CQC report explained · a nursing home
What the CQC found at Edgemont View Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, January 2022
Edgemont View Nursing Home's previous Good rating remained unchanged; a targeted inspection found safe infection control, staffing and management arrangements.
This was an unannounced targeted inspection on 16 December 2021. The inspector looked only at specific concerns about staffing, infection control and how the home was managed. They spoke with the manager, four staff members and four relatives, and reviewed policies and records.
Inspectors found enough staff on duty during the visit. They found that staff used protective equipment safely, visitors had temperature checks and tests, and infection control procedures followed the guidance in place at the time.
Staff said they felt supported and could raise concerns. Inspectors saw checks and audits to monitor safety and quality. Relatives said people were well cared for, although some described individual occasions when they thought more staff were needed.
The inspection was not a full reassessment. The overall Good rating from the previous inspection remained unchanged. Safe and well-led were inspected but not rated, and the other areas were not assessed during this visit.
Infection control
Visitors had temperature checks and needed a negative lateral flow test before entering. Inspectors found PPE, hand sanitiser and procedures for preventing infection were in place.
“We were assured that the provider was using PPE effectively and safely.” from the report
Staffing during the visit
Inspectors found enough staff on duty to meet people's needs. Staffing was adjusted when people's needs changed.
“During our inspection there were sufficient staff on duty to meet people's needs.” from the report
Supportive management
Staff said they could approach the manager and raise concerns. Inspectors found that concerns were investigated and taken seriously.
“Staff told us they felt very well supported.” from the report
Quality checks
The home had checks and audits to monitor safety, cleanliness and hygiene.
“There were checks and audits in place in order to monitor safety and quality.” from the report
Occasional staffing pressure
minorSome relatives said there had been individual occasions when they felt more staff were needed. Staff also described difficult days caused by sickness or changing needs, although inspectors found staffing was generally sufficient.
“Staff told us that as expected there were days that were difficult, due to last minute staff sickness or people's needs fluctuating.” from the report
- 01How do you maintain safe staffing when there is last-minute sickness?
- 02How do you increase staffing when a resident's needs change?
- 03How do you check that PPE is being used and disposed of safely?
- 04How are concerns from residents, relatives and staff recorded and investigated?
- 05What checks and audits do you use to monitor cleanliness, hygiene and safety?
This was an unannounced targeted inspection of specific concerns about staffing, infection control and governance; it did not assess the whole service, so the previous Good rating remained unchanged. This explanation was written from the published report of 13 January 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, December 2017
Rated Good; inspectors found kind, safe and personalised care, with clear improvements since the previous inspection.
This was an unannounced inspection on 21 and 25 September 2017. One inspector met everyone living in the home, spoke with four people, one relative and staff, and reviewed care records, staff records, policies, audits and other documents.
Inspectors found that people were protected from abuse, risks were assessed, staffing levels had improved and medicines were managed safely. The home was clean and infection control had improved. Staff were described as kind, respectful and attentive. Care was based on people's choices, and changing needs were identified quickly.
The home had a new manager who had been in post for four weeks. The provider had increased oversight and improved its checks on quality and safety. The overall rating was Good, as were all five key questions. The previous overall rating was Requires Improvement because of problems with infection control and management oversight.
Improved cleanliness
The home had acted on earlier infection control concerns. Cleaning hours, equipment, audits and staff checks had all been improved.
“We found at this inspection significant improvements had been made.” from the report
Safe staffing and risk management
Staffing levels and the mix of skills on shifts had been reviewed. Staff understood safeguarding and had guidance about risks such as falls, choking and skin damage.
“The manager and staff followed procedures which reduced the risk of people being harmed.” from the report
Kind and respectful care
Inspectors saw staff supporting people patiently and compassionately. People were treated with dignity and staff knew about their lives and preferences.
“Throughout our visits staff supported people with kindness and compassion.” from the report
Personalised support
People could make choices about their routines, meals and activities. Staff responded quickly when people's health or care needs changed.
“People's changing needs were responded to quickly and appropriately.” from the report
Stronger leadership
The new manager and provider had introduced more effective checks and clearer improvement plans. Staff meetings and feedback systems helped people and staff contribute.
“Provider visits were more robust and effective. We looked at the written content of these” from the report
Care records were being replaced
minorThe home was changing its care records to make them more person-centred. Staff were still developing the new system during the inspection.
“At the time of the inspection the service was in the process of changing their care record documentation to a more 'robust person centred care planning system'.” from the report
Some staff development was still planned
minorA supervision programme had started, but regular appraisals were planned for the following year. Additional training for nurses was also being considered.
“A programme of supervision was now in place and regular appraisals will be established over the coming year.” from the report
Activities were under review
minorThe activity programme was being reviewed, although several activities and outings were already available. The home was also recruiting for another activity post.
“Activity plans were under review. An activity co-ordinator had recently been employed and additional hours were also available for recruitment into another post.” from the report
- 01Has the new manager's application to become the registered manager been approved by CQC?
- 02Have the new person-centred care records been completed for everyone, and how are they kept up to date?
- 03Have regular staff appraisals and the planned additional nurse training been put in place?
- 04What activities are now available, and has the extra activity post been filled?
- 05Have the planned bedroom, bathroom and toilet refurbishments been completed?
This was an unannounced inspection of the overall quality of the home, covering all five key questions and checking progress after breaches found in August 2016. This explanation was written from the published report of 9 December 2017 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 Edgemont View Nursing Home
2 rated inspections over a year: the service has improved, from Requires improvement to Good.
- January 2022Inspected but not ratedcurrent ratingSafe: Inspected but not ratedWell-led: Inspected but not rated
- December 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2016Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- May 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- April 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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