CQC report explained · a nursing home, run by Framework Housing Association
Edwin House
Millers Court, Off Radford Boulevard, Nottingham, NG7 3DP
Rated Good: inspectors found the service performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found some unclean bedrooms and weaknesses in records for as-needed medicines, but no evidence that people had been harmed.
- Effective?
- Good
- This key question was not inspected during this focused inspection. The overall rating used ratings from the previous inspection where questions were not inspected.
- Caring?
- Good
- This key question was not inspected during this focused inspection. The overall rating used ratings from the previous inspection where questions were not inspected.
- Responsive?
- Good
- This key question was not inspected during this focused inspection. The overall rating used ratings from the previous inspection where questions were not inspected.
- Well-led?
- Good
- Management and quality checks had improved since the previous inspection. Managers understood their roles, acted on feedback and took immediate action when inspectors identified medicine record problems.
What inspectors found, November 2023
Rated Good; inspectors found safe, supportive care, but some bedrooms posed an infection risk and some as-needed medicines records needed improvement.
This was an unannounced focused inspection on 5 and 6 October 2023. Inspectors spoke with people using the home, staff, managers and outside professionals. They reviewed care, medicine and staff records, along with management information.
The home was rated Good for Safe and Well-led. People told inspectors they felt safe and had enough staff support. Risks were assessed, safeguarding concerns were acted on, and the home supported people with programmes to reduce or end substance misuse.
Inspectors found some bedrooms at Edwin House were unclean and posed an infection control risk. Staff had repeatedly offered support to clean them, and the people concerned had capacity to make their own decisions. Some records for as-needed medicines were missing or lacked detail, but this was corrected during the inspection and no harm was found.
This was a focused inspection of Safe and Well-led only. The overall Good rating remained based partly on the previous inspection, published in September 2019. Well-led improved from Requires Improvement to Good.
People felt safe
People told inspectors they felt safe and staff knew how to recognise and report abuse. Safeguarding incidents were recorded, reviewed and referred to the relevant authorities.
“People were protected from the risk of abuse and neglect.” from the report
Enough trained staff
Inspectors found enough suitably skilled, trained and experienced staff to keep people safe. Recruitment checks were completed, although recruitment was still under way.
“There were enough suitably skilled, trained, and experienced staff to keep people safe.” from the report
Improved management
Management systems had improved since the previous inspection. Managers worked together and used action plans and quality checks to drive improvement.
“At this inspection we found improvements had been made.” from the report
Respectful staff
People said they did not feel judged and felt supported to improve their lives. Inspectors observed positive interactions and found staff showed empathy.
“People told us they did not feel judged by staff, felt supported to gain the skills needed to address their addiction and were encouraged to improve their lives.” from the report
Unclean bedrooms
needs fixingSome bedrooms at Edwin House were unclean and posed an infection control risk. Staff had offered advice and help, and continued support was planned.
“We found some bedrooms at Edwin House building did pose an infection control risk.” from the report
As-needed medicine records
needs fixingSome instructions for as-needed medicines were missing or not detailed enough. This could have led to inconsistent administration, although inspectors found no evidence of harm and the issue was addressed during the inspection.
“We found some of these protocols at Edwin House were either not in place or lacked detail and could lead to the risk of inconsistent administration.” from the report
Use of agency staff
minorAgency staff were being used for some shifts at Edwin House. Recruitment was continuing, with plans to address this.
“Agency staff were currently used to cover some staffing shifts at Edwin House.” from the report
- 01Have all the bedrooms identified as an infection control risk been cleaned, and how are they checked now?
- 02Are detailed instructions now in place for every as-needed medicine?
- 03Has the medicines coordinator been appointed, and how does this role check medicine safety?
- 04How much agency staff is currently being used at Edwin House, and what is the timetable for reducing it?
- 05What were the ratings for Effective, Caring and Responsive at the previous comprehensive inspection?
This was an unannounced focused inspection of Safe and Well-led only; the other ratings carried over from the previous inspection published on 19 September 2019. This explanation was written from the published report of 10 November 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Edwin House
2 rated inspections over 4 years: the service has held its Good rating throughout.
- November 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2019GoodSafe: GoodWell-led: Requires improvement
- February 2018
Registered with the Care Quality Commission on 12 February 2018.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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