' Please note that the summary section will be used to populate the CQC website. Providers will be asked to share this section with the people who use their service and the staff that work there.
Eve House is registered to provide accommodation with personal care to five people with a learning disability, and autistic spectrum disorder. At the time of our inspection five people were using the service.
There was a manager in post and she was present during our inspection. 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 and associated Regulations about how the service is run.
Relatives told us they felt confident that the service provided to people was safe and protected them from harm. People were supported by sufficient numbers of staff that been provided with training and were knowledgeable about how to protect people from harm. People received their medicines when they needed them.
Staff had received training which enabled them to meet people’s needs. Staff applied the principles of the Mental Capacity Act when supporting people. However they needed further knowledge about the Deprivation of Liberty Safeguards and working in the least restrictive way to ensure people’s human rights were respected.
Relatives described staff as caring and kind and we saw people were supported with dignity. Staff were responsive to people’s healthcare needs and alerted health care professionals if they had any concerns. Staff supported people to eat and drink in accordance with their preferences and dietary requirements.
Relatives knew how to raise any concerns and they had confidence that any issues would be addressed. The staff and the registered manager were aware of the signs to look out for which may indicate people were unhappy.
Although the registered manager had made improvements since our last inspection we found further improvements were required. We found that the registered manager had not informed us about a safeguarding incident and ensured staff were aware of the conditions on people’s deprivation of liberty authorisations. The provider had not consistently visited the service to monitor the standards in place and there has been a delay in providing updated training in a timely manner.
Relatives told us they were satisfied with the service provided to people, and described the manager as approachable, kind and caring. Systems were in place to gain feedback from relatives, staff and professionals so that improvements could be made.
This inspection took place on 30 November and 2 December 2015, and was unannounced. At our last inspection in May 2013 the service was meeting the regulations of the Health and Social Care Act 2008.
Eve House is registered to provide accommodation for persons who require personal care for up to five people. At the time of our inspection four people were living there. People who use the service had a range of needs which include learning disabilities, physical disabilities and autistic spectrum disorder.
There was a registered manager in post and she was present during our inspection. 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 and associated Regulations about how the service is run.
Although relatives told us they thought their family member was safe, there was times when there were not enough staff to meet people’s needs. This impacted on the support that people received.
The recruitment procedures need to be improved to ensure people are consistently safeguarded as we found that one staff member commenced employment before all of their recruitment checks were received.
Staff were knowledgeable about how to protect people from harm. People received their medicines when they needed them.
We found that staff had not all completed refresher training to ensure their knowledge and skills were up to date.
The staff worked with a range of health and social care professionals to ensure people’s health needs were met, for example psychiatrist and nurse specialists.
People’s consent was sought before staff provided support.
We found that where people lacked capacity and their human rights were being restricted the provider followed the Mental Capacity Act 2005 (MCA) legislation and ensured that the appropriate approval process was in place. However, staff skills and knowledge was limited due to not having received appropriate training in the MCA and the Deprivation of Liberty Safeguards.
Staff knew people well and interacted with them in a kind and compassionate manner. People’s privacy and dignity was respected by the staff supporting them.
People did not always have an opportunity to engage in meaningful activities due to the availability of staff.
Not all of the people living in the home had a personalised plan of care detailing their needs and preferences to guide staff on how they wanted to be supported.
Feedback was being sought from relatives and stakeholders as part of the provider’s quality assurance system.
Quality assurance systems were not always effective and did not identify the shortfalls we found during this inspection.
Relatives told us that they were involved in the care planning process and consented to the care people received. One relative said, 'Yes I did sign to consent to the care my son got'.
We observed staff interacting with people to ensure their needs were met. One relative said, 'The care is second to none'.
Records showed that there was sufficient numbers of staff to care for people and they were suitable qualified and trained.
The provider had a system in place to enable complaints and comments to be investigated and trends monitored.
We saw accurate records related to people's care needs and staffing were maintained.
We spoke to two health and social care professionals who have visited the home. The people living at the home were unable to talk to us so we carried out a Short Observational Framework Inspection (SOFI). A SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.
We observed during our visit we found that care workers treated the people with dignity and respect. Care workers were kind and caring in their approach and supported the people in a respectful manner.
Records confirmed that regular meetings were held between staff and external professionals to review the care of people living at the home.
Health and social care professionals spoken to told us they had no concerns about the care being provided at Eve House. One health and social care professional told us; 'Very good at working with someone with complex health needs and very good at spotting changes in their needs and getting the appropriate advice'
Care workers spoken with were able to describe the care they give to people and what they would do if they had concerns about anyone's health and welfare needs.
Care workers need training in safeguarding, so they have a full awareness of what is required of them to protect and promote someone's rights.