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.