Background to this inspection
Updated
5 November 2019
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector, a member of the CQC's medicines team, 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
Eastbury Care Home is a care home. People in care homes receive accommodation and nursing or personal care has 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
This inspection was unannounced.
What we did before the inspection
We reviewed information including notifications we had received about the service since the last inspection. Notifications are about incidents and events the provider must tell us by law, such as abuse. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with four people who used the service and one relative about their experience of the care provided. We spoke with five members of staff including the director, registered manager, deputy manager and the chef. We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We contacted five professionals who regularly visit the service.
Updated
5 November 2019
About the service
Eastbury Nursing Home is a care home with nursing for up to 20 people. The home supports people who are over the age of 40 and who have both physical and mental health needs. The home can also care for people who have disabilities or nursing needs as the home provides 24-hour nursing care. At the time of this inspection 18 people were using the service.
People’s experience of using this service and what we found
People were supported by kind and caring staff and people told us they liked living at the home.
The home was clean, and it had a welcoming environment and nice space for people to socialise with each other.
Staff were recruited in line with the providers policies. Staff received training throughout their employment to ensure they had the skills to provide good care and support.
Systems were in place to safeguard people. When risks were identified the home had clear systems to manage the potential risk. People told us they liked the food and they helped to choose the menu. The menu was varied and helped people to have a balanced diet.
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 were supported to access their healthcare appointments. Staff worked in partnership with health care professionals to ensure people had appropriate support. Referrals were appropriately made to health care professionals if people’s needs changed.
People’s care plans reflected their needs but also their likes and dislikes. Positive behaviour support plans were used by staff to help staff support people and pre-empt incidents. People’s privacy, dignity and independence was respected and maintained by staff.
People were supported to engage in a variety of activities which were individualised to their interests and hobbies. Systems were in place to deal with concerns and complaints. This enabled people to raise concerns about their care if needed.
The home was well managed, the registered manager had implemented a variety of audits which were completed on a weekly or a monthly basis. If an issue was identified an action plan was developed which was clear and highlighted the work which was required to improve the service.
The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.
As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.
The service used no restrictive practices and supported people in line with positive behaviour support principles.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The rating at the last inspection was good (published 8 April 2017)
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.