We carried out a review of the data available to us about Eden View 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 Eden View, you can give feedback on this service.
We found the following examples of good practice.
• Robust measures were in place to safely manage any visitors to the home to ensure people were kept safe. This included confirmation of a negative lateral flow device test, proof of vaccination against COVID-19 infection, temperature checking and issuing personal protective equipment.
• Due to their vulnerability and high care needs, people living in the service undertook weekly PCR testing to ensure that any positive cases of COVID-19 infection were identified quickly. This was more frequently than the nationally recommended guidance.
• The service was clean and fresh and staff adhered to good practice guidance around cleaning.
• Four staff had been trained to fit specialist masks used when supporting people who undertook aerosol generating procedures.
• The management team reported good support from the local health care services and in particular the GP surgery.
At our last inspection the service was rated as good. At this inspection we found the service remained good.
At the time of our inspection, the two people who were registered as the managers of the service were no longer working in the service. We were still waiting to receive an application to cancel their registration. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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. There was a newly appointed manager in post who was in the process of applying for registration.
People continued to be safe because potential risks to people were assessed and minimised and staff understood their responsibility to protect people from avoidable harm. There were enough staff on duty to meet people's needs and staff recruitment ensured that only staff suitable to work at this service were employed. Staff continued to receive an induction, training and support that ensured they could do their job well.
Medicines continued to be managed safely and people received their medicines as prescribed.
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 supported this practice.
People's nutritional needs continued to be met and people were supported to have enough to eat and drink. A range of healthcare professionals visited the service to support people to maintain good health.
People were cared for by staff who treated them with warmth, kindness and compassion. Staff showed they genuinely cared about the people they were looking after. They respected people's privacy and dignity and encouraged people to be as independent as they could be. Visitors were welcomed and also had warm, friendly relationships with the staff.
Care plans were personalised and gave staff guidance on the care each person needed. People were encouraged to participate in activities and interests of their choice.
People and their relatives knew who to speak to if they were not happy with the service and were confident their complaints would be addressed.
People, staff and visitors to the service were encouraged to put forward their views about the service being provided. The quality of the care was monitored by a range of audits that were carried out regularly.
Further information is in the detailed findings below.
Eden View is registered to provide accommodation for up to 10 people who require nursing or personal care. The service is provided for people who have acquired brain injuries or other very complex care needs. At the time of our inspection there were 10 people living at the service. The service is located in the village of Bottisham and offers ample parking and accessible premises for people, staff and visitors.
Accommodation is provided on both floors of the two storey building and all bedrooms are single rooms with en suite facilities.
This unannounced inspection took place on 22 July 2015.
At our previous inspection on 24 October 2013 the provider was meeting the regulations that we assessed.
The service did not have a registered manager in post. The manager had been managing the service since October 2014 and was in the process of becoming the registered manager. 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.
The provider had a robust recruitment process in place which ensured that only staff who were deemed suitable to work with people living in the service were offered employment. There was a sufficient number of suitably experienced staff working at the service. An effective induction process was in place to help support and develop new staff.
Staff were trained in medicines administration and had their competence regularly assessed to ensure they adhered to safe practice. Staff had been trained in protecting people from harm and were confident in their understanding of what safe care meant.
The CQC is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) and to report on what we find. The manager and staff were knowledgeable about assessing people’s ability to make specific decisions about their care needs. Authorisations to lawfully deprive people of their liberty were in place.
People’s care was provided with compassion by dedicated staff who knew and understood people’s needs very well. People’s privacy and dignity was maintained by staff using appropriate means. People were supported to make decisions about the subjects which were important to them.
People, their relatives or representatives were involved in planning their care provision. Regular reviews of care were completed. This was to help ensure that people were provided with care and support based upon the person’s latest and most up-to-date care information. Advocacy for people using the service was provided by families and friends.
People were supported to access a range of health care professionals including their GP, dentist, dietician or physiotherapist. Health care professional advice was followed and adhered to by staff. Prompt action was taken in response to the people’s changing health care needs. Health risks to people were regularly assessed and managed according to each person’s needs.
People were supported to have sufficient quantities of the food and drinks that they preferred and staff encouraged people to eat healthily. People were supported with their nutritional and hydration needs with diets which were appropriate for their needs to help ensure they achieved or maintained a healthy weight.
People were supported to raise concerns or suggestions. Staff recognised and knew how to respond to any changes in people’s well-being which could indicate if a person was not happy. Information and guidance about how to raise compliments or concerns was clearly displayed.
Audits and quality assurance procedures in place helped identify areas for improvement and what worked well. Good practice was shared through a range of forums including managers’ meetings any staff meetings. Staff were supported to develop their skills, increase their knowledge and obtain additional care related qualifications.
There was evidence that care plans and risk assessments were well written and staff provided effective care for those living in the home. We saw that other professional's visited when necessary and there was a private physiotherapist in the home during the inspection. One person said: "Staff had got to grips with the vac pump and had training before I arrived and afterwards the staff were checked to make sure they were competent."
One person told us: "It's lovely here". Another person said: "Staff are my friends. We have a laugh. It's a great place".
We received many positive comments from people's relatives that we spoke with. One told us, 'My wife's had respite care in many places, and Eden View is by far the best, I really can't think of anything they could do better'. They told us that staff were really good at communicating with them and always rang them if there was a problem, one commented, 'They don't do anything without my knowledge'. Another stated, 'We've had no problems in the three years my wife's been in there, it really is a good place and my wife's content there'.
A community based tissue viability nurse (a nurse who specialises in managing people's pressure ulcers) told us that her team had a very good opinion of the unit and one of her patients there had been, 'Extremely well looked after'. A visiting chiropodist told us, 'It's one of the best places I visit and people are always really cheerful'.
One person told us that they do some medical procedures for themselves but other medication is administered by staff. The person was very happy with this arrangement.