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CQC report explained · a residential care home

What the CQC found at Eve House

Goodpublished 27 September 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection prevention and control, including visitors, testing, protective equipment, cleaning, social distancing and safe admissions.
Effective?
Good
This question was not assessed in this targeted inspection.
Caring?
Good
This question was not assessed in this targeted inspection.
Responsive?
Good
This question was not assessed in this targeted inspection.
Well-led?
Good
This question was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, April 2021

Eve House was inspected but not rated; inspectors were assured about its COVID-19 infection prevention measures.

This was an announced, targeted inspection on 23 March 2021. It looked at infection prevention and control during the coronavirus pandemic, rather than providing a full inspection of the service.

Inspectors found good measures for visitors, including temperature checks, appointments and personal protective equipment. Staff supported social distancing, used single bedrooms and en-suite facilities, and kept rooms well ventilated.

The home had regular COVID-19 testing, plenty of protective equipment and cleaning supplies. High-touch areas were cleaned every two hours, and staff had training in COVID-19 awareness, testing and using protective equipment.

The service was inspected but not rated. The report does not give an overall quality rating or ratings for the other care questions.

What inspectors praised
  • Visitor safety

    Visitors had to follow entry rules, including temperature checks and wearing protective equipment. Family visits were arranged in advance.

    “Visitors to the home (professional and relatives) must comply with rules to be allowed entry.” from the report
  • Testing and protective equipment

    Staff were tested three times a week and people living at the home every 28 days. Protective equipment was available throughout the home.

    “Staff were required to take a COVID-19 test three times a week and people were tested every 28 days.” from the report
  • Cleaning

    High-touch areas were cleaned every two hours, with equipment and cleaning products available.

    “Two hourly cleaning of high touch areas such as door handles, light switches and handrails was maintained.” from the report
  • Updated infection control arrangements

    Staff had relevant COVID-19 training, and the infection control policy and risk assessments were updated when government guidance changed.

    “The provider's Infection Prevention Control (IPC) policy and risk assessments were reviewed and updated when new government guidance had been issued.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How often are visitors currently required to book appointments and use protective equipment?
  2. 02How often are staff and people living at the home tested now?
  3. 03How are high-touch areas cleaned, and how often?
  4. 04What infection control training do staff currently receive?
  5. 05Can you share the latest full ratings or inspection information for care areas not covered by this targeted inspection?

This was an announced, targeted inspection of infection prevention and control only; the service was inspected but not rated and the other care questions were not assessed. This explanation was written from the published report of 8 April 2021 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.

An earlier report, explained

What inspectors found, September 2018

Rated Good; inspectors found safe, kind and personalised care, with some audits needing more detail.

Inspectors made an unannounced visit on 29 August 2018. They observed care, spoke with staff, relatives and health professionals, and checked care plans, medicines records, staff files 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 practices, suitable training, respectful care and support tailored to people's needs.

There had been concerns about Effective and Well-led at the January 2017 inspection. Inspectors said improvements had been made, and both areas were now rated Good. They noted that some audits could still have been completed in more detail.

What inspectors praised
  • Safe staffing and medicines

    Inspectors found enough staff to meet people's needs. Medicines were given as prescribed, with staff working in pairs and having their competence checked.

    “People received the correct medication at the right time.” from the report
  • Respectful care

    Staff knew people well and supported them with patience, choice and respect. Inspectors saw staff protecting people's privacy and dignity.

    “People living at the home were treated with kindness and respect by the staff.” from the report
  • Improved staff skills

    Training had improved since the previous inspection. Staff files showed relevant training, including the Care Certificate for new starters.

    “People were supported by staff who had received relevant and up to date training.” from the report
  • Personalised support and activities

    People had personalised care plans and were supported to access the local community, day trips and holidays.

    “People had lots of opportunities to access the local and wider community.” from the report
  • Better oversight

    The provider had introduced monthly audits covering care plans, records, health and safety and finances. Inspectors said the improvements identified at the previous inspection had been made.

    “The provider had introduced a new audit system for the registered manager and deputy manager to complete” from the report
What inspectors were concerned about
  • Some audits lacked detail

    minor

    Inspectors said some earlier audits had sections that were incomplete or very brief. They still found that the issues identified had been acted on.

    “These audits could have been completed in more detail as some sections were not completed or were very brief.” from the report
  • One authorisation had expired

    needs fixing

    One person's Deprivation of Liberty Safeguards authorisation had expired, although a new application had been submitted. Ask how this was resolved and how current authorisations are monitored.

    “One DoLS had expired but a new application had been submitted.” from the report
Questions to ask them, based on this report
  1. 01How do you check that every person's Deprivation of Liberty Safeguards authorisation is current and that any conditions are followed?
  2. 02How have you improved the detail and completeness of your quality audits since this inspection?
  3. 03How do you make sure staff follow each person's swallowing, diet and other health professional recommendations?
  4. 04How are relatives involved in care reviews, and how often will my relative's care plan be reviewed?
  5. 05What activities and community outings would be suitable for my relative's communication and health needs?

This was an unannounced comprehensive inspection covering all five key questions and included observations, discussions with relatives and professionals, and checks of care, medicines, staffing and quality records. This explanation was written from the published report of 27 September 2018 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 Eve House

3 rated inspections over 2 years: the service has improved, from Requires improvement to Good.

  1. April 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Eve House →

  2. September 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Eve House →

  3. March 2017Requires improvementstayed Requires improvement
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. April 2016Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2011

    Registered with the Care Quality Commission on 6 December 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.

Next steps

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