Background to this inspection
Updated
8 February 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 20 January 2022 and was unannounced.
Updated
8 February 2022
About the service
Evergreen Court provides accommodation for up to 17 people with residential care needs in a purpose-built building. At the time of the inspection, 15 people were using the service. Some of the people were living with dementia.
People’s experience of using this service and what we found
At the previous inspection, we found medicine records were not always accurate or up to date and audits had not always identified or addressed issues with record keeping. At this inspection, we found these issues had been addressed.
People and family members told us the service was safe. Appropriate safeguarding procedures were in place and staff had been trained in how to protect people from abuse. Risks were well managed and the provider learned from accidents and incidents.
The provider carried out appropriate security and identification checks when they employed new staff. There were enough staff on duty to meet the needs of people. Staff were suitably skilled, experienced and fully supported in their role.
The premises were clean and incorporated environmental aspects that were dementia friendly.
Regular assessments and reviews took place to ensure people’s needs were being met. People were supported with their healthcare needs and had access to healthcare professionals when required.
People were supported to have maximum choice and control of their lives, and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.
People and family members told us staff were kind and treated them with respect. People were given information in a way they could understand. Staff included people and family members in the care planning process.
Staff protected people from social isolation. People took part in activities that were relevant and of interest to them. There were good links with the local community.
The provider and registered manager monitored the quality of the service to make sure they delivered a high standard of care. People and family members were aware of how to make a complaint and were encouraged to provide feedback.
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 requires improvement (published 15 January 2019).
Why we inspected
This was a planned inspection based on the previous rating.
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.