- Care home
Edward House
Report from 23 February 2024 assessment
Contents
Ratings
Our view of the service
Edward House is a ‘care home’ providing personal care and support to older people and people living with dementia. At the time of the inspection, the service was supporting 26 people with their personal care needs. Edward House was last rated Good (published 31 October 2017). The report was published following CQC’s old inspection approach using key lines of enquiry (KLOEs), prompts and ratings characteristics. This assessment has been completed following the Care Quality Commission (CQC) new approach to assessment; Single Assessment Framework (SAF). We carried out our on-site assessment on 11 March 2024. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand. During this assessment we looked at 16 quality statements. This assessment did not cover all parts of our Single Assessment Framework; therefore, we have only updated scores and ratings for those areas which we have assessed. We will carry out future assessments to cover other parts of the Framework and will update our website with our findings. We have identified breaches in relation to safe care and treatment, safeguarding, governance, and staffing. Safety risks to people were not always managed well and risks were not always assessed. Staff had not always followed their training when supporting people with moving and handling which could have put people at risk of harm. The provider had not followed their own policy and produces after accidents and incident of completing reflective practice record or their safeguarding register. There were no processes or systems in place when incidents had occurred to review what had happened and prevent re-occurrence. Lessons were not learned from safety incidents or complaints. There was not clear and effective governance, management, and accountability arrangements. Staff did not understand their role and responsibilities.
People's experience of this service
People told us they felt safe, and staff understood their needs well to keep them safe. Some people told us there was not always enough staff. We received mixed feedback from people regarding staffing levels. People told us that the home was always kept clean. People were not able to explain how they were involved in assessing their care and support needs. People had not been given the opportunity to have a holistic review of their physical, mental and support needs. People were not given the opportunity to be involved with their medicines support and care. However, people told us that staff supported them with their medicines safely. This meant people were at risk of not receiving the best possible outcomes. People told us they had not been involved in decision making regarding their care and support. People were not supported to ensure they had good outcomes with their health care needs. People told us that they did not have access to a dentist and had not had routine check-ups. People and relatives told us, they had not been given the opportunity to be involved in any learning at Edward House. People were unable to explain how they were involved in managing their risks and what choice’s they had. People told us they had not been involved in their care plans or assessments. People did not always experience appropriate support to live healthier lives. People told us they were treated kindly and with respect. People told us they had a choice of what time they can get up and go to bed. People told us that they were able to communicate their immediate needs, to receive the right type of support. People were not given an opportunity to discuss their beliefs, culture, or religion.