Archived: Evelyn Wright House

Updated 5 June 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:

The inspection was carried out by one inspector and one expert by experience. The expert by experience for this inspection had experience of co-ordinating health and social care services for a relative.

Service and service type:

Evelyn Wright House 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. We visited the home on 10 and 15 April and made telephone calls to people’s relatives to gain their feedback on the 16 April.

What we did:

We reviewed information we had received about the service, including information within the Provider Information Return (PIR). 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 looked at other information received from the provider, such as statutory notifications about incidents and events the provider must notify us about.

We contacted Healthwatch England, the national consumer champion in health and social care, to identify if they had any information which may support our inspection.

During the inspection process we spoke with six people who lived in the home and two people’s relatives, we also spoke with a health care professional who was visiting the home. We spoke with eight members of staff, including care staff, shift leaders, team leaders, kitchen staff, domestic staff and the registered manager. We looked at three records relating to people’s care needs and five staff recruitment records. We looked at other information related to the running of and the quality of the service. This included quality assurance audits, quality surveys, training information for staff and arrangements in place for managing complaints.

Updated 5 June 2019

About the service: Evelyn Wright House is registered to provide accommodation and personal care for up to 29 older people, some of whom are living with dementia. At the time of inspection 29 people were living in the home.

People’s experience of using this service:

Improvements were required to medicines management to ensure people received their medicines as prescribed.

The environment was not consistently managed in a safe way. The arrangements in place for food safety and infection control required improvement.

Improvements were required to ensure records were reviewed regularly and consistently completed.

Audits were not always effective in identifying where improvements were needed.

Timely action was not always taken to respond to known areas that required improvement.

People received safe care and they were protected against avoidable harm, abuse, neglect and discrimination.

Staff were appropriately recruited and there were enough staff to provide care and support to people to meet their needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

Staff had access to the support, supervision and training they required to work effectively in their roles.

Staff were friendly and caring; they treated people with respect and maintained their dignity.

Staff encouraged people to maintain their independence.

People had personalised plans of care in place to enable staff to provide consistent care and support in line with people’s preferences.

Information could be provided to people in an accessible format to enable them to make decisions about their care and support.

People knew how to raise a concern or make a complaint and the provider had implemented effective systems to manage any complaints received.

The service provided appropriate end of life care to people.

The service had a positive ethos and an open culture. The registered manager was approachable, understood the needs of people, and listened to staff.

Rating at last inspection:

This was the first comprehensive inspection of the service.

Why we inspected:

This was a planned inspection.

Enforcement:

At this inspection we found the provider to be in breach of one regulation of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Action we told provider to take is recorded at the end of the report.

Follow up:

We will continue to monitor the service through the information we receive until we return to visit as per our re-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