CQC report explained · a residential care home
What the CQC found at Evergreen
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Medicines, staffing, infection control, risk management and fire safety arrangements were found to be suitable.
- Effective?
- Good
- This area was not inspected during this visit. Its previous rating was used to calculate the overall rating.
- Caring?
- Good
- This area was not inspected during this visit. Its previous rating was used to calculate the overall rating.
- Responsive?
- Good
- This area was not inspected during this visit. Its previous rating was used to calculate the overall rating.
- Well-led?
- Good
- The home had positive leadership, regular checks and systems for listening to people, staff and relatives. Managers used audits and action plans to identify improvements.
What inspectors found, August 2023
Evergreen rated Good; inspectors found safe, kind and person-centred care, with a downstairs bathroom awaiting renovation.
This was an unannounced focused inspection on 6 July 2023. One inspector spoke with people and staff, observed daily life, and checked care records, risk assessments, medicines, maintenance and management records.
The home was rated Good for Safe and Well-led. Inspectors found effective safeguarding, enough staff, safe medicines management, suitable infection control and checks on risks, accidents and the building. People were supported to make choices, follow their interests and take part in community activities.
The inspection only covered Safe and Well-led. Ratings for Effective, Caring and Responsive were carried forward from the previous inspection in 2017. The overall rating remained Good.
Safe medicines
Staff were trained and assessed as competent. Medicines records were complete, storage was safe and checks were carried out.
“People's medicine administration records were fully completed and well managed, supporting safe medicines practices.” from the report
Kind, respectful care
Inspectors found that staff were kind and compassionate and respected people's privacy, dignity and individual needs.
“People received care from staff who were kind and compassionate.” from the report
Meaningful lives
People were supported to pursue hobbies, attend social events and use local community facilities. Staff also supported people's goals and aspirations.
“People were encouraged to access activities in the community and attended social events.” from the report
Strong oversight
The management team used checks and audits covering care, medicines, records, the environment and health and safety. Improvement actions were recorded.
“A quality assurance system was in place to monitor all aspects of the home.” from the report
Bathroom out of use
minorThe downstairs bathroom had been taken out of use because of damage to the floor. Plans were in place for renovation.
“This had been taken out of use due to damage to the floor.” from the report
Some legal decisions pending
needs fixingSome people had been assessed and were waiting for decisions about applications relating to restrictions on their liberty. A tracker was being used to monitor progress.
“Some people had been assessed and were waiting for a decision to be made.” from the report
- 01When will the downstairs bathroom renovation be completed, and what arrangements are in place while it is out of use?
- 02Which liberty safeguard applications are awaiting decisions, and how are you monitoring and reviewing them?
- 03How do you make sure one-to-one support is maintained during the day and night?
- 04How are actions from the home's audits followed up and checked as complete?
- 05How do agency staff learn about the needs and routines of the people they support?
This was a focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive were carried forward from the previous inspection in 2017. This explanation was written from the published report of 11 August 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, January 2021
Inspected but not rated; inspectors were assured that infection prevention and control arrangements were safe.
This was an announced, targeted inspection on 15 December 2020. It was carried out because of the COVID-19 pandemic and looked at infection prevention and control.
Inspectors were assured that the home managed visitors, admissions, testing, protective equipment, hygiene and outbreaks safely. They also found detailed risk assessments for people who found social distancing difficult.
The home adapted rooms so people who could not isolate in their bedrooms could have their own spaces. People were supported to keep in touch with family through garden visits, window visits, community meetings and video calls.
Individual risk planning
The home used individual risk assessments for people who found social distancing difficult. These assessments included clear actions to keep people and staff safe.
“For those people individual risk assessments were completed. These had clear actions to keep people and staff safe.” from the report
Flexible isolation arrangements
When some people could not isolate in their bedrooms, the home adapted other rooms to give them their own spaces.
“Staff had adapted other rooms in the service to enable these people to have their own spaces.” from the report
Family contact
People were supported to stay in touch with family through visits in gardens, at windows, in community spaces and through live video calls.
“People were well supported to keep in touch with families and other people who mattered to them.” from the report
Planning admissions
The home planned carefully for a new person's arrival and used regular video calls to help them feel more comfortable about moving in.
“Time was spent planning and preparing for their arrival. Regular video calls were held to help put them at ease about the home.” from the report
Inspectors raised no specific concerns in this report.
- 01How are individual risk assessments kept up to date for people who find social distancing difficult?
- 02What arrangements are currently used if someone cannot isolate in their bedroom?
- 03How can families visit or keep in touch now, and what risk assessment is completed for community meetings?
- 04How are new admissions prepared for before they arrive, including the use of video calls?
- 05How are staff and residents currently tested, and what happens if there is an infection outbreak?
This was a targeted inspection of infection prevention and control during the COVID-19 pandemic; the service was inspected but not rated overall. This explanation was written from the published report of 21 January 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.
Every inspection of Evergreen
3 rated inspections over 8 years: the service has held its Good rating throughout.
- August 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2021Inspected but not ratedSafe: Inspected but not rated
- August 2017Goodstayed GoodSafe: GoodWell-led: Good
- May 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 24 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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40 live-in carers within about an hour of Bristol, City of
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,300 a week. 34 can care for a couple. 11 years' experience on average.
“She became a good friend to my mother in law, chatting with her, dancing with her, knitting with her and the list goes on”
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.