What the CQC found at Evergreen Manor Care Home

Inspectors found enough staff on duty to meet people's needs on the inspection day. Staffing had recently been increased at busy times in the morning.

“On the day of our inspection there were enough staff on duty to meet people's needs and there was improved oversight of communal areas to maintain people's safety.” from the report

Staff were observed to be caring, attentive and respectful. They supported people's privacy, dignity and independence.

“Staff protected people's privacy and dignity and recognised people's desire to retain their independence as much as possible.” from the report

Care plans included information about people's past lives, hobbies and interests. This helped staff have meaningful conversations and offer suitable choices.

“The service had 'getting to know you' information about people in care plans which contained information about their past lives, hobbies and interests.” from the report

The home made referrals to health professionals, including GPs, speech and language therapists and dietitians, when people needed extra support.

“Records showed that referrals were made to external health professionals including the G.P, Speech and Language Therapist and Dieticians to ensure people had access to the support they needed.” from the report

There were group activities and one-to-one time for people who did not benefit from group activities. People were encouraged to use communal areas.

“During the day we saw the activities co-ordinator spent time with people on a one to one basis to ensure those people who did not benefit from group activities had opportunities for social engagement.” from the report

Many people had bed rails without the required bumpers. The risks of skin damage and entrapment had not always been identified or reduced.

“Many people had bed rails without bed rail bumpers.” from the report

One person who needed full support with oral care received it only three times in six days. Oral thrush was not identified until inspectors raised it.

“The person had developed oral thrush, but this had not been identified until we brought it to the attention of the nurse on duty.” from the report

Two people's catheter bags were on their beds instead of secured to their legs. This meant they were not positioned in line with the guidance described in the report.

“Two people's catheter bags were lying on their beds when they should be strapped to the person's leg.” from the report

Audits did not identify gaps involving diabetes, catheters and bed rail bumpers. Information about changes in people's health was not always shared promptly with staff.

“Systems did not always ensure the timely sharing of information in response to changes in people's health.” from the report

One communal bathroom had not been cleaned effectively, some clinical waste was not put in the correct bins, and a staff handwashing lapse was observed.

“Overall, the home was clean but we found one communal bathroom had not been cleaned effectively and some clinical waste had not been disposed of in clinical waste bins.” from the report

One dining room had both a television and radio on, which inspectors said made the shared mealtime noisy and confusing.

“In one dining room both the television and the radio were on which made it very noisy and confusing.” from the report