About the service: Edwardian is a residential care home, providing care and support to people living with a variety of health conditions and support needs. Most people had mental health needs. The service was spread over three floors. At the time of the inspection, 27 people were living at the service.
People’s experience of using this service:
People said staff met their care and support needs. However, further improvements were needed to ensure staff were always respectful, and promoted people’s privacy and dignity. People did not have opportunities to contribute to the planning and reviewing of their care plans. The provider had missed opportunities to identify and work with people on their goals and aspirations. People had not been supported enough to achieve their wishes to be more independent. People had limited opportunities to pursue their hobbies and interests. Staff had not created a pleasant atmosphere at mealtimes. We recommended the provider should look at guidance about making meal times a more social experience for people.
The provider had not used their quality monitoring processes to identity and make quick improvements to the quality of the service and people's experiences.
People were protected from harm by staff who were trained to identify and report concerns. People were safe because potential risks to their health and wellbeing had been managed well. There were enough staff to support people safely. People were supported to take their medicines. Lessons were learnt from incidents to prevent recurrence. Staff followed processes to prevent the spread of infections.
Staff had been trained to meet people's needs. They had the information to meet people’s assessed needs, but said they needed more training to meet the needs of people with complex mental health needs. People had been supported to have enough to eat and drink. People had access to healthcare services when required, and this helped them to maintain their health and well-being.
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. However, further improvements were required in the quality of mental capacity assessments and other care records. People made decisions about their daily care and support. The provider dealt with complaints appropriately, and they considered suggestions made by people.
Rating at last inspection:
This service was registered with us on 19/07/2018 and this is the first inspection.
Why we inspected:
This was a planned inspection based on the registration date. We have found evidence that the provider needs to make improvements. Please see the Responsive and Well-led sections of this full report.
Enforcement:
We have identified breaches in relation to person-centred care 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 for the provider to understand what they will do to improve the standards of quality and safety. 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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.