CQC report explained · a residential care home
What the CQC found at Eric Williams House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe, risks such as falls were assessed, and inspectors found enough staff. Medicines were generally handled safely, but some cream labels and dates were not in line with best practice.
- Effective?
- Good
- People's needs were assessed and staff had training and support. People were helped to eat and drink, access healthcare and regain independence, including through the reablement service.
- Caring?
- Good
- People described kind and meaningful relationships with staff. Staff respected people's choices, privacy, dignity and independence.
- Responsive?
- Good
- Care plans reflected people's needs and preferences. Staff supported communication, activities, relationships, complaints and end-of-life wishes.
- Well-led?
- Good
- The home had approachable leadership, regular quality checks and a clear improvement plan. People's and relatives' views were collected and used to make changes.
What inspectors found, April 2020
Eric Williams House was rated Good; inspectors found safe, kind and responsive care, with medicines labelling problems found and addressed during the visit.
This was an unannounced inspection on 20 January 2020. The inspectors spoke with people living in the home, relatives, staff, a visiting professional and volunteers. They also checked care records, medicines records, staff files and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, good safeguarding, personalised care, support with food and healthcare, respectful relationships and systems for listening to people's views.
There were two minor areas to watch. Some prescribed creams did not have opening or use-by dates, and one label could not be read. The manager acted immediately. Mealtimes had also been identified as an area for improvement, including providing more food choices.
People felt safe
People said staff were available when help was needed. Risks were assessed and actions were recorded for staff to follow.
“There's always someone [staff] around to help if you need it.” from the report
Kind and respectful care
Inspectors found caring relationships and staff who promoted choice, privacy, dignity and independence.
“People had meaningful and caring relationships with staff” from the report
Support to regain independence
The home worked with health and social care professionals to help people recover after hospital and, where possible, return home.
“Short term is used to rehabilitate people leaving hospital before returning home.” from the report
Good oversight
The provider used audits, feedback and reviews of accidents and incidents to identify improvements.
“The provider had a range of quality audits which had been completed on a regular basis.” from the report
Cream labelling
minorSome prescribed creams did not have opening or use-by dates, and one prescription label was unreadable. The manager acted immediately to audit the creams and improve the practice.
“We found people's prescribed creams did not have an open or use by date in line with best practice guidance.” from the report
Meal choices
minorThe home had identified mealtimes as an area for improvement and was making changes, including offering more food choices.
“The management team had identified meal times as an area for improvement and were currently implementing a number of changes, such as more food choices.” from the report
- 01How do you now check that prescribed creams have opening or use-by dates and readable labels?
- 02What changes have been made to mealtimes and the range of food choices?
- 03How would you assess and support my relative's goals if they needed the six-week reablement service?
- 04What activities and communication support would be available for my relative's specific needs?
- 05How are accidents, incidents and complaints reviewed, and what recent changes have resulted from them?
This was an unannounced planned inspection of the care home, covering all five key questions, the premises and the care provided. This explanation was written from the published report of 4 April 2020 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 2017
Rated Good; inspectors found safe, kind and person-centred dementia care, with some improvements needed around activities, meal choices and records.
This was a comprehensive, unannounced inspection on 13 July 2017. Inspectors observed care, spoke with people, relatives and staff, and reviewed care plans, daily records, medicines records and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, suitable training and good support for people's health and nutrition.
Care was described as friendly, respectful and centred on each person's needs and preferences. The home had remained Good since the previous inspection in January 2015. Inspectors also found that staff understanding of decision-making law had improved.
Enough staff
Inspectors found enough staff to support people safely, with staff usually working in dedicated lounge areas to provide continuity of care.
“There was enough staff on duty to meet people's needs and staff told us there were always enough staff to support people safely.” from the report
Kind and respectful care
Staff treated people with warmth and compassion. They understood how people communicated and protected their privacy and dignity.
“Staff were kind and compassionate in the way they interacted with people and frequently reassured people physically, by touching their arms and hands, which made people feel valued.” from the report
Personalised care
Care plans included people's likes, dislikes, communication needs and personal history. Staff were seen putting this information into practice.
“Plans were personalised and written from the perspective of the person.” from the report
Strong leadership
Inspectors found an experienced and supportive management team with a clear commitment to person-centred dementia care.
“The home was very well led by the registered manager who provided excellent leadership.” from the report
Covert medicines records
needs fixingThe records and arrangements for one person's medicines hidden in food could be improved. Managers acted during the inspection.
“We found how these medicines were managed and recorded could be improved.” from the report
Meal choices were not consistent
needs fixingIn one lounge, inspectors did not see people offered a choice of meal or drink. The report says this was not consistent with what happened elsewhere.
“In the other lounge we did not see people offered a choice of meal or drink.” from the report
Activities could be more personal
minorSome people and relatives wanted more activities. Inspectors also found that staff did not routinely use people's past lives to plan individual activities.
“From our observations during the day, we found staff did not routinely use the information they knew about peoples past lives to engage with people.” from the report
No corridor resting places
minorInspectors saw people walking along the corridors but found no chairs where people could rest if needed. This was raised with the manager to consider.
“However, we did notice there were no chairs in the corridors for people to rest along their journey if they wished.” from the report
- 01How do you now record and review medicines that are given hidden in food?
- 02How will you make sure every person is offered a choice of meal and drink in every lounge?
- 03How do you use each person's past interests and life history to plan activities?
- 04What activities are currently available for people who want more to do?
- 05Have chairs or other resting places been added along the long corridors?
This was a comprehensive inspection covering all five questions, and the report says the Good ratings remained unchanged from January 2015. This explanation was written from the published report of 9 August 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 Eric Williams House
3 rated inspections over 5 years: the service has held its Good rating throughout.
- April 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2015GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- March 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- April 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 4 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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