We carried out a review of the data available to us about Edwin 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 Edwin House, you can give feedback on this service.
Edwin House is a residential care home providing accommodation for persons who require
personal care and/or treatment for substance misuse. A maximum of 63 people are permitted to stay at the service.
The service provides support to people with a wide range of ages with varying levels of treatment and support required for their substance misuse. This is provided across two separate buildings. Edwin House focuses on providing up to 43 people with the initial accommodation required. The Level is a medically managed inpatient detox unit that provides individually tailored programmes of treatment and care for people who need medically assisted stabilisation or detoxification from alcohol or other substances. The Level accepts referrals from specialist community drug and alcohol teams located throughout the UK, and accommodates up to 20 service users.
At the time of the inspection 31 people resided at Edwin House and 8 at The Level.
People’s experience of using this service and what we found
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 told us they received safe care and treatment. Measures were in place to protect people from the risk of abuse. Risks to people's health and safety were assessed, monitored and changes acted on. People were supported through a robust programme that assisted them with trying to end their substance misuse.
There were enough skilled, trained, and experienced staff to provide safe care. Recruitment was on-going at Edwin House. It was acknowledged that agency staff use was high, but plans were in place to address this. There was no impact on the quality of care provided. Medicines at The Level were well managed. Edwin House had similar measures in place to manage people’s medicines safely, although there were some issues with the administration and management of ‘when required’ medicines. This was rectified during the inspection and will be checked at our next inspection.
At Edwin House, some people’s bedrooms were unclean and posed an infection control risk. However, the people affected had the capacity to make their own decisions. Records showed staff had on numerous occasions attempted to work with people to clean their bedrooms. This attempted support continues. There were no concerns with people’s bedrooms at The Level.
Communal areas at Edwin House and The Level were clean and tidy and procedures were in place to reduce the risk of the spread of COVID-19 and other infections. Learning from accidents and incidents took place, appropriate notifications were forwarded to the relevant authorities.
There was a clear structure in place for monitoring risk, assessing staff performance, and driving improvement and development. There were two registered managers in place, one for Edwin House and one for The Level. They were supported by senior management to carry out their role. The registered managers understood and adhered to the regulatory requirements of their role. They were well liked by the people they supported and staff. The provider acted on feedback from people and staff.
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 good (published 19 September 2019)
Why we inspected
We received concerns in relation to the cleanliness of people’s bedrooms and the support people received with personal care at Edwin House. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has remained as good based on the findings of this inspection.
We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the Safe and Well-led sections of this full report.
We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections event if no concerns or risk have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Edwin House on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Edwin House is a residential care home providing personal and nursing care and accommodation for persons who require treatment for substance misuse. The home is registered for 63 people, 48 on residential care and 15 on the nursing unit which was not in use. There were 43 people living at the service at the time of our inspection.
The home spans over two buildings, one being for longer term residents and those who require nursing care. At the time of our inspection the service did not have anyone receiving nursing care.
The environment was safe, clean and suitable for people’s needs. Medicines were managed, administered and disposed of safely. The electronic medicine monitoring system supported a good oversight of medicines management.
People’s right to make their own decisions was respected. People were supported to access healthcare services if needed. Staff had appropriate skills and knowledge to deliver care and support in a person-centred care. People were supported to have enough to eat and drink.
Staff referred to people in a respectful manner. People were complimentary about staff and the positive relationships they had with them. Staff respected people’s dignity and privacy and people were supported to be as independent as possible.
The service was managed by a registered manager who had a clear vision about the quality of care they wanted to provide. Staff were aware of their roles and responsibilities. A range of quality assurance checks were carried out to monitor and improve the standards.
The provider had acknowledged improvements that were required and had put measures in place to make the required improvements. This was being implemented at the time of our inspection and we saw that new processes had been implemented to bring about positive change.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This was a first full comprehensive inspection for Edwin House since its registration on 12 February 2018. This inspection was scheduled in line with our timescales for inspecting newly registered services.
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.