Background to this inspection
Updated
22 March 2019
The inspection:
We carried out our inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. Our inspection checked whether the provider was 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.
Inspection team:
Our inspection was completed by an inspector, a specialist advisor, an assistant inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. Our expert by experience had knowledge about the support of older adults within residential care settings.
Service and service type:
Eton House Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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:
Our inspection was unannounced.
What we did:
Our inspection was informed by evidence we already held about the service. We also checked for feedback we received from members of the public, local authorities and clinical commissioning groups (CCGs). We checked records held by Companies House, the Food Standards Agency, fire and rescue service, environmental health and the Information Commissioner’s Office. We asked the service to complete a Provider Information Return. Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We spoke with eight people who used the service and five relatives. We observed the care of other people who were not able to speak with us. We spoke with the provider’s main partner, operations manager, registered manager, deputy manager, deputy care manager, wellbeing coordinator and administrator. We also spoke with five care workers, the chef and a cleaner. We received written feedback from other health and social care professionals. We reviewed four people’s care records, five staff personnel files, audits and other records about the management of the service.
We requested additional evidence to be sent to us after our inspection. This was received and the information was used as part of our inspection.
Updated
22 March 2019
About the service:
This is the single care home within the provider’s current registration. The service is situated in a residential area of Datchet, with large green spaces surrounding the building. The building has three floors. The service provided accommodation and personal care to older adults, especially those with dementia. People lived in their own individual bedrooms. Rooms had ensuite bathroom facilities. There were also communal bathroom facilities, lounges and dining rooms. The service can accommodate up to 26 people. At the time of our inspection, 26 people used the service and there were 32 staff. For more details, please see the full report which is on our website at www.cqc.org.uk
People’s experience of using this service:
• Eton House Residential Home continued to provide exceptional care to people.
• People, relatives, staff and community professionals consistently described the service as outstanding.
• People were always protected against avoidable harm, abuse, neglect and discrimination. The care they received was safe.
• People’s risks were assessed and strategies put in place to protect them from avoidable harm.
• People experienced positive outcomes regarding their health and wellbeing.
• Staff support and training was excellent, particularly in the care of older adults with dementia.
• People and relatives provided consistently positive feedback about the care, staff and management. They provided examples of the outstanding care at the service and the positive changes that resulted in people’s lives.
• Care was person-centred and focused on ensuring people with dementia lived the best possible life.
• Care planning was based on people’s individual needs. People’s end of life wishes were recorded.
• The management team had embraced continuous learning, research and best practice, new ways of working and excellence in care techniques and practices.
• There was an extremely positive workplace culture and staff we spoke with provided excellent feedback about the management team. Staff were committed to and excited about their roles.
• 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 supported this practice.
• The service met the characteristics for a rating of “outstanding” in three of the five questions we inspected. Therefore, our overall rating for the service after this inspection was “outstanding”.
Rating at last inspection:
At our last inspection the service was rated “outstanding” (13 August 2016).
Why we inspected:
This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.
Follow up:
We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned for future dates.