Eastham

This report from the Care Quality Commission (CQC) provides an overview of Eastham, a care home providing support for older people, some with dementia, and individuals with physical disabilities or sensory impairments. The inspection focused on the key areas of safety and leadership. While the service has made progress in some areas, the report highlights specific points where improvements are needed to ensure consistent high-quality care for all residents. The findings aim to offer families a clear understanding of the home's performance.

On safety, while safeguarding systems are in place and people receive their medicines appropriately, there were concerns regarding infection prevention and control. This included issues with hygiene practices for equipment and the correct use of personal protective equipment (PPE), though the home took prompt action to address these. Staffing levels were found to be adequate for personal care, but a review is recommended to ensure sufficient time for all aspects of residents' well-being and to prevent feelings of isolation.

In terms of how effective the care is, the report indicates that healthcare professionals are consulted, and lessons are learned from incidents. People are supported to make choices in the least restrictive way possible, and staff are competent in their roles.

Regarding how caring the service is, residents feel safe and staff are trained to raise concerns. Improvements have been made to the safeguarding systems, and staff work well with external agencies.

In relation to how responsive the service is, people's needs are monitored, and risks are managed, with improvements noted in risk assessments for skin, falls, and nutrition. The home also operates within the principles of the Mental Capacity Act, ensuring appropriate authorisations are in place.

Finally, concerning how well-led the service is, there have been management changes that impacted oversight, but a new manager is now in place and receiving support. The home is working with the local authority on care planning and risk assessment improvements, and staff feel well-supported by the new management. While a positive culture is developing, there is a need for greater engagement of residents in daily activities and a more comprehensive system for recording and considering all aspects of residents' lifestyles and cultures.