Eagle House

Updated 14 December 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

This inspection was completed by 2 inspectors 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.

Service and service type

Eagle House 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.

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. We inspected the service on 15 November 2022.

What we did before the inspection

We reviewed information we had received about the service since they registered with CQC. We sought feedback from the local authority, Healthwatch and professionals who work with the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. 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 information gathered as part of a monitoring activity that took place on 14 March 2022 to help plan the inspection and inform judgements. We used all this information to plan our inspection.

During the inspection

We spoke with 7 people who used the service about their experience of the care provided. We spoke with 7 members of staff, including the registered manager, registered nurses, care workers, administrative and catering staff. We received feedback from a visiting professional. We observed staff interacting with people. We reviewed a range of records. This included 3 people’s care records and multiple medication records. We looked at a variety of records relating to the management of the service.

Updated 14 December 2022

About the service

Eagle House is a care home for people who require nursing or personal care. The home predominantly provides care and accommodation for people who have enduring mental health needs or people who require nursing care. Accommodation and nursing care is provided for up to 30 people in the main building, across two floors. There are also 4 bungalows adjacent to the main building for people who are more independent. Each bungalow can accommodate up to 4 people. At the time of our inspection there were 46 people living at Eagle House.

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

Since our last inspection the provider had made improvements to records of the food and fluid consumed by people, the décor of the home, the caring attitude of staff and good governance.

People were safeguarded from the risk of abuse. The home was clean, and people were protected from the risk and spread of infections. There were enough staff available to assist people to meet their needs in a timely way.

Accidents and incidents were recorded and analysed to identify any trends or patterns. This helped to mitigate future risks and ensured lessons were learned. The provider had a safe recruitment process which assisted them in recruiting suitable staff. Risks in relation to people's care were identified and detailed information about how risks could be mitigated. We have made a recommendation about the risk assessment for use of one piece of equipment. The provider has already acted to meet this recommendation.

A training plan evidenced staff had received appropriate training to carry out their roles effectively. Competency assessments were also in place for things such as medicine administration.

People's needs were assessed, and care delivered in line with best practice. Care plans and supporting documentation included people's individual choices and preferences. We observed lunch being served and found people were supported to maintain a healthy and balanced diet which included their preferences.

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.

Throughout the inspection we observed staff interacting with people in a caring and considerate way. We saw staff gaining people's consent prior to carrying out care tasks. People we spoke with were complimentary about the care and support they received.

The management team carried out regular audits to ensure the quality of the service was maintained. The management team took appropriate actions to address any issues. People and their relatives had confidence in the management team and felt they were approachable.

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 9 January 2020).

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found the provider had made improvements. The overall rating for the service has changed from requires improvement to good.

Why we inspected

This inspection was prompted by a review of the information we held about this service. This inspection was also carried out to follow up on action we told the provider to take at the last inspection.

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 based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Eagle House 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.