Background to this inspection
Updated
7 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.
Inspection team
The inspection was carried out by 1 inspector.
Service and service type
Edge Hill Care Home is a care home. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Edge Hill Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
The provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
The inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvement they plan to make.
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used information gathered as part of monitoring activity that took place on 1 May 2023 to help plan the inspection and inform our judgements.
We used all this information to plan our inspection.
During the inspection
We spoke with 2 people who used the service. We spoke with the registered manager, the deputy manager and 1 care worker. We reviewed a range of records including care and support plans for 2 people. We looked at recruitment, training and supervision records for 3 care workers. We reviewed records relating to the management of the service, including quality assurance audits and building audits. We also looked at accident and incidents and complaints records.
Following the visit to the care home, we sought feedback from healthcare professionals who work with the service and gathered further information and supporting documents from the registered manager.
Updated
7 July 2023
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the Service
Edgehill Care Home is a residential care home providing regulated activities (e.g. personal care) for up to up to 5 people. The service provides support to people with learning disabilities. At the time of our inspection there were 5 people using the service.
The care home accommodates 5 people in one building.
People's experience of using this service and what we found.
Right Support: People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs.
Staff supported people to play an active role in maintaining their own health and wellbeing. Staff would encourage people to attend medical appointments and accompany them to ensure appointments were met, and they enabled people to access specialist health and social care support in the community.
Right Care: People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. People received kind and compassionate care. Staff protected and respected people's privacy and dignity. They understood and responded to their individual needs.
Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. The service had enough appropriately skilled staff to meet people’s needs and keep them safe.
Right Culture: People were kept safe from avoidable harm because staff knew them well and understood how to protect them from abuse. The service worked well with other agencies to do so. People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives. People were supported by staff who understood best practice in relation to sensitivities people with learning disabilities or autistic people may have. Staff knew and understood people well and were responsive, supporting people to live a quality of life of their choosing wherever possible.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
When we inspected, we found some issues with physical standards in the home. We also found that notification and consent for CCTV in the home was not sought. This issues were discussed with the registered manager and they were corrected quickly.
Rating at last inspection
The last rating for this service was good (published 9 February 2018).
Why we inspected
This inspection was prompted by a review of the information we held about the service.
After the review, we had concerns about medicines, staffing, auditing, notifications and CCTV consent. We looked at these things in the 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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.