CQC report explained · a nursing home
What the CQC found at Eastbury Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, November 2019
Eastbury Nursing Home is Rated Good; inspectors found kind, personalised care, with a recruitment record gap fixed during and after inspection.
This was an unannounced inspection on 4 September 2019. Inspectors spoke with four people using the service, one relative, five staff members and five visiting professionals. They reviewed care plans, medicines records, staff recruitment files and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, good healthcare support, kind staff and personalised care. The home was clean and people were supported with activities, food choices and relationships.
There was one recruitment records shortfall. Some staff files did not contain full employment histories, but this information was obtained during and after the inspection. The home had been rated Good at the previous inspection, published on 8 April 2017.
Kind and respectful care
People told inspectors they liked living at the home. Staff knew people well and supported them in a calm, personal way.
“People were supported by kind and caring staff and people told us they liked living at the home.” from the report
Safety systems
The home had enough staff and reviewed risks after incidents. Medicines, fire safety and infection control were checked regularly.
“There was enough staff to meet the needs of the people who used the service.” from the report
Personalised support
Care plans included people's needs, preferences and communication methods. Activities included group and one-to-one options based on people's interests.
“The home had recently recruited an activities worker who had developed a schedule of activities which catered for people's interests.” from the report
Good management checks
The management team used regular audits and action plans to identify and address issues. Staff said managers were approachable and supportive.
“The provider has effective systems for monitoring the quality of the service and making improvements.” from the report
Incomplete employment histories
minorSome staff recruitment files did not show full employment histories, despite the provider's procedures. The missing information was obtained during and after the inspection, and the manager said this would be checked in future.
“However, they were not always following these procedures because they did not have a record to show the full employment histories of some of the staff.” from the report
- 01How do you now make sure every staff file contains a full employment history?
- 02How often are medicines audits completed, and what happens when an audit identifies a problem?
- 03How are care plans updated when a person's needs change or after an incident?
- 04How do you make sure activities continue to reflect each person's interests and communication needs?
- 05How are relatives involved in care planning and meetings about changes in the home?
This was an unannounced planned inspection covering all five CQC questions, including the care provided and the home's premises; the previous rating was Good. This explanation was written from the published report of 5 November 2019 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, April 2017
Rated Good; inspectors found caring and safe support, but noted staffing pressures, an outdated safeguarding policy and areas needing refurbishment.
This was an unannounced inspection on 28 February 2017. Inspectors spoke with 13 people, the manager and four staff. They reviewed care records, medicines records, recruitment and training files, staffing rotas, incidents and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People told inspectors they felt safe, were treated respectfully, enjoyed the food and could choose how they spent their time.
The home had improved since the previous inspection in January 2016. Care planning had been reviewed and staff had received dignity training. However, there were occasional staffing shortages, some activities were not always available, and parts of the home needed redecoration.
People felt safe
People told inspectors they felt safe, and staff knew how to report concerns. Risk assessments gave staff guidance about issues such as falls, choking, nutrition and moving and handling.
“People using the service told us they felt safe.” from the report
Safe medicines
Medicines were stored securely. Records checked by inspectors were complete, with daily checks and two signatures for controlled medicines.
“The Medicines Administration Record (MAR) sheets we saw were up to date and well completed, with no errors or omissions.” from the report
Respectful care
People said staff treated them well and did not rush them. Inspectors saw staff ask permission and respect privacy before entering rooms or providing care.
“We saw members of staff knocking on people's doors and waiting to be allowed access to the room, which showed that they had an awareness of privacy.” from the report
Individual care and activities
Care plans included people's health, social, cultural and religious needs. Inspectors saw staff support activities such as bingo, colouring, hand massages and manicures.
“Staff reviewed each care plan area monthly so that they had up to date information and guidance about how to meet people's care needs.” from the report
Improvements and oversight
The provider had acted on the two breaches found at the previous inspection. A new manager had been appointed and quality checks were being used to identify improvements.
“We found at this inspection that the provider had made improvements in the areas we identified at our last inspection.” from the report
Staffing pressures
needs fixingStaff said sickness sometimes left the service short staffed. On the inspection day, a member of staff from another service was brought in to cover the shift.
“On the day of the inspection, the service was short staffed and a member of staff from another of the provider's services came to cover the shift.” from the report
Safeguarding policy needed updating
minorThe safeguarding policy did not refer to current CQC or pan-London guidance. Inspectors recommended that it should be reviewed and updated.
“We recommend that the provider reviews and updates their safeguarding policy in line with current guidance and best practise.” from the report
Some areas needed refurbishment
minorInspectors said parts of the home needed refurbishment and redecoration. The manager had plans to redecorate bedrooms.
“Some parts of the service were in need of refurbishment and redecoration.” from the report
Activities were not always consistent
needs fixingStaff gave different views about the amount and quality of activities. Staff said there was not always time to organise activities when the activities worker was absent.
“However, the manager told us the service was in the process of recruiting an activities co-ordinator and we saw evidence this had been discussed with people, their relatives and staff.” from the report
- 01How do you cover shifts when staff are off sick, and what staffing levels will be on duty at different times of day?
- 02Has the planned kitchen assistant been appointed, and are care staff still expected to help with kitchen or laundry duties?
- 03Has the activities co-ordinator been appointed, and what activities and outings are now available each week?
- 04What changes have been made to the safeguarding policy to include current guidance?
- 05Which areas have been refurbished or redecorated since this inspection?
This was an unannounced inspection covering all five CQC questions: Safe, Effective, Caring, Responsive and Well-led. This explanation was written from the published report of 8 April 2017 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 Eastbury Nursing Home
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- November 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2016Requires improvementSafe: GoodEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Good
- October 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 14 January 2011.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Hillingdon
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,320 a week. 81 can care for a couple. 11 years' experience on average.
“I can truly say that Peter always put Dad at the centre of everything and I know that they found a great friendship in difficult times.”
“She has an unusual combination of kindness and firmness, is quite unflappable, physically strong, extremely savvy”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.