Edgeview Nursing Home

Updated 21 April 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by 3 inspectors.

Service and service type

Edgeview Nursing Home is both a ‘care home’ and a ‘supported living’ service. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Edgeview Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

This service also provided care and support to people living in 5 ‘supported living’ settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; and we were told there was no one in the supported living service in receipt of a regulated activity. Therefore, this part of the service was not reviewed as part of this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

During the inspection we spoke to 5 people who use the service and 11 staff members, including the registered manager, senior manager, nurses, care staff and agency staff. We also spoke to the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We spoke with 4 healthcare professionals who work with people living at the service. We looked at 4 care files, medicine administration records, 3 recruitment files and other records used by the home as part of the day to day management of the service. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 21 April 2023

About the service

Edgeview Nursing Home is a nursing home and supported living service, providing personal and nursing care to up to 24 people. The service provides support to people with learning disabilities, autistic people, and people with mental health needs and dementia. At the time of our inspection there were 21 people using the service.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

People’s experience of using this service and what we found

The service understood and was adapting to meet the principals of right support, right care, right culture. Since the last inspection the service had opened a supported living service on the grounds and reduced the number of people living in the care home. The provider had plans to expand the supported living service and continue the refurbishment of the care home to enhance people’s experience.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support

People received their medicine as prescribed and were supported by sufficient staff to meet their needs. Staff had access to suitable training and most staff were up to date with their required learning. Some staff needed to update their safeguarding training but were knowledgeable when we spoke to them about the safeguarding process and how to report concerns.

People had access to health professionals and advocacy services.

Right Care

People’s care plans contained person-centred information to enable staff to provide appropriate support. Risks within the service were managed with the exception of some concerns with items not being stored safely and water temperatures not being recorded.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. However, we found reviews of people’s restrictions were required to ensure they remained valid.

Right Culture

The service had processes in place to review compliance with the regulations. We found some areas required improvement and actions needed to be shared with the team. We did find lessons were learnt when things went wrong, and the provider responded to any points identified. People found the registered manager approachable. People, relatives and professionals were encouraged to give feedback on care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 26 March 2020).

Why we inspected

We received concerns in relation to the management of risk for people with mental health needs. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained the same based on the findings of this inspection. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Edgeview Nursing Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.