This inspection took place on 15 November 2017 and was unannounced. At our last inspection in September 2017 the overall rating for Eastholme Care Home was 'good'. At this inspection we found the provider continued to be good.

Eastholme is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Eastholme Care Home provides care for older people including people who are living with dementia. It provides accommodation for up to 31 people who require personal and nursing care. At the time of our inspection there were 30 people living at the home.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

On the day of our inspection staff interacted well with people. People told us that they felt safe and well cared for. The provider had systems and processes in place to keep people safe.

Medicines were administered to people safely however the provider did not have systems in place to ensure the consistent recording of medicine administration.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People’s health care needs were assessed and care planned and delivered to meet those needs. Arrangements were in place to facilitate working relationships with other professionals and care providers. People had their nutritional needs assessed and were supported with their meals to keep them healthy.

There was usually sufficient staff available to meet people’s needs. People were treated with dignity and respect.

Staff were provided with training to ensure that they had the skills to meet people’s needs. A process for supervision was in place.

People were provided access to social activities. Relatives felt welcomed and people were supported to maintain relationships that were important to them.

The environment was clean and refurbishment had taken place since our last inspection.

The registered manager and provider created an open culture and people, staff and their relatives said they understood the needs of the service. Relatives were aware of the process for raising concerns and were confident that they would be listened to. Audits were carried out and action plans put in place to address any issues which were identified.

Accidents and incidents were recorded and investigated. The provider had informed us of notifications. Notifications are events which have happened in the service that the provider is required to tell us about.

Further information is in the detailed findings below.

This inspection took place on 29 October 2015 and was unannounced. Eastholme provides care for older people who have mental and physical health needs including people living with dementia. It provides accommodation for up to 31 people who require personal and nursing care. At the time of our inspection there were 30 people living at the home.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations

On the day of our inspection staff interacted well with people and people were cared for safely. People and their relatives told us that they felt safe and well cared for. Staff knew how to keep people safe. The provider had systems and processes in place to keep people safe.

The provider acted in accordance with the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). The MCA provides the legal framework to assess people’s capacity to make certain decisions, at a certain time. If the location is a care home the Care Quality Commission is required by law to monitor the operation of the DoLS, and to report on what we find.

We found that people’s health care needs were assessed and care planned and delivered

to meet those needs. People had access to other healthcare professionals such as a speech therapy and GP and were supported to eat enough to keep them healthy. People had access to drinks and snacks during the day and had choices at mealtimes. Where people had special dietary requirements we saw that these were provided for.

There were sufficient staff to meet people’s needs and staff responded in a timely and appropriate manner to people. Staff were kind and sensitive to people when they were providing support and people had their privacy and dignity considered.

Staff had a good understanding of people’s needs and were provided with training on a variety of subjects to ensure that they had the skills to meet people’s needs. The provider had a training plan in place and staff had received regular supervision.

We saw that staff obtained people’s consent before providing care to them. People had access to activities and leisure pursuits.

Staff felt able to raise concerns and issues with management. Relatives were clear about the process for raising concerns and were confident that they would be listened to. The complaints process was not on display on the day of our inspection.

Regular audits were carried out and action plans put in place to address any issues which were identified. Audits were in place for areas such as falls and infection control.

Accidents and incidents were recorded. The provider had informed us of incidents as required by law. Notifications are events which have happened in the service that the provider is required to tell us about.