Temple Ewell Nursing Home

This report summarises an inspection of Temple Ewell Nursing Home that took place in November 2018. It details the findings across five key areas: safety, effectiveness of care, how caring the staff are, how responsive the service is to residents' needs, and how well the home is led. The inspection followed a previous one where improvements were requested, and this report assesses the progress made. Overall, the inspection found significant improvements, with the service now rated positively across all areas.

On safety, the home has implemented robust systems for managing medicines, ensuring residents receive them as prescribed, with accurate record-keeping. Risks to residents' health and welfare are thoroughly assessed, with clear guidance provided to staff on how to mitigate them, and accidents are analysed to prevent future occurrences. The environment and equipment are regularly checked for safety, and there are sufficient staff members recruited safely to meet residents' needs.

In terms of how effective the care is, residents' needs are assessed comprehensively before admission, forming the basis of detailed care plans. Staff are well-trained and supported, receiving regular supervision. Residents are encouraged to maintain healthy lifestyles, with timely referrals to healthcare professionals and adherence to their guidance, ensuring their well-being. The home also operates within the principles of the Mental Capacity Act, supporting residents' choices.

Regarding how caring the staff are, residents are treated with kindness, respect, and their dignity and privacy are consistently upheld. Staff are attentive to residents' needs, offering support when they are anxious and promoting independence. Residents are actively involved in decisions about their care, and their views are valued.

On responsiveness, care plans are detailed, reflecting residents' individual choices and preferences, and are regularly reviewed. The service provides a range of activities that cater to residents' interests, and residents receive support during end-of-life care. The home also has a clear complaints policy, ensuring concerns are recorded and investigated appropriately.

Finally, in how well the service is led, there is an open and collaborative culture focused on continuous improvement. Regular audits are conducted, and any identified shortfalls are addressed with action plans. Feedback from residents, relatives, and staff is actively sought and used to drive improvements. The management team engages with external agencies and training opportunities to enhance the quality of care provided.