CQC report explained · a residential care home
What the CQC found at Edmore House Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found suitable COVID-19 testing, protective equipment, social distancing and visiting arrangements. They were only somewhat assured about cleanliness and the infection prevention and control policy, because some areas were dirty, damaged or difficult to clean.
- Effective?
- Good
- This was not assessed in this targeted inspection.
- Caring?
- Good
- This was not assessed in this targeted inspection.
- Responsive?
- Good
- This was not assessed in this targeted inspection.
- Well-led?
- Good
- This was not assessed in this targeted inspection.
What inspectors found, March 2022
Inspected but not rated; inspectors found good COVID-19 visiting and testing arrangements but some poor cleaning and maintenance.
This was a targeted inspection on 15 February 2022. One inspector checked infection prevention and control, visiting arrangements and the effect of COVID-19-related staffing pressures. The inspection was announced with 24 hours' notice.
The home had good arrangements for testing visitors, using protective equipment, social distancing and visiting relatives. People, staff and visitors followed COVID-19 testing arrangements that met government guidance.
Inspectors found some areas that were not clean or easy to clean. These included parts of the laundry and a ground-floor bathroom. The infection prevention and control policy was also only partly up to date.
The home was inspected but not rated. This means the report does not give an overall quality rating or a full rating for all five areas of care.
Visitor safety
Visitors had to show a negative lateral flow test and complete a health questionnaire. Professional visitors were asked for COVID passports.
“All visitors to the home were required to evidence a negative lateral flow test and complete a health questionnaire.” from the report
Protective equipment
Protective equipment was available for visitors and there were stations around the home for staff to put it on and take it off.
“Personal protective equipment (PPE) was available for visitors to use where required.” from the report
Visiting arrangements
The home encouraged visits in the dining room, bedrooms and garden when the weather allowed. Telephone contact was also encouraged.
“Visiting in the dining room, people's individual bedrooms and regular telephone calls were all encouraged by the provider.” from the report
Testing arrangements
People, staff and visitors followed COVID-19 testing arrangements that met current government guidance.
“People, staff and visitors all complied with COVID-19 testing regimes that met current government guidance.” from the report
Dirty areas
needs fixingParts of the laundry and a ground-floor bathroom were not clean. Inspectors found dust and fluff, dirt, mould and stained flooring.
“The ground floor bathroom/ WC by the office was in a poor state of repair and cleanliness.” from the report
Surfaces and cleaning
needs fixingThe laundry floor coating had worn away, and damaged woodwork and flooring in the bathroom could not be cleaned effectively. Cleaning schedules did not say how often the laundry should be cleaned.
“The impermeable coating to the laundry floor had worn away leaving a surface that could not be effectively cleaned.” from the report
Cleaning equipment
needs fixingInspectors found a mop in dirty water in the laundry and another wet mop in the bathroom. They said this did not provide assurance of good hygiene practice.
“There was a mop left in dirty water in the laundry and a wet mop in the bathroom/ WC by the office” from the report
Policy update
minorInspectors were only somewhat assured that the infection prevention and control policy was up to date.
“We were somewhat assured that the provider's infection prevention and control policy was up to date.” from the report
- 01What has been done to clean and repair the laundry area and the ground-floor bathroom?
- 02How often is the laundry now cleaned, and where is this recorded?
- 03What action has been taken about mops being left in dirty or wet conditions?
- 04Has the infection prevention and control policy been updated since the inspection?
- 05How are current testing, protective equipment and visiting arrangements being maintained?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it was inspected but not rated and did not assess all five areas of care. This explanation was written from the published report of 11 March 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, March 2019
Rated Good in every area; inspectors found kind, safe and personalised care, with earlier notification and medicines-record issues addressed.
This was an unannounced inspection on 12 February 2019. One inspector and an expert by experience spoke with people living at the home, relatives, staff and a health professional. They also observed care and checked care plans, medicines records and management records.
The home supported 17 older people, with space for 18. Inspectors found people were safe, treated with kindness and involved in decisions about their care. Staff knew people's needs, supported their health and helped them take part in activities they enjoyed.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home was also rated Good at the previous inspection in January 2016. Inspectors noted that earlier issues with notifications and medicines checks had been addressed.
Kind, respectful care
Staff knew people well and supported them in ways that respected their choices, dignity and independence.
“People were cared for by staff who knew them well.” from the report
Safe medicines support
People received their medicines as prescribed, with safe systems for storage, administration and disposal.
“People were receiving their medicines when they should.” from the report
Good health support
Staff understood people's health needs and worked with health professionals. They followed advice given by other professionals.
“They always follow any advice given, and have trained staff well.” from the report
Personalised activities
People were supported to take part in activities they enjoyed and to maintain important relationships and faith connections.
“People were supported to do things they enjoyed.” from the report
Approachable management
People, relatives and staff said they could speak with managers and make suggestions about care.
“People and relatives were complimentary about the way the home was managed and told us they found the registered manager and provider approachable.” from the report
Required notifications were missed
needs fixingThe manager said the home had not submitted required notifications about deprivation of liberty safeguards authorisations. Immediate action was taken to correct this.
“The registered manager told us they had not submitted the notifications required in respect of deprivation of liberty safeguards authorisations.” from the report
Earlier medicines audit weaknesses
minorAt the previous inspection, monthly audits had not found stock-recording errors or missing protocols for some medicines taken when needed. Inspectors said the necessary action had since been taken.
“At this inspection, we found the registered manager had taken the actions necessary to address this.” from the report
- 01How do you now check that all required notifications, including deprivation of liberty safeguards authorisations, are submitted on time?
- 02What medicines audits are carried out now, and how do you check stock records and protocols for medicines taken when needed?
- 03How would you support my relative's particular health needs, and which health professionals would be involved?
- 04Which activities and community or faith connections could you support for my relative?
- 05How would you involve my relative and our family in reviewing their care plan and changing preferences?
This was an unannounced inspection of the whole care home, including the premises and care provided, and all five CQC questions were assessed. This explanation was written from the published report of 19 March 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 Edmore House Residential Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Edmore House Residential Home →
- March 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Edmore House Residential Home →
- January 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 29 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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