CQC report explained · a nursing home
What the CQC found at Eglantine Villa Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, February 2023
Eglantine Villa Care Home was rated Outstanding overall; inspectors found exceptionally responsive and well-led care, with Safe rated Good.
This was an unannounced focused inspection on 16 November 2022. Inspectors looked at Safe, Responsive and Well-led after concerns about personal care, medicines and the environment. They spoke with people, relatives and staff, observed care, and checked care, medicines and management records.
The home was rated Good for Safe and Outstanding for Responsive and Well-led. Inspectors found people were protected from abuse, risks were assessed, medicines were managed safely and there were enough staff. They also found highly personalised care, meaningful activities, strong involvement of people and relatives, and effective learning from incidents and feedback.
The overall rating remained Outstanding. The Effective and Caring questions were not inspected during this visit, so their previous ratings were carried forward when calculating the overall rating.
Personalised care
Staff took time to understand people's histories, preferences and goals. Care plans reflected choices about food, clothing, personal care and spiritual needs.
“Staff took the time to get to know people very well and care and support was highly personalised.” from the report
Choice and independence
People were encouraged to make decisions and take reasonable risks. Their wishes were respected, including choices that helped them remain mobile and independent.
“People, and their relatives where appropriate, were involved in decisions about their care and they received care which promoted their dignity and encouraged independence.” from the report
Meaningful activities
Activities were based on people's interests and wishes. Inspectors saw examples including personal celebrations, community visits, music, exercise and support to continue hobbies.
“People stayed as active as possible with a range of innovative and meaningful activities that had been planned around individual requests.” from the report
Strong leadership
The management team encouraged people, relatives and staff to contribute ideas. Audits, action plans and shared learning were used to improve care.
“The registered manager promoted a positive culture within the service where people felt empowered and involved, and there was a commitment to continuous improvement.” from the report
Safe rating reduced
minorSafe was rated Good at this inspection, compared with Outstanding at the previous inspection. Inspectors did not find evidence that the concerns received before the inspection had placed people at risk of harm.
“At our last inspection we rated this key question outstanding. At this inspection the rating has changed to good.” from the report
Agency staff and storage
minorThe home relied on agency staff to cover absences, although inspectors found systems to make sure they had the necessary skills. Problems with storage had been identified and were due to be addressed.
“The service was reliant on agency staff to cover absences, but had good systems in place to ensure they had the skills and knowledge necessary to carry out their role.” from the report
Storage issue under review
minorInspectors noted problems with storage while refurbishment work was taking place. Plans were in place to deal with this.
“The provider had identified problems with storage and plans were in place to address this.” from the report
- 01What progress has been made with the storage problems identified during the inspection?
- 02How often are agency staff used now, and how are their skills and knowledge checked before they work here?
- 03How are people and relatives involved in updating care plans and making decisions about personal preferences?
- 04How are the home's personalised activities and 'Make a Wish' scheme continuing?
- 05How are medicines checked now, and what happens if there is a medicines error?
This was an unannounced focused inspection of Safe, Responsive and Well-led; Effective and Caring were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 11 February 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, December 2019
Rated Outstanding; inspectors found exceptionally safe, responsive and person-centred care, with effective, caring and well-led services rated Good.
This was an unannounced inspection on 24 and 26 September 2019. One inspector spoke with people, relatives, staff, nurses, managers and health professionals. They also observed care and checked care, medicines, recruitment and management records.
The inspectors found enough safely recruited staff, strong safety systems and creative support for people to take positive risks. Care plans were detailed and individual. People were treated with kindness and respect, and were supported to make choices and remain as independent as possible.
The home offered many activities and adapted support when people's needs changed. Inspectors particularly praised communication support, relationships, end of life care and efforts to reduce isolation. The home was rated Outstanding overall, with Safe and Responsive also Outstanding. Effective, Caring and Well-led were rated Good.
Creative risk support
People were involved in decisions about their safety and supported to take positive risks. Staff found practical and imaginative ways for people to enjoy activities while remaining as safe as possible.
“People were involved in decisions about their safety and empowered to take positive risks and maximise their control over their lives.” from the report
Personalised care
Care plans reflected people's histories, goals, interests and preferences. Staff responded to changes in people's needs and helped them remain independent.
“Each person had a very person-centred care plan which reflected their needs and preferences and provided staff with people's life history, goals and interests.” from the report
Meaningful activities
People could choose from many activities and suggest their own ideas. Staff helped people continue with interests from their previous lives and supported special experiences outside the home.
“People were offered a choice of many meaningful activities and were encouraged to stay busy and reduce isolation.” from the report
End of life care
Staff worked with specialist professionals to provide comfortable and dignified end of life care. Relatives were also offered emotional and practical support.
“Staff worked closely with Macmillan nurses and the local hospice team to provide outstanding end of life care and ensure people were supported to have a comfortable, dignified and pain-free death.” from the report
Involving people
People helped with recruitment, staff training, activities and service improvements. Their feedback was actively sought and used.
“People were involved in the interview process and were an integral part of choosing who worked at the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you currently involve residents in decisions about safety and positive risk-taking?
- 02How are each person's care plan and changing needs reviewed with them and their relatives?
- 03What activities are available now, and how do you support people to continue their previous interests?
- 04How do you support people and families with end of life care, including religious, cultural and personal wishes?
- 05How do you check that staffing levels and medicines arrangements remain safe?
This was an unannounced inspection covering all five CQC questions, including the premises, care provided, records, medicines, staffing and management systems. This explanation was written from the published report of 28 December 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 Eglantine Villa Care Home
3 rated inspections over 6 years: the service has held its Outstanding rating throughout.
- February 2023Outstandingcurrent ratingstayed OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- December 2019Outstandingstayed OutstandingSafe: OutstandingResponsive: OutstandingWell-led: Good
- January 2017OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- June 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 25 November 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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39 live-in carers within about an hour of Kent
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Most charge £980 to £1,260 a week. 33 can care for a couple. 12 years' experience on average.
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