Archived: Eversleigh Residential Care Home

Updated 21 August 2018

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

This inspection took place on 12 July 2018. The inspection was unannounced and carried out by one inspector, a specialist advisor who is a registered nurse and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. Prior to our inspection we reviewed the information we held about the service and provider. This included notifications received from the provider about deaths, accidents and safeguarding. A notification is information about important events that the provider is required to send us by law. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also contacted the local authority who commissions the service to obtain their views. We used this information to help inform our inspection planning.

During our inspection we spent time observing the support provided to people in communal areas. 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 also spoke with five people using the service, four visiting relatives and ten members of staff including the manager, deputy manager, senior care staff, care staff, kitchen, domestic and maintenance staff. We looked at six people’s care plans and records, three staff records and records relating to the management of the service such as audits and policies and procedures. We also looked at areas of the building including communal areas and external grounds.

Updated 21 August 2018

This inspection took place on the 12 July 2018 and was unannounced. Eversleigh Residential 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.

Eversleigh Residential Care Home provides personal care support and accommodation for up to 30 older people, some of whom have physical or mental health needs and/ or live with dementia. At the time of our inspection there were 20 people using the service. There was a manager in post and they were in the process of registering with the CQC to become the registered manager for the service. 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.

At our last inspection of the service on 25 and 30 August 2017 the service was rated as Requires Improvement. This was because we found a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Medicines were not always managed, stored and administered safely and appropriately.

At this inspection we found the service had made the required improvements and demonstrated that they met the regulations and fundamental standards.

Medicines were now managed, administered and stored safely. Risks to people were assessed and managed safely by staff. People were protected from the risk of abuse, because staff were aware of the types of abuse and the action to take. There were systems in place to ensure people were protected from the risk of infection. Accidents and incidents were recorded and acted on appropriately. There were safe staff recruitment practices in place and appropriate numbers of staff were deployed to meet people’s needs in a timely manner.

There were systems in place to ensure staff were inducted into the service appropriately. Staff received training, supervision and appraisals that enabled them to fulfil their roles effectively. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. Staff were aware of the importance of seeking consent and worked within the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. The home environment was suitably adapted to meet people’s needs and equipment was available for people who required it. People’s nutritional needs and preferences were met. People told us they had support to access to health and social care professionals when required.

People and their relatives told us staff treated them well and respected their privacy and dignity. People were involved in making decisions about their care and had care plans which reflected their needs and preferences. There was a range of activities available to meet people’s interests. The service worked in partnership to provided care and support to people at the end of their lives where possible. People’s care plans were reviewed and monitored on a regular basis to ensure they were reflective of their current needs. People and their relatives were provided with information on how to make a complaint. The service worked with health and social care professionals to ensure people’s needs were met. There were systems in place to monitor the quality of the service provided. People’s views about the service were sought and considered. People, relatives and staff spoke positively of the care and support provided and the management and running of the home.