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CQC report explained · a residential care home

What the CQC found at Eton House Residential Home

Outstandingpublished 22 March 2019, 7 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Risks were assessed, medicines were managed safely and incidents were reviewed, although some people waited longer than necessary for meals at lunchtime.
Effective?
Outstanding
People had positive health and wellbeing outcomes. Staff had excellent training, especially in dementia care, and worked with health professionals to support people's needs.
Caring?
Outstanding
People were treated with kindness, dignity and respect. Staff knew people's preferences and supported them to make choices and remain involved in their care.
Responsive?
Good
Care plans were personalised and regularly reviewed. People were offered activities and support to maintain relationships, and complaints and concerns were acted on promptly.
Well-led?
Outstanding
Leadership was exceptional. The home used research, audits, staff feedback and partnerships with other organisations to improve dementia care and other aspects of the service.
The latest report, explained

What inspectors found, March 2019

Rated Outstanding; inspectors found exceptional, person-centred care, with a small delay for some people receiving meals.

Inspectors made an unannounced visit on 22 January 2019. They spoke with people, relatives, staff, managers and health professionals. They observed care and reviewed care records, staff files, audits and other records.

The home was safe and well organised. Risks were assessed, medicines were managed properly and staff were recruited with appropriate checks. However, some people waited longer than necessary for their meals during lunch.

Care was especially strong for older people with dementia. Staff had excellent training, understood people's individual needs and supported their health, choices, relationships and independence. Inspectors also found strong leadership, learning and improvement.

The overall rating was Outstanding. Safe and Responsive were rated Good. Effective, Caring and Well-led were rated Outstanding. The home had also been rated Outstanding at the previous inspection on 13 August 2016.

What inspectors praised
  • Dementia care

    Care was tailored to people's lives, communication needs and behaviour. Staff used person-centred approaches to help people live well with dementia.

    “Care was person-centred and focused on ensuring people with dementia lived the best possible life.” from the report
  • Staff training

    Training and induction were particularly strong. Staff were taught about dementia through practical and experience-based learning.

    “Staff support and training was excellent, particularly in the care of older adults with dementia.” from the report
  • Kind and respectful care

    Inspectors saw staff respect privacy, offer choices and support people's independence. Families and professionals also gave very positive feedback.

    “People were truly respected and valued as individuals; and empowered as partners in their care in an exceptional service.” from the report
  • Strong leadership

    Managers used audits, research, feedback and training to keep improving the service. The workplace culture was described as positive and open.

    “Leaders and the service culture they created drove and improved high-quality, person-centred care.” from the report
  • Safe medicines

    Medicines records checked by inspectors were complete and accurate. Staff were trained and their competence was checked.

    “We looked at eight medicines administration records (MARs) and found they had been completed accurately.” from the report
What inspectors were concerned about
  • Waiting for meals

    needs fixing

    During lunch, some people were left sitting for longer than necessary before receiving their meals. The report does not say that anyone was harmed as a result.

    “During the lunch period, some people were left to sit for a longer than necessary period to receive their meals.” from the report
Questions to ask them, based on this report
  1. 01What has been done to prevent people waiting too long for meals during busy lunchtime periods?
  2. 02How many staff are available at different times of day, and how is this staffing level reviewed?
  3. 03How will you make sure my relative's dementia care plan reflects their communication needs, preferences and personal history?
  4. 04How are people's end of life wishes recorded and reviewed with them and their relatives?
  5. 05How do you review medicines that may affect mood, alertness or falls, including sedative medicines?

This was an unannounced inspection covering all five CQC questions, including the premises and the care provided; the previous overall rating from 13 August 2016 was also Outstanding. This explanation was written from the published report of 22 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.

The story over the years

Every inspection of Eton House Residential Home

2 rated inspections over 3 years: the service has held its Outstanding rating throughout.

  1. March 2019Outstandingcurrent ratingstayed Outstanding
    Safe: GoodEffective: OutstandingCaring: OutstandingResponsive: GoodWell-led: Outstanding

    Read what inspectors found at Eton House Residential Home →

  2. August 2016Outstanding
    Safe: GoodEffective: OutstandingCaring: OutstandingResponsive: GoodWell-led: Outstanding

    We are reading this report · the original is on cqc.org.uk

  3. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 31 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.

Next steps

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