Care Home in Whitchurch, Shropshire Edgeley House High-quality Care Homes
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Our goal is to provide loving care, and make each resident as happy and free from pain as possible by individually meeting their physical, mental, and spiritual needs. We would like to enable residents to live as independently as possible and to their fullest potential. – the service is performing badly and we've taken enforcement action against the provider of the service. The provider did not have a registered manager and people were unaware of who was running the home.

The provider sent us an action plan in April 2016 telling us what they would do to make improvements and meet legal requirements in relation to the law. We found at this inspection the provider had taken the necessary measures to ensure the quality of care people experienced had improved. Manor St. Joseph is founded upon a spirit of Christ-like charity.
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We saw that one person who was unable to get out of their bed, had no visual or auditory stimulation. Staff told us that they popped in to see the person when they could. The regional and area manager fully supported our findings and told us that that they had identified that improvements were needed in this area. They also explained reasons why activities were not being carried out regularly. They had an action plan to address this issue and we will monitor this. Autumna is the UK's largest and most comprehensive later-life living & elderly care directory.
To gain an insight into what they experienced we looked at the records that the home had developed about five of those people. We found that this information was accurate enabling us to focus our questions in a way that would allow people to understand what we were asking and therefore express what they thought. The provider had developed a system whereby they could monitor how well the home was meeting the needs of the people who live there. One person who used the service told us that they had written a letter of complaint to the area manager. They confirmed that the area manager had visited them to discuss their complaint but this had not been responded to in writing They said that no action had been taken to resolve their complaint. The area manager said because they had discussed the complaint with the person they did not respond in writing.
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They told us about the training that the home had arranged for them to attend so that they would recognise abuse and how to report it. We had received concerns from the Clinical Commissioning Group about the lack of wash areas to meet people’s needs. On the day of our inspection the nurse in charge confirmed one shower room was available for 36 people. This meant there were insufficient wash areas available for people to access. The CCG also raised concerns about the cleanliness and hygiene standards within the home. We found that some areas of the home were unclean but this was also compromised by refurbishment taking place on the day of our inspection.

The home is a large three storey building which dates back to Georgian times. Weston House Residential Care Home offers accommodation to both... Edgeley House Care Home provides nursing and personal care for up to 60 older people and people living with dementia. Elm House Care Home in Nantwich, Cheshire provides respite, convalescent, residential, dementia, and day care to elderly residents with a range of healthcare needs. They inspect care services to ensure they are supporting peoples wellbeing; appropriately setup; properly planning out care; are well led; and effectively staffed, each criteria is given a grade out of 6. We found that the provider’s quality assurance monitoring audit systems were not robust to ensure people received a safe and effective service.
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– the service isn't performing as well as it should and we have told the service how it must improve. We found that not all staff were aware of the principles of the Mental Capacity Act and the Deprivation of Liberty Safeguard and this placed people at risk of their human rights not being protected. Staff did not receive regular supervision and they felt unsupported by the management team. There was limited stimulation provided and people told us they were bored. Medicines were stored appropriately and records were maintained to show when medicines had been given to people.
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They said the staff always asked them how they would like things to be done. They said staff were always mindful of their privacy and treated them with respect. We talked with some of the people who lived in this home and they said that they were well looked after. They said staff always considered their privacy and treated them with respect.

The staff at Edgeley have all been outstanding with their compassion and care for my Mum. On numerous occasions, they went above and beyond the call of duty to make sure that she was looked after.... All of the staff were absolutely fantastic treating my mum and I with great care at a delicate time.
For example we saw that a number of toilet doors were not fitted with a privacy lock and this was acknowledged by the acting manager. One person who used the service said, “I call them the second class toilets and I don’t use them. I go to the other side of the home where the toilets have a lock.” The absence of privacy locks meant that people’s privacy would not be entirely maintained. Discussions with the acting manager confirmed that a number of overseas nurses had been appointed and their first language was not English.
This meant that people who used the service may not be able to communicate with all the staff effectively and this could compromise their wellbeing and safety. Some of our homes offer specialist help for people with complex needs, such as mental health concerns, physical disabilities or learning disabilities. For people who need nursing care if they have a certain physical condition.
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