CQC report explained · a nursing home
What the CQC found at Eden Place Mental Health Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, safe recruitment, safeguarding training and safe medicines systems. They also found some shared bathrooms needed cleaning and that parts of the flooring needed replacing.
- Effective?
- Good
- This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating, but that rating is not stated in this report.
- Caring?
- Good
- This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating, but that rating is not stated in this report.
- Responsive?
- Good
- People had person-centred care plans and staff knew their preferences. Activities, visits, faith, hobbies and day trips were supported, and people and relatives said staff were approachable.
- Well-led?
- Good
- Inspectors found improved systems for monitoring quality and safety, including meetings, audits and an improvement plan. Managers also used residents' meetings and key worker reports to involve people in care planning.
What inspectors found, November 2022
Eden Place Mental Health Nursing Home was rated Good; inspectors found safer, more personalised care, but some shared bathrooms needed better cleaning.
This was an unannounced focused inspection on 12 October 2022. Two inspectors and a specialist mental health nurse advisor spoke with people, relatives and staff, observed care, and checked care plans, medicines records, recruitment files and quality checks.
The home was rated Good for Safe, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, improved risk assessments and person-centred care plans. People were supported with activities, visitors, faith and hobbies.
There was one clear cleanliness issue. Some shared bathrooms needed cleaning, one had a hand towel instead of paper towels, and some flooring needed replacing. The managers were working with domestic staff to improve this.
The previous overall rating was Requires Improvement, published in October 2019. The report says the overall rating changed to Good, but Effective and Caring were not inspected during this visit and their previous ratings were carried forward.
Staffing and medicines
Inspectors found enough staff to respond to people's needs promptly. Medicines were ordered, stored and given safely by trained staff.
“There were enough staff to support people safely and respond to people's needs in a timely way.” from the report
Personalised care
Care plans recorded people's preferences and dislikes. Staff understood how to support people's mental health and personal choices.
“People had person centred care plans which provided staff with information on how people wanted to be cared for, their preferences and dislikes.” from the report
Activities and involvement
People could take part in individual and group activities, maintain interests and attend religious services. Meetings gave them a say in future outings and care planning.
“Individual and group activities took place. During our inspection exercise activities took place with an external specialist, who encouraged people to move around to music from a seated position.” from the report
Improved management
The managers had strengthened quality checks and introduced a clinical managers' meeting. An improvement plan identified areas needing redecoration and updating.
“Improvements had been made to systems which monitored the quality and safety of care.” from the report
Bathroom cleanliness and flooring
needs fixingSome shared bathrooms needed cleaning and parts of the flooring were difficult to clean because they needed replacing. One bathroom used a hand towel instead of paper towels, increasing the risk of infection spreading.
“Some areas of the home were difficult to clean because the flooring needed replacing and some shared bathrooms needed cleaning.” from the report
- 01Have all the shared bathrooms been cleaned to the required standard, and has the bathroom with a hand towel been changed to provide paper towels?
- 02Has the flooring that needed replacing been replaced, and what remains on the improvement plan for the building?
- 03How will you recognise and respond if my relative's mental health deteriorates?
- 04How will my relative take part in activities, hobbies, faith practices and day trips that matter to them?
- 05What were the previous ratings for Effective and Caring, which were not reassessed during this focused inspection?
This was a focused inspection of Safe, Responsive and Well-led, with infection prevention and control also checked; Effective and Caring were not inspected and their previous ratings carried over. This explanation was written from the published report of 25 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, October 2019
Eden Place Mental Health Nursing Home was rated Requires Improvement; care was kind and effective, but safety, care planning and management checks were not yet consistent.
Inspectors visited on 27 and 30 September 2019. They spoke with people, relatives, staff and managers. They observed care and checked care plans, medicines, food records, safety checks and management records.
The home had enough staff, was clean and had improved its buildings and safety checks. Staff knew people well, treated them with kindness and supported their independence. People had access to food, drink, medicines, activities and health professionals.
However, some risk information and care records were out of date or incomplete. Some people did not have clear plans for what staff should do if their mental health became worse. The home's audits did not always find these problems.
The overall rating stayed Requires Improvement. Safe, responsive and well-led were rated Requires Improvement. Effective and caring improved from Requires Improvement to Good. The home was no longer in breach of the regulations found at the previous inspection.
Kind and respectful care
People and relatives gave positive feedback about staff. Inspectors saw staff giving people space, offering one-to-one support and respecting privacy.
“People consistently experienced positive interactions with staff. People described staff as kind, caring and respectful toward them.” from the report
Staffing and safeguarding
Inspectors found enough staff on shift. Staff had safeguarding training and understood how to report concerns.
“There were sufficient staff on shift.” from the report
Healthcare support
People could access healthcare professionals, including regular support from the GP practice and referrals to other specialists when needed.
“People had access to healthcare professionals. Staff received a high level of support from the GP practice which people were registered with, with weekly visits from the practice and daily telephone support when needed.” from the report
Activities and relationships
People took part in individual and group activities, trips out and faith-related activities. Relatives said they could visit and people were supported to maintain relationships.
“Individual and group activities took place.” from the report
Improved environment
The home had refurbished some communal bathrooms, improved cleaning arrangements and completed outstanding gas safety work.
“Since our last inspection, improvements had been made in the environment.” from the report
Out-of-date risk information
seriousSome risk plans did not reflect people's changing needs. This included behaviour plans and a wound management plan, which could mean staff did not have the right instructions.
“important information about managing risks of harm or injury was not always available to staff to refer to when needed.” from the report
Weak mental health contingency planning
seriousPeople did not have clear relapse or contingency plans explaining what staff should do if they became unwell or disengaged from support.
“However, people did not have relapse or a contingency care management plan to guide staff on actions to take when a person declined or disengaged with their support and became mentally unwell.” from the report
Emergency planning and drills
seriousSome personal evacuation plans did not set out the safest or quickest way to evacuate. Fire drills had not tested staff's ability to respond to an emergency.
“The provider had not assessed staff's ability to respond in an emergency.” from the report
Management checks missed problems
needs fixingAudits did not reliably identify missing care plans, medicines recording risks, incomplete food records and gaps in kitchen cleaning records.
“Some checks took place, however, these were not robust.” from the report
- 01How do you now make sure behaviour, wound care and other risk plans are updated when a person's needs change?
- 02What relapse or contingency plan will be used if my relative's mental health deteriorates or they stop engaging with support?
- 03When was the last scenario-based fire drill, and how would staff safely evacuate my relative?
- 04How do you check that medicines records are signed by the staff member who gave the medicine?
- 05How are care plans, food records and kitchen cleaning records audited and followed up?
This was a planned inspection of the care and premises, covering all five CQC questions and the overall service rating. This explanation was written from the published report of 18 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 Eden Place Mental Health Nursing Home
5 rated inspections over 7 years: the service has held its Good rating throughout.
- November 2022Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Eden Place Mental Health Nursing Home →
- October 2019Requires improvementstayed Requires improvementSafe: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
Read what inspectors found at Eden Place Mental Health Nursing Home →
- October 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- December 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- August 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 5 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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