Eden Place Mental Health Nursing Home

Updated 25 November 2022

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

The inspection team consisted of two inspectors and a specialist mental health nurse advisor.

Service and service type

Eden Place Mental Health Nursing Home is a ‘care home’. 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. Eden Place Mental Health 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.

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 were two registered managers in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection and gathered feedback from partner agencies. 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.

During the inspection

We spoke with 10 members of staff including the registered managers, finance manager, nursing staff, care workers and the maintenance person. We spoke with four people and three relatives and 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. We reviewed a range of records including four people's care plans and medication administration records as well as documents relating to the management of the service. This included audits and quality assurance checks and recruitment records.

Updated 25 November 2022

About the service

Eden Place Mental Health Nursing Home is a residential care home providing personal and nursing care to up to 33 people. The service provides support to younger and older people with mental health needs including people who need care and accommodation for substance misuse. At the time of our inspection there were 31 people using the service.

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

Overall, we were assured by the infection, prevention and control practices in the home but found cleanliness and hygiene in some of the shared bathrooms could be improved.

Staff received safeguarding training and risks to people's health, safety and wellbeing were assessed and used to develop holistic assessments of need and care management plans. There were enough staff to support people safely and respond to people’s needs in a timely way. Medicines were ordered, stored and administered safely. Overall, we were assured by the service’s infection control practices and policies but found some shared bathrooms needed cleaning. The registered managers worked with domestic staff to ensure expectations around cleanliness and hygiene were maintained. Only staff trained to administer medicines could do so. Accidents and incidents were reported and recorded by staff and monitored by the registered manager.

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.

People had person centred care plans which provided staff with information on how people wanted to be cared for, their likes and preferences. Individual and group activities took place and people were encouraged to contribute their ideas and suggestions for day trips and outings. There was some signage around the home, for example to tell people where toilets and bedrooms were located. Planned activities were displayed on a community board, which were confirmed on a daily basis by staff checking which activities people would enjoy. People and their relatives told us they had no complaints and felt if they needed to discuss a concern, staff would be approachable.

We received positive feedback from staff at Eden Place and they were keen to share their experiences during the inspection. Improvements had been made to systems which monitored the quality and safety of care. Residents meetings and key worker progress reports were used to engage people who lived at Eden Place and give them an opportunity to contribute to care planning. Networks such as Skills for Care and nurses support groups were used by the registered managers to share knowledge, keep up to date with good practice and aid continuous professional development.

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 requires improvement (published 17 October 2019).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We undertook this focused inspection to check whether improvements had been made at the service since we last inspected. This report only covers our findings in relation to the key questions Safe, Responsive and Well-led.

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 changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Eden Place Mental Health 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.