Background to this inspection
Updated
15 September 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The first day of the inspection was carried out by two inspectors. The second day was undertaken by one inspector.
Service and service type
Eastridge Manor Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Eastridge Manor Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of our inspection there was not a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We reviewed information we had received about the service since they registered. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.
During the inspection
We spoke with seven people who were using the service about their experience of the care provided and four family members. We spoke with nine staff members including the Regional Operations Manager (who was acting as manager of the home), Managing Director, registered nurse, chef, activities coordinator and two care assistants.
We reviewed a range of records. This included eight people’s care records and medication records. We looked at three staff files in relation to recruitment and training. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
15 September 2022
About the service
Eastridge Manor Nursing Home is a residential care home providing personal and nursing care to up to 53 people. At the time of the inspection there were 52 people living at the home, who were living with various nursing needs, including poor mobility, diabetes, those living with various stages of dementia and end of life care.
Eastridge Manor is a large detached property, consisting of a main house and purpose-built nursing wing in extensive grounds. Accommodation is provided over two floors, with passenger lifts providing access between floors.
People’s experience of using this service and what we found
People told us they were happy at the home and with the care they received from staff. One person said, “I am very happy here, they make me feel like this is my home. They look after me very well.” One relative said, “I feel they really genuinely care. They make me feel confident that they are doing everything they can. I want (person)to have the best quality of life she can.”
People told us they felt safe living at the home, and relatives said their felt that their loved ones were safely cared for. Risks to people’s health and wellbeing were assessed and mitigated by staff who knew them well. People were protected from the risk of abuse.
Risks to people’s wellbeing had been assessed and staff ensured that these risks were reduced as much as possible. People were supported by enough skilled and trained staff to meet their needs. Training was provided to staff in order to meet the needs of people at the home. People nutritional and hydration needs were met and monitored for those who were assessed as being at risk.
Staff ensured that people were protected from infection throughout the COVID-19 pandemic. Training and guidance had been provided to support staff to do this.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People told us, and we observed, that there were activities and engagement at the home. People’s views were listened to and acted upon and they and their relatives felt confident that concerns would be acted upon.
People, staff and relatives spoke positively about the registered manager. Management was approachable and open to feedback and discussions about people’s care. The quality of people’s care was supported by effective quality assurance systems.
People told us that they were involved in their support and that staff and management sought their views and opinions. The provider and manager continuously looked to improve the service to achieve better outcomes for people. People, staff and relatives spoke highly of the manager.
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 good (published 4 October 2018).
Why we inspected
The inspection was prompted in part due to concerns received about nutrition and hydration. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and effective sections of this full 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 COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.