CQC report explained · a residential care home
What the CQC found at Edward House
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, October 2017
Rated Good overall, with Outstanding caring; inspectors found kind, person-centred care, with minor medicine and staffing issues to address.
Inspectors visited without notice on 7 and 8 September 2017. They spoke with people living in the home, relatives, staff and visiting professionals. They reviewed care records, medicine records, recruitment files, training, staff rotas, complaints and quality checks.
The home was rated Good overall. Safe, Effective, Responsive and Well-led were all rated Good. Caring was rated Outstanding, improving from Good at the previous inspection in June 2015.
People were found to be safe, treated with dignity and supported to make choices. Staff understood people's needs, supported their health and nutrition, and provided activities. Inspectors found two areas needing attention: guidance for some 'as needed' medicines was missing, and staff were not always readily available in one lounge.
Kind and respectful care
People and relatives described staff as kind and compassionate. Inspectors observed warmth, dignity and respect in everyday care.
“People were supported by staff who were very kind and caring and treated them with respect and dignity.” from the report
Personalised independence
Care was based on people's preferences, abilities and life histories. Staff encouraged people, including those living with dementia, to do as much as possible for themselves.
“People were encouraged to lead independent lives and care and support was tailored to enable people to do so.” from the report
Good support for health
Staff monitored people's health, nutrition and weight when needed. They sought advice from health and social care professionals when people's needs changed.
“Staff requested the guidance of a variety of health and social care professionals when people's needs changed.” from the report
Strong relationships and family contact
People had positive relationships with staff. Relatives could visit without unnecessary restrictions, and other ways of keeping in touch were offered when visits were difficult.
“Supporting all people, including those living with dementia to enjoy meaningful contact and visits from friends and families was a key aim for the provider.” from the report
Open leadership
People, relatives, staff and professionals spoke positively about the management. Audits, meetings and surveys were used to check the quality of care.
“Quality assurance systems were in place to help monitor the standard of the service provided and to help drive improvement at the home.” from the report
Guidance for some medicines
needs fixingInstructions were not always available for staff giving 'as needed' medicines. Inspectors said this could lead to inconsistent administration, and the manager said records would be reviewed.
“guidance for staff on when to administer these medicines was not always in place.” from the report
Staff availability in one lounge
needs fixingStaff numbers matched the rota, but inspectors found staff were less readily available in one of the three lounges. This was discussed with the manager, who said the importance of spreading staff evenly would be reinforced.
“we did note in one of the three lounges staff were not as readily available as within other areas of the home.” from the report
Complaints information
minorThe complaints process had been displayed in small type, which could make it hard for some people to read or understand. The manager corrected this immediately during the inspection.
“the style the complaints process was written in, for example in small type, may make it difficult for some people to read or to understand.” from the report
- 01What guidance is now in place for each person's 'as needed' medicine, and how do you check that staff follow it?
- 02How do you make sure staff are evenly available in all three lounges, including at busy times?
- 03Can I see the current complaints process, and how do you make it accessible to people who may have difficulty reading it?
- 04How will you involve my relative in reviewing their personalised care plan and daily choices?
- 05What activities and community opportunities would be suitable for my relative's interests and abilities?
This was an unannounced inspection covering all five key questions and the overall rating; the report says the overall rating remained Good and Caring improved from the previous inspection. This explanation was written from the published report of 31 October 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 Edward House
2 rated inspections over 2 years: the service has held its Good rating throughout.
- October 2017Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- July 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- May 2011
Registered with the Care Quality Commission on 20 May 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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