Archived: Euxton Park Care Home

Updated 3 August 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 inspection was completed by two inspectors.

Service and service type

Euxton Park care 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. Euxton Park 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 a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We liaised with other professionals to ascertain a view of the service and reviewed all the information held by ourselves on the service. We used all this information to plan our inspection plan.

During the inspection

We spoke with three people who lived in the home and five staff including the deputy and area manager. We reviewed four care plans in detail and looked at specific information in six others. We also looked at the medicine administration records for people on both floors and the recruitment records for three staff. We observed activities and looked around the building including people’s bedrooms, the kitchen and laundry.

After the inspection

We sent seven email surveys to staff seeking their views on the service and the support they receive and spoke with three relatives of people in the home. We received additional information we requested and reviewed this as part of the evidence for the inspection. We were also provided with details of action taken to address concerns noted within the inspection.

Updated 3 August 2022

About the service

Euxton Park Care Home is a residential care home providing nursing and personal care to up to 63 people. At the time of the inspection, the provider was supporting 22 people on the residential unit and 20 people on the nursing unit. The home has two floors with each having its own dining room and lounge area. The kitchen and laundry facilities are on the ground floor. Each floor is accessible by both stairs and a lift.

People’s experience of using this service and what we found

We found some concerns with how medicines were administered but note as soon as we discussed these with the management team both a flash meeting and individual supervisions were completed to address the issues. Risk assessments were not routinely updated following incidents, but we were assured changes in need were recorded and given to staff at handover meetings to ensure people’s changing needs were met. Staff were using Personal Protective Equipment (PPE) effectively to keep both themselves and people in the home safe during the pandemic. There were enough safely recruited staff to meet people’s needs and the provider continued to recruit additional staff as needed. People we spoke with told us they were happy in the home and their needs were met.

The provider had a comprehensive suite of audits which were overseen by the regional team. However, due to the size of the home the current system risks some aspects of service delivery not being monitored for some time. We discussed this with the area manager who was going to review this. We saw staff worked well together and engaged well with the people they supported. They were well trained and supported by the management team. The provider submitted notifications of incidents to the commission as required and had the ratings of their previous inspection available.

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 comprehensive rating for this service was requires improvement (published 12 March 2020).

At our last comprehensive inspection, we recommended that the provider consulted people to ensure there were enough available staff. At this inspection we found staff were readily available to support people in a timely way and people told us this was the case.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

The inspection was prompted in part due to concerns received about the care provided to people including a lack of support with people’s risks to their skin integrity and hydration needs. A decision was made for us to inspect and examine those risks to the people supported by the home. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe sections of this full report.

We received concerns in relation to risk and as a result, we undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. spacing

Therefore the overall rating for the service remains the same at requires improvement.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.