Evergreen Manor Care Home

Updated 9 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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection team consisted of 2 inspectors, 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

Platinum Nursing Care 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. Platinum Nursing Care 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 a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since 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 the inspection

We spoke with 5 people and 7 relatives for their feedback on the care provided. We spoke with 11 members of staff including the nominated individual, registered manager, clinical lead, a nurse, senior care staff, care staff and maintenance and 1 professional who worked with the service. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We looked at 7 people's care plans, a variety of medication administration records and carried out observations of people receiving care. We also reviewed a number of documents relating to the management and governance of the service including environmental checks, audits, training records and recruitment files.

Updated 9 August 2023

About the service

Platinum Nursing Care is a residential care home providing personal and nursing care to up to 32 people aged 65 and over. At the time of our inspection, the care home accommodated 32 people across three wings, each of which has separate adapted facilities. One of the wings specialises in providing care to people living with dementia. People with nursing needs were supported on other units.

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

Risks to people's health and safety were assessed and well managed. Safeguarding concerns were reported and referred to the local authority and notified to us, The Care Quality Commission (CQC) as required. Medicines were managed safely, and we were assured by the infection control measures within the home. There were enough staff and staff were recruited safely. Lessons were learnt and changes made to improve the care provided and systems within the home.

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.

Governance systems provided regular monitoring and audits of the quality and safety of care provided. When issues or areas for improvement were identified, actions were taken to address them. Staff, people, relatives and professionals spoke positively about the home and the staff. Staff felt well supported, valued and included. Relatives were kept informed and told us the home was well managed and organised. Important events and incidents were notified to us as required. People, relatives, visitors and staff were encouraged to give feedback and make suggestions for improvements. Staff were supported to undergo further training and development, and some were supported to undertake their nurse training. The provider worked closely with external health professionals to improve people's outcomes.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 19 August 2022). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 6 and 13 July 2022. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

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. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Platinum Nursing Care 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.