Eastview Residential Home

Updated 16 February 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 on 18 December 2018 and was unannounced. The inspection was carried out by one inspector.

Before the inspection, the provider completed 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 reviewed information we had received about Eastview Residential House such as notifications. This is information about important events which the provider is required to send us by law. We also reviewed all other information sent to us from other stakeholders for example the local authority, commissioners and members of the public.

We met and spoke with nine people who lived in the home. We observed the interactions between staff and people. We spoke with the management team which included the registered manager, head of care and the provider. We spoke with three members of staff and a visiting health care professional. We received electronic feedback from two health care professionals regularly involved with the service.

To help us assess how people’s care needs were being met, we reviewed four people’s care records. We also looked at records relating to the management of the home, recruitment, staffing levels and systems for monitoring the quality of the home. Information we requested to be sent following our visit to the service was received on time.

Updated 16 February 2019

Eastview Residential Home provides care for up to 14 older people. Some people using the service were living with dementia. At the time of this unannounced inspection of 18 December 2018, there were 13 people who used the service. This service was registered on 2 December 2010.

At our last inspection on 29 December 2017, we found five breaches of Regulation of the Health and Social Care Act 20018 (Regulated Activities) Regulations 2014. Improvements were needed with consent to care and treatment, how risks to people were monitored and managed, how people’s nutrition was managed and how the quality of the service was monitored by the provider. Improvements were also required to ensure safe recruitment procedures were followed and people’s care records were detailed and reflected how to meet their needs. We rated the service overall requires improvement. The key questions safe, effective, responsive and well-led were rated requires improvement. The key question caring was rated good.

At this inspection we found that improvements had been made and were ongoing. The provider was no longer in breach of any regulations. We were encouraged by the progress made by the management team to turn the service around and the overall rating has changed from requires improvement to good.

A registered manager was 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.

Eastview Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Eastview Residential Home provided a safe service to people. This included systems in place intended to minimise the risks to people, including from abuse, falls and with their medicines. Staff understood their roles and responsibilities in keeping people safe. They were trained and supported to meet people’s needs. Staff were available when people needed assistance and had been recruited safely. Where people required assistance to take their medicines there were arrangements in place to provide this support safely, following best practice guidelines.

People were cared for in a compassionate way by staff who understood their care needs. People were complimentary about the care they received and the approach of the management team and staff. Staff had developed good relationships with people. Staff consistently protected people’s privacy and dignity and promoted their independence.

People and their relatives where appropriate were involved in the planning of their care and people’s care records reflected their personal preferences. The care records were reviewed regularly and updated when people’s care needs changed.

People enjoyed a positive meal time experience and were supported to eat and drink enough to maintain a balanced diet. They were also supported to maintain good health and access healthcare services. Input from other professionals was sought where concerns were identified about a person’s health or wellbeing needs. Information about people’s healthcare needs was shared appropriately with other professionals to ensure continuity of care.

The registered manager and the staff understood their obligations under the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.

People were supported to pursue their hobbies and participate in activities that they chose. People knew how to complain and share their experiences. Their feedback was valued, acted on and used to improve the quality of the service.

There was visible leadership in the service. Improvements had been made and were ongoing to the systems for monitoring the quality and safety of the service provided. The registered manager had worked closely with social care professionals to implement person-centred care plans and an audit system. Recording, auditing and documentation in these areas had improved.