CQC report explained · a residential care home
What the CQC found at Eagle Care Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
- Safe?
- Requires improvement
- Inspectors were assured about infection prevention and control, including testing, personal protective equipment, cleaning, ventilation, social distancing and managing the outbreak.
- Effective?
- Requires improvement
- This area was not assessed during this targeted inspection.
- Caring?
- Good
- This area was not assessed during this targeted inspection, although inspectors noted that people isolating received companionship and support.
- Responsive?
- Requires improvement
- This area was not assessed during this targeted inspection.
- Well-led?
- Requires improvement
- This area was not assessed during this targeted inspection, although the home worked with infection-control professionals and kept relatives updated.
What inspectors found, November 2020
Inspected but not rated; inspectors were assured that infection-control measures were in place during a coronavirus outbreak.
Inspectors visited the home on 12 November 2020. The visit was announced and targeted infection prevention and control because the home was managing a coronavirus outbreak.
They found that the home was using testing, personal protective equipment, cleaning, ventilation and social distancing measures. They were assured that visitors, new admissions and people living at the home were being protected from infection.
The home worked with the local authority infection-control team and other health professionals. Relatives were kept updated about visiting decisions, and people isolating in their rooms received regular contact and companionship.
This inspection did not give an overall quality rating. The Safe question was marked 'Inspected but not rated', so this report does not provide ratings for the other areas of care.
Testing and outbreak response
The home was using the government testing scheme and worked with infection-control professionals to identify and manage the outbreak.
“The service was accessing the government testing scheme which had assisted them to identify an outbreak quickly.” from the report
Infection-control measures
Inspectors were assured that the home had arrangements to reduce the spread of infection, including safe use of protective equipment and good hygiene.
“We were assured that the provider was using PPE effectively and safely.” from the report
Clean environment
The home was clean, hygienic and well ventilated, and inspectors were assured that its layout and hygiene practices promoted safety.
“The environment was clean, hygienic and well ventilated.” from the report
Keeping families connected
Relatives were updated about visiting restrictions. People could use telephone and video calls, and people isolating received regular contact from staff.
“Staff supported people to keep in touch with family and friends through telephone and video calls.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you currently managing infection outbreaks and checking that your infection-control policy remains up to date?
- 02How often are residents and staff tested when there is a suspected or confirmed outbreak?
- 03How can relatives visit now, and what happens if visiting has to be restricted?
- 04How will you support my relative to keep in touch with family if they need to isolate in their room?
- 05How do you work with local authority infection-control staff and other health professionals during an outbreak?
This was an announced targeted inspection of infection prevention and control during a coronavirus outbreak; it did not provide an overall rating or assess the other main areas of care. This explanation was written from the published report of 21 November 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, January 2020
Eagle Care Home is rated Requires Improvement; inspectors found kind care and enough staff, but weaknesses in safety checks, records, activities and quality monitoring.
Inspectors visited on 8 and 23 October 2019 without giving notice. They spoke with people, relatives, staff and professionals, and checked care records, medicines, recruitment, training and management records.
People generally felt safe and were treated with kindness and respect. There were enough staff, medicines were managed safely overall, and staff worked with health professionals. However, some areas needed a thorough clean, medicines storage needed improving, and some equipment was not working on the first day.
Care records did not always contain enough detail or up-to-date information. Some people spent long periods with little to do. Management checks were in place but were not thorough or well embedded. The overall rating stayed at Requires Improvement, although the provider was no longer in breach of regulations from the previous inspection.
Kind and respectful staff
Inspectors found staff to be friendly, patient and respectful. They knew people's preferences and supported people to make choices.
“Staff were kind and friendly when speaking with people and visitors. They clearly knew people well and cared about them.” from the report
Enough staff
Staffing levels were based on people's assessed needs. People did not have to wait long for help.
“There were enough staff on duty at any one time to meet people's needs and we saw people did not have to wait long for staff to assist them.” from the report
Health support
Staff involved outside health professionals when needed and recorded referrals and advice in care plans.
“One visiting nurse we spoke with said the staff were proactive at contacting them for advice.” from the report
Improvement since the previous inspection
The provider had acted on the previous breaches, and the home was no longer in breach at this inspection.
“At this inspection some improvement had been made and the provider was no longer in breach of regulations.” from the report
Cleaning and equipment
needs fixingSome areas needed a thorough clean and there were lasting unpleasant odours. Large kitchen equipment was not working on the first day of the visit.
“Some areas of the home were in need of a thorough clean and we noted cleaning checklists had not been recently updated.” from the report
Incomplete care records
needs fixingSome care plans lacked important detail about people's preferences, risks, consent and best-interest decisions. Records also contained old information.
“Some care plans lacked information and guidance for staff which was important to understand people's preferences for their care and support.” from the report
Quality checks not thorough enough
needs fixingAudits and management systems were in place but did not always identify problems or show when actions had been completed.
“Regular audits were completed, although these needed to be more thorough, for example, to identify weaknesses highlighted during the inspection.” from the report
- 01What has been done to improve cleaning, remove unpleasant odours and keep cleaning checklists up to date?
- 02Where is the medicines trolley now stored, and how are treatment room temperatures checked and acted on?
- 03How do you make sure care plans contain current information about risks, preferences, consent and end-of-life wishes?
- 04What activities are available for people who do not join group activities, and how do you prevent long periods with little to do?
- 05How do your audits now show that problems have been identified, corrected and checked again?
This was an unannounced planned follow-up inspection that looked at the home, care provided and all five CQC questions, following the previous Requires Improvement rating. This explanation was written from the published report of 16 January 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Eagle Care Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- November 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2020Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- November 2018
Registered with the Care Quality Commission on 27 November 2018.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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