Eastwood Lodge

Updated 8 August 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 completed by 1 inspector.

Service and service type

Eastwood Lodge 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. Eastwood Lodge 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. However, the provider was actively recruiting for a manager. There was a manager in post, until a new manager was recruited. The provider also visited the service daily and provided managerial support as required.

Notice of inspection

We gave the service an hour notice of the inspection. This was because we needed to be sure that the peripatetic manager or the provider would be in to support the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work 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 our inspection

We spoke with 2 people who used the service, the manager, the deputy manager, 2 staff and the provider. We looked at 3 people’s care plans and risk assessments, 3 staff recruitment files, medicines administration records, staff training, health and safety audits and records relating to the running of the service.

We were not able to get the views of some people who used the service due to their needs. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. Following the inspection, we continued to seek clarification from the provider to validate evidence found. We spoke with 5 relatives to obtain their views of the service.

Updated 8 August 2023

About the service

Eastwood Lodge is a residential care home providing personal and nursing care to older people. The service was registered to provide support to up to 22 people and there were 21 people using the service at the time of our inspection.

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

The provider had safeguarding policies and procedures in place. Staff had received training about how to safeguard people and knew how to report any potential abuse. Any potential risks to people were assessed to ensure their safety. 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. There was a system to record when accidents or incidents happened. People's medicines were safely managed. Enough staff worked at the service to meet the needs of the people. The provider had safe recruitment and selection processes in place. There were systems in place regarding the prevention and control of infection.

The provider operated an open and inclusive culture where people, relatives, staff and other professionals were encouraged to help improve the service provided to people. They sought feedback from people who used the service and their relatives about the service. Staff were clear about their roles and responsibilities and had access to policies and procedures to inform and guide them. The management team worked closely with external organisations to ensure people needs were met.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was under the previous provider was Good, published 15 December 2017.

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Eastwood Lodge on our website at www.cqc.org.uk.

Follow up

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