CQC report explained · a residential care home
What the CQC found at EdgeHill Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff with suitable skills, safe medicines arrangements, regular risk reviews and safeguarding systems. Maintenance problems were found on the inspection day and were fixed quickly.
- Effective?
- Good
- People's needs, preferences and health requirements were assessed and recorded. Staff supported people with meals, activities, appointments and access to health and social care professionals.
- Caring?
- Good
- This question was not separately rated in this report. The report says people received kind and compassionate care and that staff respected their privacy and dignity.
- Responsive?
- Good
- This question was not separately rated in this report. The report says activities and support were tailored to people's interests, needs and chosen way of life.
- Well-led?
- Good
- Inspectors found approachable management, regular audits, staff support and feedback systems. Managers acted quickly when issues were raised during the inspection.
What inspectors found, July 2023
EdgeHill Care Home is Rated Good; inspectors found safe, kind and well-managed care, with some physical issues and a CCTV consent problem fixed quickly.
This was an unannounced inspection by one inspector. The inspection followed a review of concerns about medicines, staffing, auditing, notifications and CCTV. Inspectors spoke with people, staff, managers and healthcare professionals, and checked care plans, staff records, medicines, incidents, complaints and audits.
The overall rating was Good. Safe, Effective and Well-led were all rated Good. Inspectors found enough suitably trained staff, safe medicines systems, appropriate risk plans and good links with health professionals. People were supported to make choices, stay healthy, take part in activities and live with dignity.
Inspectors found some maintenance issues, including broken toilet seats, a fly trap needing replacement and build-up in an unused sink. They also found that consent and notices for CCTV had not initially been dealt with properly. The home took immediate action and corrected these issues quickly.
The previous rating was Good, published in February 2018. This report says the Good ratings for Safe, Effective and Well-led remained unchanged. Caring and Responsive were not separately rated in this report.
People's choices
People were supported to make decisions, take manageable risks and have control over daily life. Staff used communication methods suited to each person.
“People were supported to have maximum choice and control of their lives” from the report
Kind and respectful care
Inspectors found that staff understood people well and responded to their individual needs while protecting privacy and dignity.
“People received kind and compassionate care.” from the report
Health support
Staff helped people attend appointments and worked with health and social care professionals. Inspectors received positive feedback about this support.
“One major area of their strength is their communication of [people's] progress and support to attending medical appointments.” from the report
Activities and interests
People could take part in activities in the community and continue hobbies that mattered to them. The report describes opportunities to try new activities.
“People could take part in activities and pursue interests that were tailored to them.” from the report
Responsive management
Management was visible and approachable, and acted quickly when inspectors identified problems. Audits and staff meetings were used to monitor and improve the service.
“The registered manager was responsive to issues raised during the inspection.” from the report
Maintenance problems
needs fixingInspectors found a fly trap needing replacement, two broken toilet seats and build-up in an unused sink. The manager took immediate action to fix these issues.
“On the day of the inspection, there were outstanding maintenance issues.” from the report
CCTV consent and notices
needs fixingCCTV was operating in several areas without consent having initially been sought and without notices in place. The manager introduced a consent system and installed notices during the inspection.
“The registered manager explained this was for monitoring only. We explained that consent for CCTV to be in the home was needed.” from the report
- 01Have the broken toilet seats, fly trap and unused sink now been repaired or cleaned, and how are these checks recorded?
- 02How is consent for CCTV obtained, reviewed and recorded for each person living in the home?
- 03Which areas of the home have CCTV, who can view it, and how are visitors and residents told about it?
- 04How will you support my relative to make everyday choices and take part in activities that interest them?
- 05How do staff communicate with families about changes in health, appointments or concerns?
This was an unannounced inspection prompted by concerns about medicines, staffing, auditing, notifications and CCTV; Safe, Effective and Well-led were rated, while Caring and Responsive were not separately rated. This explanation was written from the published report of 7 July 2023 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, February 2018
Rated Good; inspectors found safe, caring support that helped people build independence.
The inspection was unannounced and took place on 11 January 2018. One inspector observed care, spoke with three people, two staff, the provider and a health professional, and checked care, staff and management records.
The home supported five people with mental health needs. Inspectors found enough staff, safe medicines practice, suitable risk assessments and trained staff. People said they felt safe, respected and supported.
All five areas were rated Good: safe, effective, caring, responsive and well-led. The home remained Good after its previous inspection on 30 March 2016, and inspectors said it continued to meet the regulations and fundamental standards.
People felt safe
People said they felt safe, and inspectors found safeguarding procedures, risk plans, emergency arrangements and suitable staffing in place.
“People told us they felt safe living at the home.” from the report
Safe medicines practice
Medicines were stored securely, staff who administered them were trained, and medication records had no gaps.
“MAR records had been completed in full and there were no gaps in recording.” from the report
Respectful care
People said staff were kind and helpful. Inspectors observed respectful and dignified treatment, including staff asking before entering bedrooms.
“Throughout our inspection we observed staff speaking to and treating people in a respectful and dignified manner.” from the report
Building independence
The home supported people to develop everyday skills, including cooking, cleaning, using public transport and looking for work.
“The provider and staff are very good at encouraging people to do things for themselves.” from the report
Regular checks on quality
The provider carried out audits covering areas such as medicines, fire safety, infection control, complaints and care records.
“The provider recognised the importance of regularly monitoring the quality of the service.” from the report
Feedback was not yet fully analysed
minorThe provider had collected annual survey responses but was still analysing them. A new survey and improvement plan were being developed, so ask what actions followed.
“The provider told us they were in the process of analysing the feedback from people before taking action to make improvements at the home.” from the report
- 01What changes were made after analysing the annual satisfaction survey?
- 02How would you support my relative if their mental health condition deteriorated or there was a crisis?
- 03How would you help my relative develop independence in cooking, cleaning, travel or work?
- 04How do you make sure medicines are given as prescribed and records remain complete?
- 05How will you involve my relative in reviewing their care plan and support needs?
This was an unannounced inspection covering all five key questions; the report says the service remained Good after its previous inspection on 30 March 2016. This explanation was written from the published report of 10 February 2018 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 EdgeHill Care Home
4 rated inspections over 7 years: the service has held its Good rating throughout.
- July 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2018Goodstayed GoodSafe: GoodEffective: GoodWell-led: Good
- April 2016Goodstayed GoodSafe: Good
- January 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 24 December 2010.
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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