Archived: Eagle View Care Home

Updated 1 February 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 30 November and 1 December 2016 and was unannounced.

The inspection team was made up of one adult social care inspector, one specialist advisor whose specialism was mental health and dementia and an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service. They had experience of caring for people who used social care services.

Prior to the inspection we looked at all the information we held about the service including notifications sent to the Care Quality Commission (CQC). Statutory notifications contain information that the registered provider must submit to the CQC to inform us of important events that happen in the service. In addition, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We contacted the local authority commissioners for information about the service. This information helped us to plan the inspection.

During the inspection we spoke with nine people who used the service, two relatives, two senior care workers and three care workers, the cook, a member of the domestic staff team, the administrator, the deputy manager and the registered manager. 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. We observed staff practice throughout the day especially around meal times.

We reviewed care plans for four people, looking at risk assessments and medicine administration records for those people. We looked at six staff recruitment and training records and examined maintenance and servicing records for the service. In addition we looked at policies and procedures and audits that had been completed.

Following the inspection we contacted four social workers, one community psychiatric nurse and the hospice care homes team to ask for their feedback

Updated 1 February 2017

This inspection took place on 30 November and 1 December 2016 and was unannounced. We last inspected this service on 4 September 2015 when the service was meeting the regulations. We had made recommendations about the environment and support for people when eating and drinking. At this inspection we found that these areas had improved.

Eagle View Care Home offers accommodation and personal care for up to 40 older people or people living with dementia. No nursing care is offered at this service. There were 39 people resident at the service on the day we inspected.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

There were sufficient numbers of staff employed to meet people's individual needs. Staff had been employed following robust recruitment and selection policies and this ensured that only people considered suitable to work with people who may be vulnerable because they were living with dementia worked at the service.

People and their relatives told us that they felt safe living at the home. The registered manager and care staff were trained in safeguarding adults from abuse and understood their responsibilities in respect of protecting people from the risk of harm.

Risk assessments identified any areas of concern around people’s care and support needs, and there were management plans in place to reduce these risks whilst promoting people’s independence.

Staff received induction training when they were newly employed and had on-going training provided for them. This included training on safeguarding adults and the Mental Capacity Act 2015 (MCA) and Deprivation of Liberty Safeguards (DoLS).

We checked medication systems and saw that medicines were recorded, stored, administered and disposed of safely on the day of this inspection. We did identify that medicine room temperatures had been recorded as too high in the summer months which the provider would need to address so that medicines were stored safely. Staff who had responsibility for the administration of medication had received appropriate training.

People told us that staff were caring and that they respected people’s privacy and dignity. We saw that there were positive interactions between people who lived at the home, visitors and staff. People told us they were made welcome at the home and were kept informed about their relative’s well-being.

Activities were organised by an activities co-ordinator. Staff also assisted with activities in order that people received some stimulation. They spent time talking to people which helped to avoid them feeling isolated.

Care plans recorded people’s individual needs and how these should be met by staff. It was clear that staff knew people well and had a good understanding of their specific needs and how they wished to be supported.

The service had links with the local hospice and people had access to a specialist advice line at the local hospice. People who were at the end of their life were supported by clinical nurse specialists from the local hospice who gave us positive feedback about the care people received at this service.

We saw that people’s nutritional needs had been assessed and people told us that they were very happy with the food provided. We observed that people’s individual food and drink requirements were met and that they were offered a choice at each meal time.

The complaints procedure was accessible to people and the complaints we saw recorded had been managed following the services policy and procedure.

People told us that the home was well managed. Quality audits undertaken by the registered manager were designed to identify any areas of improvement that would promote people’s safety and well-being. Relatives told us that the registered manager was knowledgeable and approachable. Staff told us they felt well supported by the registered manager.