Eden House

Updated 8 December 2018

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 16 October 2018 and was unannounced. The inspection was carried out by two adult social care inspectors.

Before the inspection we reviewed information we held about the service. We contacted the local authority adult safeguarding and quality monitoring team as well as Healthwatch, the consumer champion for health and social care, to ask if they had any information to share. We used this information to plan our inspection.

The provider had been requested to send us a Provider Information Return (PIR) and had returned this within required timescales. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and any improvements they plan to make.

During the inspection we spoke with all five people who used the service. We also spoke with the provider and manager. We contacted two staff by telephone following in the inspection and requested feedback from two professionals.

We reviewed two people’s care plans, risk assessments and daily records. We checked the arrangements in place for managing medicines and recording accidents and incidents. We reviewed two staff’s recruitment and induction records and three staffs’ supervision and appraisal records, as well as training records, meeting minutes, audits and a selection of other records relating to the management of the service.

Updated 8 December 2018

Eden House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Eden House is situated in Filey, near Scarborough. The home accommodates and provides care and support for up to five people whose main needs are associated with a learning disability.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

Inspection site visit took place on 16 October 2018. At the time of this inspection, the service was providing support to five people.

Eden House has been operating for a number of years and had previously been registered with CQC under a different provider. Changes to the ownership of the service mean the service was reregistered with CQC in October 2017 and therefore this was the first inspection of the service under the new providers ownership.

The service is not required to have a separate registered manager, because the registered provider is an individual who is registered with us. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us they felt safe living at Eden House. Safeguarding policies and procedures were in place and these had been followed. Staff had a thorough understanding of the different types of abuse and action they should take to report any concerns.

Risk management plans were in place and contained relevant information to enable staff and people to manage risks safely. These had been regularly reviewed and updated when changes occurred.

People’s medicines had been stored and administered safely. When people had the ability to self-medicate, appropriate risk assessments were in place. Staff had not always had their competencies assessed in relation to medicine administration. This was an area the provider was working to address.

People were encouraged to develop daily living skills and participated in domestic chores, cooking and laundry as required. We found some areas of the service were not adequately clean at the time of this inspection. The provider told us staff conducted daily checks to identify and address any shortfalls.

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. Consent to care and support was clearly recorded.

People were actively involved in the preparing and cooking of meals. People were consulted with regards to the meals on offer and their preferences were accommodated.

People had access to health professionals when required. Care records clearly recorded other professionals who were involved in people’s care and support. Annual health checks were promoted, and hospital passports were in place to ensure information regarding people’s preferences and communication needs were available.

People told us staff were kind and caring in their approach. It was clear staff were familiar with people’s likes, dislikes and preferences. People’s independence was promoted, and they were encouraged by staff to be involved in activities and hobbies they enjoyed.

Systems to monitor and improve the service were in place. When shortfalls were found, remedial action had not always been taken in a timely manner.

People and staff told us management were open, honest and approachable. People were encouraged to provide feedback and it was clear that people were at the heart of the service. A complaints policy was in place and people were confident any concerns they had would be addressed appropriately.