Archived: Eden House

Updated 7 January 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is 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 15 September 2015 and was unannounced.

The inspection was carried out by one inspector. Before we visited the home we checked the information that we held about the service and the service provider. No concerns had been raised.

Before the inspection we reviewed the information we held about the service. This included notifications regarding safeguarding, accidents and changes which the provider had informed us about. A notification is information about important events which the service is required to send us by law. We also looked at previous inspection reports. We were unable to review a Provider Information Record (PIR) as one had not been requested for this service. The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During our inspection we observed how the staff interacted with people who used the service. We looked at how people were supported to manage their lunch time meal. We reviewed the care records of three people who used the service, looked at staff training records, and records relating to the management of the service such as servicing and maintenance documents, and service policies.

We spoke with all the people who used the service and the member of staff managing the service on the day we inspected. Following the inspection we contacted the learning disability service and the contracting team at the local authority to gather their views of the service. They had no current concerns.

Updated 7 January 2016

The inspection took place on the 15 September 2015 and was unannounced. We previously visited the service on 31 October 2014 when we found a breach of Regulation 23 of the Health and Social Care Act 2008 (Regulated Activities) 2010 which corresponds to Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) 2014

On 31 October 2014 we found that staff had not completed any recent training and although one person was completing induction training there was no evidence to suggest that this was in line with the Common Induction standards for care. In addition staff had not been trained in subjects relevant to their roles and were not supported through the use of formal supervision. The provider had sent us an action plan on 11 April 2015 which said that they had started training and supervision for staff and this would continue as an on-going process.

When we inspected the service on 15 September 2015 we found that there had been improvements and the provider had followed their action plan. Staff had received training in safeguarding and the service was working with the learning disability service to arrange positive behaviour training for staff. We saw that staff were now receiving supervision which was recorded and inductions for new staff were being completed. The breach of Regulation 18 was now met.

Eden House is registered to provide accommodation for up to five people with a learning disability or autism who require support with personal care. No nursing is provided. It is a located in Filey close to shops and other amenities and there are good transport links.

There was a registered manager at this 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.

Staff had completed training in the protection of vulnerable adults, Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). This meant people’s capacity to make decisions had been evaluated and it had been determined whether or not they needed support.

People using the service were protected from abuse because the provider had taken steps to minimise the risk of abuse. People were consulted about the support they received and other healthcare professionals were included which ensured their rights were protected.

People told us they enjoyed living at Eden House and were able to take part in activities or work that they enjoyed and which maintained their links with the community. They received support from staff if required.

People within the home were encouraged to be as independent as possible. They had their own front door key as well as a key to their room. People decided where they wanted to go on holiday as a group or if they wished to go away on their own. There was no formal programme of events because people were very independent and accessed community resources each day. There were individual activities taking place with one person using a computer and a jigsaw left half completed by another person. People who lived at Eden House felt it was their home and staff provided support only when it was required.

It was clear from our observations that people who used the service were able to share their views of the service during daily discussions. However, there were no formal meetings and so these meetings should be recorded, which then would provide a record of any discussions people living at the service may have.

There was no formal quality assurance system in place and no audits had been carried out. This does not appear to have impacted on people who use the service but without any evidence of learning or improvements this was difficult to determine. We have recommended that the provider consider putting systems in place.