CQC report explained · a nursing home
What the CQC found at Eastlands
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Risks were assessed and reviewed, medicines were managed safely, there were enough trained staff, and infection control arrangements were in place.
- Effective?
- Good
- People's needs were assessed before they moved in. Staff were trained and supported, people received suitable food and healthcare, and the home followed the Mental Capacity Act.
- Caring?
- Good
- People said staff were kind, caring and respectful. Inspectors saw people being treated with dignity and supported to make choices and remain as independent as possible.
- Responsive?
- Good
- Care plans were personalised and activities had improved. People were supported with their interests, communication, relationships and complaints.
- Well-led?
- Good
- Leadership and quality monitoring had improved. Staff understood their roles, risks were discussed regularly, and people, relatives and staff were involved in developing the home.
What inspectors found, November 2022
Rated Good; inspectors found safe, kind and personalised care, with clear improvements since the previous inspection.
Inspectors visited on 28 September 2022 and reviewed information until 5 October 2022. They spoke with 10 people, two relatives and 13 staff. They also checked care records, medicines, staff files and records about how the home was managed.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines management, suitable care plans and kind, respectful support. People were helped to make choices, stay independent and take part in activities that mattered to them.
The home had improved since the previous inspection, which was rated Requires Improvement and had legal breaches. The report says those breaches had been addressed and the home was no longer in breach of regulations.
Safe medicines and risk management
Inspectors found that risks were assessed and acted on quickly. Medicines records were complete and medicines were stored and given safely.
“People's medicine administration records were thoroughly completed, and, when people required medicines on an 'as needed' basis, protocols were in place to ensure these were administered appropriately.” from the report
Kind and respectful care
People and relatives spoke positively about staff. Inspectors observed dignified care that respected privacy, equality and personal choices.
“We observed people being treated with dignity and respect throughout the inspection.” from the report
Personalised activities
The home had improved its support for activities and interests. A skills coordinator helped plan individual and group activities linked to people's wishes.
“People now received support with their activities and to follow interests that were socially and culturally relevant to them.” from the report
Improved leadership
The new management arrangements gave staff clearer responsibilities and introduced regular checks and discussions about risks and quality.
“There had been significant improvements with staff now having a clear understanding of their roles and how they contributed to the improvement and development of the service and people's health and safety.” from the report
Further dementia-friendly changes planned
minorThe upstairs area used by people living with dementia was described as quite sparse. The home had plans to make it more dementia-friendly, but these changes were not yet complete.
“Although quite sparse in places, we saw people could move freely around the area, safely and without unnecessary restriction.” from the report
- 01What dementia-friendly changes have been completed in the upstairs area since this inspection?
- 02How will you support my relative's specific mental health, dementia, physical disability or learning disability needs?
- 03How are activities planned around each person's interests, culture and personal goals?
- 04How will you support my relative to make decisions if they cannot make a particular decision themselves?
- 05What end of life care could you provide if my relative needed it?
This inspection looked at all five key questions and included infection prevention and control; inspectors visited on 28 September and inspection activity ended on 5 October 2022. This explanation was written from the published report of 4 November 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, January 2022
Inspected but not rated; inspectors found strong COVID-19 infection control and enough staffing, with isolation needing careful support for people with dementia.
This was a targeted inspection on 7 January 2022. It looked at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures were affecting care. The visit was announced 24 hours beforehand.
Inspectors found good arrangements for visitors, testing, vaccination, PPE, cleaning and social distancing. They were assured that people were admitted safely and that outbreaks could be prevented or managed.
There were enough staff to cover holidays, sickness and COVID-19 isolation. Regular agency staff were used when needed. The inspection did not give an overall quality rating or a rating for safe care.
Infection control
Visitors were protected through testing, COVID-19 passports and PPE. The home also had cleaning, ventilation and isolation arrangements in place.
“People and their visitors were protected from catching and spreading COVID-19.” from the report
Testing and vaccination
Staff and residents were tested regularly. All staff were fully vaccinated, and all residents had received at least two vaccinations.
“A robust testing regime was in place. All staff and people living at the home were tested regularly” from the report
Staffing cover
Inspectors found enough staff to cover absence and COVID-19 isolation. Agency staff were used where needed, with testing and vaccination checks before starting.
“There were enough staff to support people safely and to cover any staff holidays, sickness and COVID-19 isolation.” from the report
Safe visiting
Named visitors could attend regularly, and pre-arranged visits were available for others. Visiting continued under government guidance during outbreaks.
“Where an outbreak of COVID-19 was identified, the provider ensured government guidelines regarding safe visitation to the home continued.” from the report
Isolation and dementia
minorPeople were encouraged to isolate when they arrived, but inspectors noted this could be difficult for people living with dementia. Specific staff were assigned to support them.
“People were encouraged to isolate upon arrival, although it was acknowledged this could prove problematic for people living with dementia.” from the report
- 01How would you support a person living with dementia who finds isolation on arrival difficult?
- 02How do you maintain safe staffing levels when staff are off sick or isolating?
- 03What happens to visiting arrangements if there is a COVID-19 outbreak?
- 04How often are staff and residents tested, and how are test results checked?
- 05How do you make sure agency staff meet your testing and vaccination requirements before starting?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it did not rate the other areas of care. This explanation was written from the published report of 27 January 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 Eastlands
4 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- November 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2022Inspected but not ratedSafe: Inspected but not rated
- July 2019Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- August 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Good
- January 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 4 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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