Euroclydon Nursing Home

Updated 14 July 2023

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

Two Inspectors and an Expert by Experience carried out the inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Euroclydon Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under 1 contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

There was a registered manager in post at the time of our inspection.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We considered the feedback from the local authority and professionals who work with the service. We used the information the provider sent us in September 2022 in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

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 spoke with 9 people who lived or were staying at Euroclydon Nursing Home. We spoke with 4 people’s relatives about their experience of the care and support provided by the service.

We spoke with 12 staff which included the registered manager, clinical lead, activities coordinator, 2 senior care staff, 4 care staff, 1 head housekeeper, 1 housekeeper and the chef. We also spoke with the nominated individual for the provider. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included 6 people's care records. A variety of records relating to the management of the service, including policies and procedures were also reviewed. We reviewed 3 staff recruitment and personnel files.

We continued to seek clarification from the management team to validate the evidence found. We sought feedback from 2 healthcare professionals involved with the service.

Updated 14 July 2023

About the service

Euroclydon Nursing Home is a care home providing accommodation to persons who require nursing or personal care, for up to 48 people. The service provides support to older people and people living with dementia. At the time of our inspection there were 36 people using the service. People are accommodated in one adapted building.

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

People and their relatives told us they felt Euroclydon Nursing Home was safe and that staff responded to their needs. Staff had received training in recognising safeguarding concerns and knew the actions to take to protect people from harm. Nursing staff engaged with external healthcare professionals to ensure people received timely care and support that was appropriate to their needs.

People’s needs were known by staff. Staff spoke positively about people and the support they required. People’s care plans were reflective of their needs and the support they received.

People and their relatives spoke positively about the registered manager and clinical lead and the caring culture of the staff. Staff spoke positively about the support they received from the management team.

Safe recruitment practices were in place. The registered manager and provider ensured appropriate checks were being carried out to ensure staff were of good character.

There were enough staff deployed to meet people’s needs. Staff, people and relatives spoke positively about the staffing at Euroclydon Nursing Home.

The provider had infection control procedures in place to protect people and prevent the spread of infection.

We observed positive interactions between people and staff throughout our inspection. People living in the home clearly enjoyed the time they spent with staff and others. People enjoyed the engagement and activities provided by staff and others.

Incidents and accidents were reviewed to reduce the risk of a reoccurrence. Complaints were responded to appropriately and opportunity was made to identify and make improvements.

The manager and deputy manager ensured appropriate action was taken when people lacked capacity in accordance with the Mental Capacity Act. Staff supported people in the least restrictive way possible and in their best interests.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence, and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

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 20 December 2022).

Why we inspected

We carried out an unannounced inspection of this service on 7 and 8 November 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve people’s person-centred care and their good governance systems.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Responsive and Well-led which contain those requirements.

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 changed from Requires Improvement to Good. This is based on the findings at this inspection.

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 COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Euroclydon Nursing Home 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.