CQC report explained · a nursing home
What the CQC found at Eastfield Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, December 2022
Rated Good; inspectors found people were safe and the home was well-led, but this was a focused inspection of only two areas.
Inspectors visited unannounced on 6 December 2022. One inspector spoke with two people, the manager and three staff members. They observed care and reviewed nine people's care and medicine records, recruitment files and management checks.
The home was rated Good for Safe and Well-led. Inspectors found people were protected from abuse, risks were assessed and reviewed, staffing was sufficient, medicines were managed safely and infection control arrangements were effective.
The service was described as positive, inclusive and person-centred. The inspection followed concerns about how people were supported safely, but inspectors found no evidence that people were at risk of harm from those concerns. The overall Good rating was also based on previous ratings for areas not inspected this time.
Risk management
Risks were assessed for each person and reviewed regularly. The assessments covered issues such as falls, skin care, swallowing and moving safely.
“There were individual risk assessments in place, which were kept up to date by regular reviews.” from the report
Medicines
Medicines were given according to people's prescriptions and choices. Staff training and checks were up to date, and reviews had reduced some people's medicines.
“Medicines were managed safely and in line with people's prescriptions.” from the report
Staffing
Inspectors found enough staff with the right skills. People said they rarely had to wait for help, and staff used equipment and guidance safely.
“There were sufficient staff with the right mix of skills to support people safely.” from the report
Leadership and culture
The management team was described as supportive and approachable. Staff worked as a team and people experienced a positive, person-centred culture.
“There was a positive, inclusive, person-centred culture which people appreciated.” from the report
Inspectors raised no specific concerns in this report.
- 01The report mentions planned improvements to shared areas, outside spaces and a sensory room. Which of these improvements have been completed?
- 02How are medicines reviewed now, and has the home continued to reduce medicines where appropriate?
- 03Who would be the named nurse for my relative, and how often would they discuss care and support with them?
- 04How does the home use incidents, complaints and family feedback to make changes?
- 05How does the home assess and regularly review risks such as falls, swallowing difficulties and skin problems?
This was an unannounced focused inspection of Safe and Well-led; the ratings for Effective, Caring and Responsive were not inspected and the overall rating used previous ratings for those areas. This explanation was written from the published report of 29 December 2022 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, March 2022
Inspected but not rated; inspectors found strong infection control and visiting arrangements during the COVID-19 pandemic.
This was an announced, targeted inspection on 21 February 2022. Inspectors looked at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures were affecting the home.
Inspectors were assured that the home was using personal protective equipment safely, managing testing, supporting safe admissions and visits, and keeping its infection control policy up to date. There were ample supplies of protective equipment and staff had been trained to use it.
The overall service and Safe rating were both recorded as “Inspected but not rated”. This means the visit checked specific COVID-19 arrangements rather than giving a full judgement on the quality of care.
Infection control
The home had supplies of protective equipment, trained staff and an up-to-date infection control policy. Inspectors were assured that the home was managing infection risks in several important areas.
“We were assured that the provider's infection prevention and control policy was up to date.” from the report
Safe visiting
Visits were supported with testing, temperature checks, protective equipment and vaccination checks for relevant staff and professionals. The home also created a visitors' pod.
“Safe visiting arrangements were in place. Staff and visiting professionals were asked to provide evidence of their vaccination status against COVID-19 prior to entering the home.” from the report
Support for wellbeing
Staff helped people maintain contact with those important to them, including through video calls and adapted visiting arrangements.
“Staff supported people's social and emotional wellbeing. Alternative forms of maintaining social contact were in place including video calls.” from the report
PPE training
Staff had training on putting on and taking off protective equipment to reduce the risk of spreading infection.
“Staff had received training on how to 'Don and Doff' (put on and take off) their PPE to reduce the risk of cross-contamination.” from the report
Inspectors raised no specific concerns in this report.
- 01What is the current staffing position, and are staffing pressures affecting people's care?
- 02Are the infection prevention and control arrangements from this inspection still in place?
- 03How are visits managed now, and are there any restrictions or testing requirements?
- 04How does the home check that staff use protective equipment correctly?
- 05When was the home last given a full inspection rating covering Effective, Caring, Responsive and Well-led?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not provide a full service rating. This explanation was written from the published report of 3 March 2022 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 Eastfield Nursing Home
4 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- December 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2022Inspected but not ratedSafe: Inspected but not rated
- August 2018Goodup from Requires improvementSafe: GoodWell-led: Good
- April 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- February 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- January 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 28 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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26 live-in carers within about an hour of Hampshire
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 £1,020 to £1,260 a week. 23 can care for a couple. 14 years' experience on average.
“I cannot recommend Prisca highly enough, she is one in a million.”
“He stayed with her throughout the pandemic, refusing to visit his own family, who lived nearby, to reduce the risk of infection.”
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.