Archived: Eastfield House Care Home

Updated 17 February 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 on18 January 2016 and was unannounced.

One inspector 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. The expert-by experience on this inspection had expertise in dementia care.

Prior to the inspection we looked at notifications received from the provider. A notification is information about important events which the provider is required to tell us

about by law.

Before the inspection, we asked the provider to complete a Provider Information Return (PIR). This 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.

We spoke with nine people who used the service, five visitors and one visiting health professional. We looked at four people’s care records, four staff files and other records showing how the home was managed.

We spoke with the registered manager, the area operations manager, the deputy manager, a care coordinator, four care staff, the chef and the administrator.

Updated 17 February 2016

We carried out our inspection on 18 January 2016. This was an unannounced inspection.

Eastfield House is a care home providing personal care for mainly older people, including people living with dementia. The home supports up to 27 people. At the time of our inspection there were 23 people living in the home.

There was a registered manager in post. 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.

There was a cheerful, calm atmosphere throughout the inspection. Staff were compassionate and clearly knew people well. People enjoyed living at the home and benefited from caring relationships. People had access to a range of activities, both within the home and in the community.

Everyone we spoke with was complimentary about the registered manager and felt confident to raise issues. The registered manager was knowledgeable about people's needs and was supportive of relatives.

People were supported to access health professionals when needed and this was done in a timely manner. Recommendations from health professionals were followed.

People were not always supported in line with the principles of the Mental Capacity Act 2005 (MCA) and records did not always accurately reflect people's capacity to make specific decisions.

Risks to people were not always identified and plans were not always in place when they were identified.

There were quality assurance systems in place to identify areas of improvement. Where issues were found, action plans were developed to address issues and improve the quality of care.

We found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.