Edwalton Manor Care Home

Updated 5 October 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

The inspection was carried out by one inspector, a specialist nurse advisor 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.

Service and service type

Edwalton Manor 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. Edwalton Manor is a care home with 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 not a registered manager in post. The provider had appointed a new manager who was due to start after our inspection. To ensure effective management was maintained in the interim period, an experienced interim manager was employed to assist the service alongside the providers' senior leadership.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority and integrated care board who commission care with the service. 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

We visited the service on 8 August 2023 and 9 August 2023. We also made telephone calls to relatives of people using the service on 14 August 2023. We spoke with 13 staff members including the interim manager, clinical lead, registered nurse, senior care staff, care staff, kitchen staff, and housekeeping staff. We spoke with 17 people who used the service and 11 people's relatives. Not everyone living at the service was able to or wanted to speak with us, therefore we spent time observing interactions between staff and people. We reviewed a range of records. This included 8 people’s care records and multiple medicine records. We looked at 6 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including incident and maintenance records were reviewed.

Updated 5 October 2023

About the service

Edwalton Manor is a residential care home providing nursing care to up to 84 people. The service provides support to older adults some of whom were living with dementia. At the time of our inspection there were 41 people using the service.

Edwalton Manor supports people in one large purpose-built building with a large accessible garden. The home compromises of large ensuite single bedrooms, multiple living areas, dining areas with kitchenettes, a cinema, pub and a hair and beauty salon.

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

Systems in place safeguarded people from the risk of abuse and neglect. Environmental risks were managed well which protected people from the risk of harm. Staff were recruited safely. Staff completed training in medicine administration and had their competency assessed. This meant people received their medicines safely. Lessons were learnt when things went wrong. People were protected from the risk of infection as the home had robust infection prevention control processes in place.

People’s needs were fully assessed and detailed care plans were in place to enable staff to support people effectively. A wide choice of nutritious food was on offer. People were supported in different ways to pick what they wanted to eat. People were supported to gain access to healthcare services when needed. The premises and environment had been designed and built to meet people’s needs.

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’s equality and diversity was fully respected. People and their relatives told us they felt staff were caring and treated everyone with kindness and respect. People were encouraged and supported to express their views. People were cared for by kind and compassionate staff who understood what was important to them.

People received personalised care and support tailored to their needs and preferences. People were fully supported to choose and engage in activities to ensure they lived fulfilled lives. Complaints and concerns were used to improve people’s experience of care and support. Staff supported people sensitively to share their wishes in regard to end of life care and support.

The service was person centred, open and inclusive. The registered manager and management team understood their responsibility to be open and honest with people and had acted when things went wrong. Effective systems and processes were in place to continually improve and develop the quality of care provided. People told us they were fully involved in developing the service. The leadership team worked well with health and social care partners to improve the care provided.

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 1 June 2022 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this 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.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.