Emmanuel Care Home

Updated 18 December 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was carried out by two inspectors and one assistant inspector.

Service and service type

Emmanuel Care Home 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.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with four people who used the service and three relatives about their experience of the care provided. We spoke with nine members of staff including the registered manager, area manager, assistant manager, team leader, two care workers, chef, a maintenance and a domestic member of staff. We also spoke with two visiting health professionals. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 18 December 2019

About the service

Emmanuel Care Home is a residential care home providing personal care to people living with dementia and or aged 65 and or over. The service can support up to 44 people, at the time of inspection 32 people were living at the service.

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

Improvements had been made since the last inspection, however further time was needed for the improvements to be fully embedded. Surveys were taking place to gather people’s views; however, these had not always been fully explored to ensure people’s feedback was used to improve the service. Audits were taking place, but they had not identified some of the issues found by the inspection team that required further improvement.

People told us they felt safe, there was sufficient staff to meet people needs. Risk assessments had been carried out to mitigate the risks to people. The service was clean and tidy. Medicines were managed safely. However, records required further improvement.

Staff received regular training and supervision to ensure they had the skills and support for their role. 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.

People were supported by kind and caring staff, who knew them well. People’s privacy and dignity was maintained.

Activities were available for people to participate in and these were organised in relation to peoples, hobbies and interests. Complaints had been responded to in line with the providers policies. People’s wishes at end of life had been explored.

We received positive feedback about the improvements the service had made since the last inspection. Staff were positive about the support they received from the management team.

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

Rating at last inspection and update: The last rating for this service was requires improvement (published 23 November 2018).

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.