Engleburn Care Home

Updated 28 June 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

One inspector and an assistant inspector completed the inspection.

Service and service type

Engleburn Care Home is a ‘care home’. People in care homes receive accommodation and nursing and care as a single package under one contractual agreement dependent on their registration with us. Engleburn 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

This 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

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us 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 spoke to 1 health and social care professional. We used all this information to plan our inspection.

During the inspection

We spoke with 6 people and 1 relative about the care provided. We spoke with 13 staff, including the provider, registered manager, senior staff and care staff. We reviewed 6 people’s care plans, 3 staff recruitment file, audits, policies, incidents reports, health and safety records, quality assurance records, medicines administration records and care records.

Updated 28 June 2023

About the service

Engleburn Care Home is a care home providing personal care for up to 76 older people. The service is a large purpose-built home with 4 separate residential units, one of which specialises in accommodation for people living with dementia. Each unit has a dining room, lounge and activities area. At the time of our inspection there were 70 people using the service.

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

People were happy with the care they received. There were enough trained and competent staff in place to meet people’s needs. There were safe systems in place around the recruitment of staff. There were systems in place to help keep people safe from suffering abuse or coming to harm. Staff had completed pro-active work to reduce the need for people to take medicines and reduce risks related to falls. The home was clean and there were procedures in place to minimise the risk of infections spreading.

There was a positive atmosphere at the home, staff were engaging with people and motivated in their role. The registered manager understood the requirements of their role and was responsive to feedback from stakeholders when suggestions were made about how to improve the service. There were effective audits in place to monitor the quality of care and safety of the service. The provider worked with stakeholders when people’s needs changed to help ensure appropriate care arrangements were in place.

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.

Rating at last inspection and update

The last rating for this service was good (published 2 September 2021).

Why we inspected

This inspection was prompted by a review of the information we held about this service and some specific concerns we received around safeguarding, falls and infection control. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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.

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 remained good based on the findings of this inspection.

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