Edgehill Care Home

Updated 19 March 2021

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 Care Act 2014.

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 was carried out by three inspectors and an Expert by Experience (EXE)

An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Edgehill Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service short notice of the inspection to check the COVID-19 status of the service.

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 spoke with seven relatives about their experience of the care provided. We reviewed a range of documents relating to the management of the service and looked at five people’s care records. We spoke with the registered manager, the operations director and the quality lead. We used all of this information to plan our inspection.

During the inspection

We spoke with four people who used the service about their experience of the care provided. We spoke with seven members of staff including the registered manager, the area operations manager and members of the care team.

We looked at two staff files in relation to recruitment. We looked at a range of care records including medicines records and three people’s care records.

After the inspection

We spoke with the quality manager and looked a range of quality assurance records.

Updated 19 March 2021

About the service

Edgehill Care Home is a residential care home providing personal care to 36 people aged 65

and over at the time of the inspection.

Edgehill Care Home can accommodate up to 60 people in one building which is on one floor. The service supports people living with dementia.

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

Improvements had been made to the service to ensure people received safe care. Medicines were managed safely. Risks to people were assessed and staff supported people to ensure risks were managed. There were enough staff and people received support in a timely manner from staff who were not rushed.

There were effective Infection prevention and control systems in place. The home was clean, and staff wore personal protective equipment in line with current guidance.

Effective systems for monitoring and improving the service were in place and ensured the provider and registered manager had an overview of the quality of the service. We received extremely positive feedback about the registered manager and the improvements they had made. The registered manager promoted a positive, caring culture that ensured people were at the heart of all the service did.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 20 November 2020) and there were multiple breaches of regulation. The provider sent monthly reports after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

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 coronavirus and other infection outbreaks effectively.

We carried out an announced focused inspection of this service on 12 August 2020. Breaches of legal requirements were found. The provider was required to send monthly reports to CQC showing the improvements made.

We undertook this focused inspection to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. 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 Edgehill Care on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.