3 October 2023
During an inspection looking at part of the service
Eversley Rest Home is a residential care home providing personal care to up to 28 people. The service provides support to adults with a range of needs including people who have dementia. At the time of our inspection there were 21 people using the service.
People’s experience of the service and what we found:
People were not always protected from environmental and building risks. People’s medicines were not always safely managed. It was not clear if there was on-going learning from incidents that had taken place. There were some infection control risks identified. People were supported by enough staff who understood how to keep people safe from harm. People were able to see visitors in the home.
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 did not always support this practice.
The provider had not always identified risks to people and systems in place were not always robust enough in supporting the provider with this. People’s care plans and risk assessments were not always detailed enough. The provider notified CQC about any safety events in line with their responsibilities. The manager understood their responsibilities under the duty of candour. People and their relatives felt involved in care planning. Staff worked well with other health and social care organisations. There was an open culture and the provider was responsive in addressing concerns identified to improve care.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
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 rating for this service was good (published 6 May 2021).
Why we inspected
The inspection was prompted in part due to concerns received about the management of people’s care and support needs as well as the management of the service. A decision was made for us to inspect and examine those risks.
We undertook a focused inspection to review the key questions of safe and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Eversley Rest Home on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to people’s safety and the management oversight.
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 from 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 continue to monitor information we receive about the service, which will help inform when we next inspect.