CQC report explained · a residential care home
What the CQC found at Liskeard Eventide Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was preventing and managing infection risks. They found suitable arrangements for PPE, testing, social distancing, cleaning, admissions and outbreak management.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Outstanding
- This area was not assessed in this targeted inspection.
- Responsive?
- Good
- This area was not assessed in this targeted inspection.
- Well-led?
- Good
- This area was not assessed in this targeted inspection.
What inspectors found, April 2021
Inspected but not rated; inspectors were assured that infection prevention and control arrangements were effective.
This was an announced, targeted inspection on 25 March 2021. It looked at how the home was prepared to prevent and control COVID-19 infections.
Inspectors found the home clean and hygienic. Furniture supported social distancing, cleaning had increased, and staff had updated infection control training and policies.
The home had supplies of personal protective equipment, regular COVID-19 testing, and a plan for managing an outbreak. People could keep in touch with family by telephone, electronic devices and carefully arranged visits.
The service was inspected but not rated. This means the report does not give an overall quality rating or ratings for all five areas of care.
Clean surroundings
The home had increased cleaning schedules for communal areas and frequently touched surfaces. Its furniture was arranged to support social distancing.
“The home was clean and hygienic in appearance.” from the report
Updated infection procedures
Policies and staff training had been updated for COVID-19. Audits and risk assessments identified actions, which were completed within agreed timescales.
“Infection control policies and procedures had been updated in line with the national guidance relating to COVID-19” from the report
PPE and testing
Inspectors saw plentiful PPE, effective hand hygiene and regular COVID-19 testing for staff and people living at the home.
“Plentiful supplies of personal protective equipment (PPE) was in evidence at the entrance to the home and throughout the building.” from the report
Family contact
People were supported to communicate with family and friends. The home also provided a heated summerhouse with screening for safer visits and supported compassionate visits.
“People who used the service were supported to communicate with their friends and family.” from the report
Mask use in the kitchen
minorKitchen staff were observed wearing a fabric mask. The manager said this would be changed to a recognised surgical mask when staff were outside the kitchen.
“The registered manager provided assurances that in future, when they were outside of the kitchen this would be changed for a recognised surgical mask to reduce the risk of infection.” from the report
- 01Do kitchen staff now wear recognised surgical masks whenever they are outside the kitchen?
- 02How often are staff and residents tested for COVID-19, and how are positive results managed?
- 03How would you manage an outbreak now, and when was the contingency plan last reviewed?
- 04How are visits arranged now, including visits for people receiving end-of-life care?
- 05What are the home's current ratings for care areas that this targeted inspection did not assess?
This was a targeted inspection of infection prevention and control during the COVID-19 pandemic; the other care areas were not assessed and the service was inspected but not rated. This explanation was written from the published report of 15 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.
What inspectors found, September 2019
Rated Good overall, with Outstanding caring; inspectors found kind, person-centred support but some records, training and safety follow-up needed.
Inspectors visited the home without notice on 4, 5 and 11 July 2019. They spoke with 14 people, two relatives, 11 staff members and a visiting healthcare professional. They also reviewed care, medicines, staff and management records.
The home was rated Good overall. Safe, Effective, Responsive and Well-led were rated Good. Caring was rated Outstanding. Inspectors found a welcoming home, enough staff, personalised care and exceptionally kind support. People were treated with dignity and supported to make choices, keep relationships and take part in activities.
There were some weaknesses. A fire service notice identified areas of non-compliance, some training was overdue or not recorded clearly, and information was split between paper and electronic care records. There were also medicines recording issues on the first day, but the report says these issues were addressed during the inspection.
Kind and respectful care
Staff treated people with dignity, patience and compassion. Inspectors saw staff respond sensitively to emotional needs and make extra efforts to support people's wellbeing.
“People were treated with dignity and respect in a way that truly valued them as individuals.” from the report
Enough staff
Inspectors found enough staff available throughout the visit to meet people's needs and keep them safe. Recruitment checks were also described as thorough.
“Throughout the inspection, we saw there were enough staff available to meet people's needs and keep them safe.” from the report
Personalised support
Care plans included people's histories, preferences, health needs and wishes. Staff knew people well and used this information to provide individual support.
“Care plans were informative and provided staff with detailed information about people's likes, dislikes, personal preferences, care needs and medical history.” from the report
Activities and community links
People were supported to maintain relationships and take part in activities that matched their interests. The home also had links with local groups and the wider community.
“There was a programme of activities arranged most days that was very much based on people's interests and preferences.” from the report
Fire safety follow-up
seriousThe home had received a notice from the local fire service saying it was non-compliant in some areas. The manager had started to address the points and later provided further documentation.
“The service had received a notice from the local fire service stating they were non-compliant in some areas.” from the report
Training records
needs fixingThe training system showed that some infection control and end of life care training was overdue or incomplete. The home later provided evidence that other courses covered some of these subjects.
“However, some areas of training, for example infection control and end of life care, showed that some staff training was overdue or not completed.” from the report
Care records during system change
needs fixingThe move to a computerised care plan system meant information was temporarily split between paper and electronic records. The manager later said all paper care plans had been added to the electronic system.
“However, due to the introduction of a fairly new computerised care plan system we found information held was muddled.” from the report
Medicines recording
needs fixingOn the first day, there was excess medicines stock and medicines needing extra security were not documented. The report says the issues were resolved and extra audits were introduced by the third day.
“We found on day one that the service had an excess amount of stock and medicines requiring additional security were not documented.” from the report
- 01What action has been completed in response to the fire service notice, and can you show us the latest fire safety checks?
- 02Are all staff now up to date with infection control and end of life care training?
- 03Are all care records now held consistently on the electronic system, and how do you check that important information is not missed?
- 04What changes were made to medicines storage, security and auditing after the issues found on the first day?
- 05Why did the overall rating and the Responsive and Well-led ratings fall from Outstanding in 2017 to Good?
This was a planned but unannounced inspection covering all five key questions; the report says the previous overall rating was Outstanding in 2017. This explanation was written from the published report of 5 September 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.
Every inspection of Liskeard Eventide Home
2 rated inspections over 3 years: the service has slipped, from Outstanding to Good.
- April 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- September 2019Gooddown from OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- January 2017OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- February 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 28 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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