22 October 2020
During an inspection looking at part of the service
Eagles Mount Care Home is a nursing and care home for up to 72 older people some of whom were living with dementia or had nursing needs. At the time of this inspection 15 people were living or staying at Eagles Mount Care Home.
The home is purpose built and is divided into three separate living units. The provider was in the process of undertaking extensive refurbishment to the lower floor of the premises. We acknowledge our inspection took place during the Covid 19 pandemic which had had a significant impact on both people and staff in the service during the early days of the pandemic. Throughout this difficult time people and staff had been well supported by the management team.
People’s experience of using the service and what we found
There was a calm and welcoming atmosphere at Eagles Mount Care Home, people were relaxed and chatting to staff who were attentive to their needs. Risks to the premises had been assessed and regularly reviewed. Action had been taken to address specific risks such as the use of portable heaters, safe storage of razors and ensuring heavy items of furniture such as wardrobes were secured to reduce the risk of harm to people.
Staff confirmed they understood the risks and actions needed to minimise the risk of avoidable harm. One member of staff told us, “All the wardrobes are secured now.”
Medicines were managed safely and stored securely. Additional audits and processes had been implemented to ensure people had their topical medicines administered as prescribed. Each bedroom had a small, secure cabinet installed for people to store any items that may pose a risk to them or others. These items could include razors and dissolvable denture cleaning tablets.
People, staff and visitors to Eagles Mount Care Home were protected from risks of infection as policies and staff practices were reflective of current best practice guidance. Staff had access to personal protective equipment (PPE) and the home was active in carrying out whole home testing in response to the coronavirus health risk.
The provider had made amendments to audits, policies and processes to ensure effective governance and highlight potential shortfalls to improve the safety and quality of care people received.
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 March 2020). We identified a continued breach of Regulation 17 (Good Governance) of the Health and Social Care Act 2008 Regulated Activities) Regulations 2014. Enough improvement had been made at this inspection and the provider was no longer in breach of Regulation 17.
Why we inspected
We undertook this targeted inspection to monitor the service to check the provider had addressed the shortfalls identified in the previous inspection. This targeted inspection found improvements had been made in all areas where shortfalls had previously been identified.
CQC have introduced targeted inspections to follow up on specific concerns. They do not look at entire key questions, only the part of the key question we are specifically concerned about. Targeted inspection do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe and well-led sections of this report.
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.
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.