CQC report explained · a nursing home
What the CQC found at Eccleston Court Care 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, June 2022
Rated Requires Improvement; inspectors found kind care, but weaknesses in oversight, records, medicines and fire safety.
The inspection was unannounced and took place on 27 April, 29 April and 09 May 2022. One inspector spoke with people, staff and family members, and reviewed care, medicine, staff and management records. Infection prevention and control was also checked.
People and families said they felt safe and were happy with the staff. Inspectors found caring staff, support with food and healthcare, and positive relationships. However, care records were not always complete, some medicine errors had occurred, and people sometimes waited for support at mealtimes.
The main concern was the provider's oversight of the home. Systems for auditing, staff support and managing records were not effective, and this was a breach of Regulation 17. The overall rating and four of the five areas were Requires Improvement, while Caring was rated Good.
Kind and respectful staff
People and families spoke positively about the staff. Inspectors saw staff respecting privacy and dignity, including during end of life care.
“Never had any problems with the staff, always polite and will do anything to help.” from the report
People felt safe
People and family members told inspectors they felt safe. Safeguarding procedures were in place and concerns were reported to outside agencies when needed.
“People and their family members told us they felt safe living at Eccleston Court.” from the report
Food and healthcare support
People had a choice of food and drinks, with support for special diets. Staff arranged healthcare input when needed and worked with healthcare professionals.
“GP services and associated health care professionals visited on a regular basis to assess and monitor the health of people.” from the report
Involvement in care
People were supported to express their views and take part in decisions about their care. Families said they were consulted about changes when appropriate.
“People were supported to express their views and were involved in making decisions about their care and support.” from the report
Weak provider oversight
seriousThe provider had not given enough support to the registered manager and staff. Auditing and action on known problems were not effective, creating a risk of harm.
“Systems were either not in place or robust enough to demonstrate effective oversight and management of the service. This placed people at risk of harm.” from the report
Medicine errors
seriousPrescribed drinks and a cream were not stored safely, and several medicine errors had recently been reported. An action plan was in progress, but regular reviews were still recommended.
“A number of medicine errors had recently been reported.” from the report
Fire safety work outstanding
needs fixingA fire risk assessment and Fire and Rescue Service inspection identified improvements needed to the environment and equipment. The provider was asked to complete and monitor this work.
“An independent fire risk assessment and inspection from the Fire and Rescue Service carried out at the time of this inspection identified areas of improvement were needed.” from the report
Incomplete care records
needs fixingRecords did not always show that people had received the care and support they needed. Inspectors recommended improving the recording systems.
“People's records relating to the personal care that had been delivered were not always completed.” from the report
Support was not always timely
needs fixingThere were enough staff overall, but people sometimes waited for help during meals and staff were not always available in communal areas. A senior staff member was then identified to oversee deployment.
“During mealtimes people were seen waiting for staff to support them.” from the report
Information was not always accessible
minorSome people could not read the menus because the print was too small. The provider was asked to review information so people could understand and use it.
“People did not always have access to information that met their needs. For example, menus were in small print, which some people were unable to read and make choices from.” from the report
- 01What has been completed in response to the fire risk assessment and Fire and Rescue Service findings?
- 02What medicine errors have occurred, and how are regular medicine reviews checking that they do not happen again?
- 03How are staff now deployed during mealtimes and in communal areas so people receive help without waiting?
- 04How are you checking that care records accurately show the care and support each person has received?
- 05What has changed in provider oversight, staff supervision and access to electronic records and policies since this inspection?
This was an unannounced full inspection of all five key questions and infection control, with an additional thematic probe about oral health; one dementia-support building was not in use. This explanation was written from the published report of 18 June 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 Eccleston Court Care Home
7 rated inspections over 7 years: the service has slipped, from Good to Requires improvement.
- June 2022Requires improvementcurrent ratingstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- November 2020Requires improvementstayed Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- February 2020Requires improvementup from InadequateSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- July 2019Inadequatedown from Requires improvementSafe: InadequateEffective: Requires improvementCaring: InadequateResponsive: InadequateWell-led: Inadequate
- June 2018Requires improvementup from InadequateSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- November 2017Inadequatedown from GoodSafe: InadequateEffective: Requires improvementCaring: InadequateResponsive: InadequateWell-led: Inadequate
- July 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2021
Registered with the Care Quality Commission on 12 October 2021.
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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At least 100 live-in carers within about an hour of St. Helens
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 £1,260 a week. 92 can care for a couple. 10 years' experience on average.
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
“It was clear that she genuinely cared and her warm approach really helped put our minds at ease.”
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.