CQC report explained · a residential care home
What the CQC found at The Evergreens
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention, protective equipment, testing, visiting arrangements and safe admissions. The provider also described measures to manage COVID-19-related staffing pressures.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- 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, March 2022
Inspected but not rated; inspectors found strong COVID-19 infection controls and clean premises.
This was an announced, targeted inspection on 24 February 2022. Inspectors looked mainly at infection prevention, visiting arrangements and whether COVID-19 staffing pressures affected care.
They found clean and hygienic premises, good supplies and use of protective equipment, regular testing, and procedures to reduce infection risks from visitors and new residents. Up to the inspection date, no resident had had COVID-19.
The home was inspected but not rated. This means the visit did not provide a full quality rating, and the other care areas were not assessed in this report.
Clean premises
Inspectors found the premises clean and hygienic. Cleaning took place daily, with scheduled deep cleaning.
“The premises looked and smelt clean and hygienic.” from the report
Protective equipment
There were ample supplies of masks, gloves, aprons and hand sanitiser, and inspectors said staff used them appropriately.
“There were ample supplies of masks, gloves, aprons and hand sanitiser.” from the report
Visitor controls
Visitors had their temperature checked and were expected to show a negative lateral flow test result from that day.
“Visitors had their temperature checked as they arrived and were expected to provide evidence of a negative lateral flow test result that day.” from the report
Regular testing
The home had regular coronavirus testing arrangements for staff and residents.
“There were regular coronavirus testing regimes for staff and for people living at the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors currently checked for symptoms and infection before entering the home?
- 02How often are residents and staff tested, and what happens when someone has a positive result?
- 03What measures are used when COVID-19-related staff pressures arise?
- 04How are new residents tested before and after moving into the home?
- 05How often are the premises deep cleaned, and how is this recorded?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not assess the other key questions or provide an overall quality rating. This explanation was written from the published report of 17 March 2022 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, May 2019
The Evergreens was rated Good overall; inspectors found kind, safe care, with some care records needing quicker updates.
This was an unannounced planned inspection on 28 March and 3 April 2019. One inspector spoke with 11 people and six staff. They also reviewed medicines records, care records, staff recruitment and training records, and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were safe, staff were trained, medicines were managed safely, and people's health and dietary needs were supported.
People spoke very positively about the staff. They described them as kind, caring and respectful. The home offered activities, involved people in decisions and worked with health professionals.
The main area for improvement was record keeping. Some care records were not updated quickly enough when people's needs changed. The home was still rated Good overall, and the report says legal requirements were met.
Kind and respectful staff
People consistently praised the staff's kindness, care and support. Inspectors found that staff treated people with dignity and respect.
“Staff are absolutely super; very kind and caring. I can't speak highly enough; they work so hard” from the report
Safe medicines support
Staff were trained and checked as competent to give medicines. Medicines were stored, given and disposed of safely.
“Medicines were stored, administered and disposed of safely.” from the report
Food and dietary choices
Menus took account of people's preferences and specific dietary needs. People and relatives were very positive about the food.
“The food is excellent, Mum always looks forward to her meals” from the report
People involved in their care
People were involved in care reviews, residents' meetings and decisions about activities and the running of the home.
“People were placed at the centre of the service and were consulted on every level.” from the report
Care records not always up to date
needs fixingSome records did not reflect changes in people's needs quickly enough. Inspectors also found an example where a record still described equipment that was no longer being used.
“Some records had not been updated as quickly as required when people's needs changed.” from the report
Staff could sometimes be stretched
minorOverall staffing was judged sufficient, but one person said there could sometimes be a delay before staff were able to help.
“There are times when they are stretched and it may take a little time for them to come and assist but overall, things are fine” from the report
- 01How do you make sure care records are updated promptly when a person's needs or equipment change?
- 02How many staff are usually available at busy times, and how do you respond when staff are stretched?
- 03How often are staff checked as competent to administer medicines?
- 04What activities are available each week, given that the home does not employ dedicated activities staff?
- 05How do you record and review a person's wishes about end of life care?
This was a planned unannounced inspection covering all five areas: Safe, Effective, Caring, Responsive and Well-led; the previous full inspection in 2016 was also rated Good. This explanation was written from the published report of 21 May 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 The Evergreens
2 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 7 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.
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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.
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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.