CQC report explained · a residential care home
What the CQC found at Ebenezer Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about the home's infection prevention and control arrangements. They noted that testing guidance was not always up to date.
- Effective?
- Good
- This was not assessed in this targeted inspection.
- Caring?
- Good
- This was not assessed in this targeted inspection.
- Responsive?
- Good
- This was not assessed in this targeted inspection.
- Well-led?
- Good
- This was not assessed in this targeted inspection.
What inspectors found, January 2022
Inspected but not rated; inspectors found good COVID-19 infection control and visiting arrangements, but testing guidance was not always up to date.
This was a targeted inspection on 14 January 2022. Inspectors looked at infection prevention and control, visiting arrangements and staffing pressures linked to COVID-19. The visit was announced 24 hours beforehand.
Inspectors found the home was clean and well maintained. There was suitable PPE and hand sanitiser, staff had infection control training, and visitors were given safety information. The home had arrangements for testing people and staff and supported contact with family and friends.
Inspectors were assured about most infection control arrangements, including PPE, hygiene, social distancing, admissions and visits. However, testing arrangements did not always follow the most up-to-date guidance, and the provider was signposted to further resources.
The home was inspected but not rated. This was not a full assessment of all five CQC questions, so it does not give an overall Good, Requires improvement, Inadequate or Outstanding rating.
Clean premises and PPE
The home was clean and maintained, with hand sanitiser and PPE available at the entrance.
“Hand sanitiser and personal protective equipment (PPE) were available at the entrance of the home.” from the report
Staff infection control training
Staff received regular training on infection control and using PPE.
“All staff had received regular training on infection control and the use of PPE.” from the report
Safe visiting arrangements
Visitors were given safety information, had their temperature recorded, and were supported to follow PPE and social distancing guidance.
“Visitors were sent information prior to visiting the service about visiting the home safely.” from the report
Family contact
People could keep in touch with family and friends by phone, video messaging and visits.
“Family and friends could visit people at the service.” from the report
Testing guidance
needs fixingThe provider had testing arrangements, but inspectors found these did not always follow the most up-to-date guidance. The provider was signposted to resources to improve its approach.
“However, the provider was not always following the most up to date guidance.” from the report
- 01What changes have you made to ensure testing now follows the most up-to-date guidance?
- 02How are people and staff tested, and how are the results recorded?
- 03How do you manage staffing pressures linked to COVID-19, and could these affect people's care?
- 04How can family visits take place if COVID-19 risks or restrictions change?
- 05What infection control training and PPE checks do staff receive now?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the other CQC questions were not assessed and the service was not rated. This explanation was written from the published report of 26 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.
What inspectors found, October 2019
Rated Good; inspectors found safe, caring and personalised support, but weekend staffing and as-needed medicines guidance needed review.
The inspection was unannounced and took place on 30 September 2019. One inspector spoke with all three people using the home, a relative, a healthcare professional, staff, the manager and the provider. They also checked care files, medicines records, staff recruitment and training records, and management documents.
The inspectors found that people were safe and treated with kindness and respect. Staff understood people's needs, supported their choices, helped them access healthcare and provided meals that matched their cultural, religious and personal preferences. The home was clean and medicines were generally managed safely.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home was rated Good overall, the same as at the previous inspection. Inspectors did identify that the weekend rota showed one staff member for three people on each shift, and that individual guidance for as-needed medicines was not always in place.
Personalised care
Care plans were written around each person's needs, preferences and preferred way of receiving support. Staff asked people how they wanted to be helped and respected their choices.
“Care plans were personalised with people's needs and preferences.” from the report
Kind and respectful staff
People and relatives said staff were caring and respectful. Inspectors observed staff protecting people's privacy and dignity.
“We observed staff were discreet when communicating and supporting people.” from the report
Safe environment
The home was clean, staff had infection control training, and equipment and facilities were regularly checked and maintained.
“The premises were clean throughout. Staff had received training in infection control.” from the report
Support for choice and independence
People were supported to make everyday choices, practise their faith and develop independence. The home had supported one person to gain independent living skills and move into the community.
“This showed people were supported to live as independently as possible.” from the report
Good management and learning
The manager used audits, feedback, staff meetings and training to oversee the home and improve care.
“The registered manager sought feedback from people and staff.” from the report
Weekend staffing rota
needs fixingThe rota showed one staff member caring for three people on each shift at weekends. The manager said on-call staff could be used when more help was needed and agreed to review and update the rota.
“However, the staffing rota showed there was one staff to care for three people on each shift during weekends.” from the report
As-needed medicines guidance
needs fixingThere was general guidance for as-needed medicines, but not individual guidance for each person. This meant staff did not always have specific instructions for deciding when to give these medicines.
“However, there was no PRN protocol for each person in their files, which meant staff did not always have specific guidance on how to manage PRN medicines.” from the report
- 01How many staff will be working on each weekend shift, and how quickly can on-call staff attend if someone needs extra support?
- 02Has the weekend staffing rota been reviewed and updated since this inspection?
- 03What individual written guidance is now in place for each person's as-needed medicines?
- 04How do staff record and check the reasons for giving as-needed medicines?
- 05How are people's care plans and risk assessments reviewed when their needs change?
This was an unannounced planned inspection covering all five key questions, with the ratings unchanged from the previous inspection. This explanation was written from the published report of 31 October 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 Ebenezer Residential Care Home
4 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- January 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Ebenezer Residential Care Home →
- October 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Ebenezer Residential Care Home →
- April 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2016Requires improvementstayed Requires improvementEffective: Requires improvementWell-led: Requires improvement
- October 2015Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2013
Report published without a new overall rating.
- February 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 10 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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