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CQC report explained · a nursing home

What the CQC found at Eccleston Court Care Home

Requires improvementpublished 20 May 2025, 16 months ago

Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.

The latest report, explained

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.

What inspectors praised
  • 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
What inspectors were concerned about
  • Weak provider oversight

    serious

    The 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

    serious

    Prescribed 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 fixing

    A 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 fixing

    Records 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 fixing

    There 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

    minor

    Some 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
Questions to ask them, based on this report
  1. 01What has been completed in response to the fire risk assessment and Fire and Rescue Service findings?
  2. 02What medicine errors have occurred, and how are regular medicine reviews checking that they do not happen again?
  3. 03How are staff now deployed during mealtimes and in communal areas so people receive help without waiting?
  4. 04How are you checking that care records accurately show the care and support each person has received?
  5. 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.

The story over the years

Every inspection of Eccleston Court Care Home

7 rated inspections over 7 years: the service has slipped, from Good to Requires improvement.

  1. June 2022Requires improvementcurrent ratingstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read what inspectors found at Eccleston Court Care Home →

  2. November 2020Requires improvementstayed Requires improvement
    Responsive: Requires improvementWell-led: Requires improvement
  3. February 2020Requires improvementup from Inadequate
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
  4. July 2019Inadequatedown from Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: InadequateResponsive: InadequateWell-led: Inadequate
  5. June 2018Requires improvementup from Inadequate
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
  6. November 2017Inadequatedown from Good
    Safe: InadequateEffective: Requires improvementCaring: InadequateResponsive: InadequateWell-led: Inadequate
  7. July 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  8. 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.

Next steps

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