Background to this inspection
Updated
8 May 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: One inspector carried out the inspection.
Service and service type: Evendine Residential Home is a care home. People in care homes receive accommodation and nursing or personal care. 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 on 24 April 2019.
What we did: When preparing for and carrying out this inspection; we reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse; and we sought feedback from the local authority and professionals who work with the service. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection, we spent time with people in the communal areas of the home and we saw how staff supported the people they cared for. We spoke with four people living at the home, and two relatives to gain their views about the care provided. We also spoke with the registered manager, deputy manager, the quality manager and four care staff. In addition, we sought the views of one health and social care professional, who regularly supports people who live at the home.
We reviewed a range of records. This included two people's care documents and multiple medication records. We also looked at records relating to the management of the home and checks undertaken by the registered manager. For example, systems for managing any complaints, checks on medicines administered, three recruitment files and the provider’s audits on the care provided, and action plans arising from these.
Updated
8 May 2019
About the service: Evendine Residential Home is a ‘care home’. People in care homes receive accommodation and personal care. The care home accommodates 20 older people in one adapted building. There were 19 people living at the home when we inspected were 18 people, several of whom were living with dementia.
People’s experience of using this service:
• People enjoyed living at the home and were complimentary about the way it was managed.
• People, relatives and staff told us they saw the provider and registered manager regularly and found them approachable.
• Staff understood risks to people’s safety and supported them to stay as safe as possible.
• There were enough staff to care for people at times people wanted assistance.
• People were supported to have their medicines safely and checks were undertaken to ensure these were administered as prescribed.
• The risk of infections and accidental harm was reduced, as staff used the knowledge and equipment provided to do this.
• Staff spoke affectionately about the people they cared for. People were confident to request support and reassurance from staff when they wanted this, and staff took time to provide this in the ways people preferred.
• People told us staff respected their rights to make their own decisions about their lives and care. Where people needed support to make some decisions staff assisted them, using people’s preferred ways of communicating.
• Staff had received training and developed the skills they needed to care for people, through induction and on-going training. People told us staff knew how to help them and knew what to do if they suspected anyone was at risk of harm.
• People had good access to other health and social care professionals and staff followed any advice given.
• 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.
• Staff ensured people had opportunities to do things which they enjoyed, and people were supported to keep in touch with others and religious practices that were important to them.
• The views of people, relatives and other health and social care professionals were considered when people’s care was assessed, planned and reviewed, so people’s needs continued to be met, and based on people’s preferences.
• Procedures were in place to take any learning from complaints and to further improve people’s care.
• People’s wishes for their care at the end of their lives had been planned and the views of their relatives considered.
• The registered manager and provider checked the quality of the care provided and encouraged suggestions from people and staff to improve people’s care further.
• The registered manager kept up to date with best practice developments, so they could develop the care provided further.
Rating at last inspection: At our last published inspection on the 24 January 2018 the provider was rated as Requires Improvement.
Why we inspected This was a planned inspection based on the ratings at the last comprehensive inspection. The rating has improved to Good overall.
Follow up: We will continue to monitor the service through the information we receive until we return, as part of the inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk