13 October 2021
During an inspection looking at part of the service
Eastlands Care Home is a residential care home providing accommodation and personal care to eight people aged 65 and over, some of whom were living with dementia, at the time of the inspection. The service can support up to 35 people.
People’s experience of using this service and what we found
Whilst we found overall improvements had been made, we identified issues at this inspection that had not been identified within the provider’s own governance systems. Whilst the issues identified did not significantly impact on the safety of people’s care it meant we could not be confident that the governance systems in place were robust enough to capture areas of concern. We found further work was required to strengthen systems supporting the delivery of person-centred care within the service, relating to activities and care planning.
Despite these findings it was clear the service had made progress and improvements were evident. Everyone we spoke with told us there had been a marked improvement in the care provided. Communication with people, relatives, and staff had greatly improved.
People were supported to stay safe. Risks were assessed and actions taken to address these. A programme of refurbishment was taking place and improvements in relation to the management of the premises and equipment had been made. Everyone we spoke with noted improvements in staffing, people were now being supported with enough consistent staff. People received their medicines safely and actions had been taken to reduce the risk of infection.
People received care that met their individual needs. Whilst there was lack of formal involvement in care planning, people and their relatives told us they felt informed and consulted on the delivery of the care provided. Staff knew people well including their life histories and this helped them provide care that was in line with people’s needs and preferences.
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 inadequate (published 10 April 2021). This service has been in Special Measures since April 2021.During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
Prior to the inspection we carried out a monitoring review of the service. A monitoring review considers a range of information such as the current rating, any ongoing or planned regulatory activities, information about safeguarding, whistleblowing, incident reports (we call these statutory notifications) and whether the service has a registered manager, feedback from people who use services and their family and friends, and other contextual information. This prompted us to carry out this 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.
Enforcement
We have identified a breach in relation to good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.