Archived: Edenbridge Manor Care Home

Edenbridge Manor Care Home is a purpose-built residential care home providing accommodation and personal care for up to a maximum of 85 people. The service provides support to people who have various health issues or are living with dementia. At the time of our inspection there were 45 people using the service.

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

Although people and their relatives told us Edenbridge Manor was a safe place, we found some staff did not always recognise or report safeguarding incidents to the local authority for review. Risks to people, although recognised, were not always addressed by staff meaning people may experience potential avoidable falls.

Deployment of staff across the service was inconsistent which meant that some people did not always receive the support they needed to help ensure they were safe.

People lived in an environment that was clean and hygienic and people’s rooms were personalised. However, further work was needed to ensure those living on the first floor of the service were supported with their dementia needs through adaptation and signage.

The quality of the service was reviewed through a series of audits and governance processes and as such some of the shortfalls we had identified at our inspection had already been recognised by management. However, not all of the gaps in people's care had been picked up through the governance arrangements within the service.

People received care from staff who were appropriately trained and demonstrated a caring, respectful and responsive approach. Staff knew people as individuals and provided person-centred care.

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.

People received the medicines they were prescribed and were supported to access health care professional input when needed. People were provided with sufficient food and drink to help ensure they remained healthy, and they were given the opportunity to make their own decisions in relation to their care.

People were provided with a range of activities and the manager had recruited an additional staff member to help ensure those people living with dementia had appropriate activities provided for them. People’s individual communication needs were recognised and responded to appropriately.

Everyone spoke highly of the manager and the service provided to them and staff felt supported and valued. The manager applied duty of candour when necessary and investigated and responded to complaints.

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

Rating at last inspection

This service was registered with us on 12 February 2021 and this is the first inspection.

Why we inspected

This visit was the first inspection of this newly registered service.

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.

The overall rating for the service is Requires Improvement based on the findings of this inspection.

We have found evidence that the provider needs to make improvements. Please see the key questions of Safe, Effective and Well-led.

You can see what action we have asked the provider to take at the end of this full report.

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to potential incidents of abuse, risks to people and staffing levels. We have also issued recommendations to the registered provider in relation to the environment for people living with dementia and the induction process for agency staff.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will continue to monitor information we receive about the service, which will help inform when we next inspect.