CQC report explained · a nursing home
What the CQC found at Eastcroft Nursing Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, May 2023
Rated Inadequate and placed in special measures; inspectors found serious risks in safety, medicines, staffing and management.
This was an unannounced inspection on 24 January 2023. Inspectors observed care, spoke with family members, staff and health professionals, and checked care records, medicines, recruitment, training and management records.
Inspectors found people could be at risk of harm. Staff did not always follow professional guidance, some call bells were out of reach, medicines were not always managed safely, and hygiene was poor in places. Staff training, recruitment checks and risk records were also not reliable.
Care was not always respectful or based on people's individual needs. People had limited choices and activities, and the home was not consistently following the Mental Capacity Act. The overall rating fell from Good in 2019 to Inadequate. The home was placed in special measures, meaning CQC will keep it under review and normally re-inspect within six months.
Kind and patient staff
Inspectors saw some positive interactions, and most families spoke positively about staff's caring nature.
“Staff were kind and patient and we observed some nice interactions between care staff and people.” from the report
Regular health support
People were seen by healthcare professionals when needed, including a GP who visited weekly.
“People were seen as required by a GP, who visited the service every week.” from the report
Staff knew safeguarding routes
Staff understood how to raise abuse concerns and knew about whistleblowing.
“Staff understood how to protect people from abuse.” from the report
Nutrition monitoring
People were supported to eat and drink enough, and their weights were checked monthly without significant changes.
“People were supported to eat and drink enough to meet their needs.” from the report
Risk of choking
seriousStaff did not follow a speech and language therapist's eating and drinking guidance. Inspectors said this placed a person at significant risk of choking.
“We subsequently confirmed with a speech and language therapist that this was not in line with their eating and drinking guidance and placed the person at significant risk of choking.” from the report
Unsafe medicines practice
seriousThe home had not checked that staff were competent to administer medicines. Records were completed retrospectively, and one person's medicines were left untouched at the bedside.
“Medicines were not administered safely or in line with national best practice.” from the report
Training and recruitment gaps
seriousSome recruitment records were incomplete, training records were unavailable, and staff had high failure rates in some training.
“The provider failed to ensure there were appropriate processes in place to assess and check the competence, skills and experience of staff to undertake their role.” from the report
Dignity and choice
needs fixingPeople were sometimes dressed in others' clothes, did not always receive suitable meal support, and were not routinely asked for their views.
“People were not always cared for in a dignified way.” from the report
Personalised care and activities
needs fixingCare plans lacked important details about people's conditions, preferences and communication. Activities did not consistently meet people's needs, including those cared for in their rooms.
“People's needs and preferences were not reflected in their care plans and they did not always have access to meaningful activities.” from the report
Weak management oversight
seriousThe home's checks did not identify serious problems with care, training, risks or incidents. The home also failed to notify CQC about some incidents in a timely way.
“Quality assurance systems in place did not identify the issues we found during the inspection and the manager did not have effective oversight of the safety or quality of the care provided.” from the report
- 01What has changed since the inspection to ensure staff follow eating and drinking guidance and prevent choking risks?
- 02How do you now check and record that every member of staff is competent to administer medicines?
- 03How are call bells, fire evacuation plans and hygiene checks monitored each day?
- 04How are care plans being updated to reflect each person's health conditions, communication needs, preferences and activities?
- 05What systems now review incidents, staff training and CQC notifications, and can you show us the latest results?
This was an unannounced inspection covering all five key questions, prompted partly by information about a serious injury; the report says it did not examine the circumstances of that incident. This explanation was written from the published report of 11 May 2023 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 2019
Eastcroft Nursing Home was rated Good; inspectors found kind, safe and personalised care, with improvements still needed to dementia-friendly flooring.
This was an unannounced, routine comprehensive inspection on 04 December 2018. Inspectors spoke with people living in the home, relatives, visitors and staff. They observed care and checked care plans, medicines records, recruitment files and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff overall, safe medicines systems, good infection control, suitable training and good access to health professionals.
People were treated with kindness and respect. Care plans were detailed and activities reflected people's interests. The home had a warm, homely feel, but patterned carpets in communal areas could confuse or disorientate people living with dementia. The provider was reviewing the flooring.
Safe medicines and risk management
Risks were assessed and care plans gave staff clear guidance. Medicines were stored, administered and recorded safely.
“Medicine administration records (MAR) were clear and easy to read and had no signature gaps when medication had been administered.” from the report
Kind and respectful staff
Inspectors saw warm, gentle interactions. Staff supported people's dignity, privacy and independence and knew them as individuals.
“People were treated with kindness and compassion by staff.” from the report
Personalised care and activities
Care plans included people's histories, preferences and support needs. Activities were adapted to people's interests and abilities.
“Care plans were person centred and gave good information about the whole life of the person.” from the report
Good oversight
The home used audits, feedback and improvement plans to check care and identify actions. Staff felt able to discuss issues with the manager.
“The providers quality assurance system ensured people received an overall good standard of care.” from the report
Patterned flooring
needs fixingPatterned carpets in communal areas could be confusing or disorientating for people living with dementia. Inspectors recommended replacing them or continuing to adapt the environment.
“We recommend the provider continues to adapt the environment for people living with dementia.” from the report
Staffing concerns under investigation
needs fixingMost people and relatives felt there were enough staff, and staffing records supported the planned level. However, inspectors received feedback that there were times when staffing was insufficient, and this was being considered within an ongoing safeguarding process.
“We did receive feedback that at times there were not enough staff, and this was one of the areas that was under investigation with the safeguarding process.” from the report
- 01What action has been taken to replace or review the patterned carpets in communal areas?
- 02What did the safeguarding investigation find about the reported times when there were not enough staff?
- 03How do you calculate the number of staff needed when people's care needs change?
- 04How are families involved in reviewing care plans and raising concerns?
- 05What activities are available for someone with my relative's interests and abilities?
This was an unannounced routine comprehensive inspection covering all five key questions, including areas linked to an ongoing safeguarding investigation. This explanation was written from the published report of 29 January 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.
Every inspection of Eastcroft Nursing Home
3 rated inspections over 7 years: the service has slipped, from Good to Inadequate.
- May 2023Inadequatecurrent ratingdown from GoodSafe: InadequateEffective: InadequateCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- January 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 17 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.
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