Edge Hill Rest Home

Updated 2 April 2022

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.

As part of this inspection we looked at the infection control and prevention measures in place. This included checking the provider was meeting COVID-19 vaccination requirements. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someonewho uses this type of care service.

Service and service type

Edge Hill Rest 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 Rest 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.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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, which included feedback from the local authority. 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 used all this information to plan our inspection.

During the inspection

During the inspection we looked at a variety of records, including multiple electronic care records and risk assessments and two staff recruitment files. We also looked at records relating to the management of the service, including quality assurance tools, policies and minutes of staff meetings. We were shown how the electronic medicines system worked. We talked to the registered manager, two senior care assistants and two care assistants. The Expert by Experience spoke with seven relatives/friends of people who lived at the home, on the telephone.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 2 April 2022

About the service

Edge Hill Rest Home is a residential care home providing personal care for up to 36 people. At the time of our inspection there were 31 people living at the home. The home is an adapted building set in its own grounds.

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

The introduction of an electronic medicines system had led to improvements in the management of medicines. Medicines were stored and administered safely, by appropriately trained staff. There were enough staff to meet people’s needs. Recruitment checks ensured staff were suitable to work in the care service. Staff were appropriately trained and received supervision and support from the management team. Staff had completed training in safeguarding and knew how to recognise and report abuse or neglect. Staff understood how to manage risks to people’s health and well being. The home was clean and well maintained and staff followed good infection control practices.

Leadership and management had improved since our last inspection.The registered manager had good oversight of the service and changes and improvements started following our last inspection were now embedded in the day to day running of the home. People received person-centred care from staff who knew them well. Quality assurance systems to monitor the service were in place and used effectively. There were procedures to ensure any accidents, incidents or complaints were fully investigated and people and relatives involved and informed of the outcome.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (report published 11 December 2020). We found one breach of regulations. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out a comprehensive inspection of this service on 16 November 2020. A breach of legal requirements was found. The provider completed an action plan to show what they would do and by when to improve.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

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 changed from requires improvement to good. This is based on the findings at this 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.

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