CQC report explained · a residential care home
What the CQC found at Edwardian Care Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, March 2022
Edwardian Care Home was inspected but not rated; inspectors found good infection control overall, but some visiting and record-keeping processes needed improvement.
This was an announced, targeted inspection on 17 February 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements, and whether COVID-19-related staffing pressures affected care.
Inspectors found daily temperature checks, routine COVID-19 testing, correct use of personal protective equipment, clean premises and enough staff. People were supported calmly and kindly, and the home had not experienced a COVID-19 outbreak.
The home was meeting most infection control expectations. However, inspectors were only somewhat assured about preventing visitors from spreading infection. There was confusion about entry checks, some records did not show checks had been supervised, and the infection control policy did not cover one outbreak staffing arrangement.
The service was inspected but not rated. This means the visit did not give an overall quality rating or a rated score for Safe.
Protective equipment
Staff used personal protective equipment correctly, and it was available throughout the home. Staff had also received infection prevention and control training.
“Staff wore personal protective equipment (PPE) correctly. The registered manager had ensured this was made available throughout the home.” from the report
Clean and calm environment
The home was clean and free from bad smells. Inspectors saw enough staff supporting people in a calm and kind way.
“The home looked clean and there were no malodours. There was enough staff who supported people in a calm and kind way.” from the report
COVID-19 monitoring
People's temperatures were checked daily and routine testing was arranged for those who consented. People returning from hospital were supported to isolate when needed.
“Staff were checking people's temperatures daily to see if people had COVID-19 symptoms.” from the report
No reported outbreak
The home had measures to prevent and manage infection, and the report says it had not experienced a COVID-19 outbreak.
“The service had not had any COVID-19 outbreaks.” from the report
Visitor entry checks
needs fixingInspectors found confusion among staff about the checks needed when professionals and suppliers entered. The visiting record did not show that staff entry checks had been supervised.
“We were somewhat assured that the provider was preventing visitors from catching and spreading infections.” from the report
Incomplete entry records
needs fixingThe home said entry checks for staff were supervised, but the records did not show this. The visiting record was changed during the inspection to clarify the correct process.
“When staff checked into the home at the start of their shift we were told this was supervised by a senior member of staff, but the record did not show this.” from the report
Policy needed updating
minorThe infection prevention and control policy did not explain how staff should be grouped during an outbreak. The manager could explain the planned actions, but the written policy was incomplete.
“The provider's policy did not outline what action should be completed regarding cohorting staff if there was an outbreak.” from the report
Checks on visiting professionals
needs fixingImprovements were still being made to ensure visiting professionals entering the home met the COVID-19 vaccination requirements that applied at the time.
“Improvements were being made by the registered manager to ensure visiting professionals entering the home were vaccinated against COVID-19.” from the report
- 01How are visitor and professional entry checks now carried out and recorded?
- 02Who supervises staff entry checks, and how do you make sure the records are complete?
- 03Has the infection prevention and control policy been updated to explain how staff would be grouped during an outbreak?
- 04How do you check that visiting professionals meet the current requirements before entering the home?
- 05What arrangements are in place if a person returns from hospital and needs to isolate?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not provide an overall rating or ratings for the other four questions. This explanation was written from the published report of 5 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, August 2019
Edwardian Care Home was Rated Requires Improvement; inspectors found safe, kind care, but person-centred support and oversight were not reliable.
This was the first inspection since the home registered. It was unannounced and took place on 15 and 23 July 2019. Inspectors spoke with people, staff and managers, observed care, and checked care, medicines, staffing and management records.
The home was rated Good for Safe, Effective and Caring. People were protected from harm, medicines were managed safely, staffing was sufficient, and people could access food, drink and healthcare. People generally said staff were kind and met their care needs.
The home was rated Requires Improvement for Responsive and Well-led. People were not involved enough in their care plans, had too few activities and were not supported well enough to build independence. The provider also failed to identify and act quickly on known problems. Inspectors found breaches of Regulations 9 and 17.
People were kept safe
Inspectors found that risks were assessed, staffing was sufficient and staff knew how to raise safeguarding concerns. Medicines, infection control and incident reporting were also managed safely.
“There were enough staff to support people safely, and there was a system to calculate how many staff were needed.” from the report
Care and healthcare support
People said staff met their care needs. Staff followed care guidance and worked with health professionals when people's needs changed.
“Records showed people had received care and treatment from various professionals when required.” from the report
Kind and respectful support
People described staff as kind and caring. Staff supported people to make choices and encouraged them to do as much as possible for themselves.
“People told us staff were kind and caring.” from the report
Complaints were handled
The home had a complaints process and inspectors found that complaints had been dealt with appropriately. Suggestions from people were also considered.
“Records showed that complaints received by the service had been dealt with appropriately.” from the report
Too few activities and independence opportunities
needs fixingPeople reported having little to do and limited opportunities to go out, follow interests or build independent living skills. The provider had not acted quickly enough to improve this.
“People had limited opportunities to pursue their hobbies and interests.” from the report
Weak quality monitoring
seriousThe provider's audits had identified concerns about food and activities, but action was slow. Inspectors said the quality monitoring systems did not reliably improve people's experiences.
“There was lack of robust processes to assess, monitor and improve the quality of people's experiences.” from the report
Staff training and culture
needs fixingStaff said they needed more training to support people with complex mental health needs. Inspectors also found some disrespectful language and a lack of effort to make mealtimes more social.
“Staff said they did not feel appropriately skilled to meet the needs of people with complex mental health needs.” from the report
- 01How are residents now involved in writing and reviewing their care plans?
- 02What activities and outings are currently available, including at weekends, and how are residents' hobbies and interests recorded?
- 03How do you support residents to build or keep independent living skills, such as doing laundry or making drinks?
- 04What extra training have staff received for complex mental health needs?
- 05How do your audits show that concerns about activities, food, records and residents' experiences are fixed promptly?
This was the first planned inspection of the whole care home, covering all five CQC questions, its premises and the care provided. This explanation was written from the published report of 16 August 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 Edwardian Care Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- August 2019Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- July 2018
Registered with the Care Quality Commission on 16 July 2018.
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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