What the CQC found at Edensor Care Centre (Diagrama Healthcare)

Inspectors saw staff treating people with kindness and dignity. People and relatives said they felt cared for and supported.

“People told us that staff were kind and caring.” from the report

The home offered a wide range of activities, including links with schools, local groups and other care homes. Sensory activities were also taken to people who stayed in bed.

“The service had made significant improvements to improve the quality of engagement opportunities in the service.” from the report

A training coordinator monitored mandatory training and arranged additional learning, including support for people with distressed behaviour.

“The training coordinator checked staff mandatory training needs weekly, identifying when staff were due to be trained and organising this so that they did not go out of date.” from the report

Recruitment checks were robust, and inspectors found enough staff to meet people's individual needs.

“Staff were recruited robustly and safely and extra care had been taken to ensure that those people interviewed could demonstrate the values of the organisation.” from the report

Risk information was collected but was not always used to change care. Inspectors found examples involving distressed behaviour, pressure ulcers, fluid intake and a person's unsafe seating position.

“Some peoples identified risks were being monitored but this information was not used to mitigate and manage risk effectivity.” from the report

Records for topical creams were poor. Inspectors found that some prescribed creams had not been available for several days, and audits had not identified these problems.

“For one person who had been prescribed creams for dry skin, the cream had not been available for over five days.” from the report

Some high-touch areas and equipment were dirty. Inspectors also found concerns about a catheter, communal pressure cushions, missing soap and shared hoist slings.

“Although there were daily cleaning staff working at the service, we saw that various parts of the service were dirty, particularly high touch areas such as doors, door handles, handrails, and some moving and handling equipment.” from the report

Audits were completed but did not reliably identify problems. The manager had sometimes signed them without checking whether the information was accurate.

“Governance systems in place to monitor the quality of safety of the environment needed to improve.” from the report

Care plans contained a lot of information, which was not always easy to find or consistent. There was limited evidence that people had helped plan their care.

“People's care plans were cumbersome and difficult to navigate through.” from the report

Activities were strong when the activity coordinator was working, but other staff did not always continue them on other shifts.

“Activities taking place were often dependant on when the activity coordinator was on duty.” from the report