Eastleigh Care Homes - Raleigh Mead Limited

Our observations showed us people were being treated with kindness, respect and dignity. Staff were attentive and understood people's individual needs.

At the last inspection we found medicines were not always managed safely. We issued a requirement in relation to this as people were at risk. We asked for and received an action plan which showed what the provider was doing and implemented to ensure this requirement was met. At this inspection we found medicines management had improved since our previous inspection. People received their medicines safely and in the way prescribed for them.

At the last inspection we found specialist mattresses were not always at the correct setting for the person using this equipment. Following feedback the provider implemented daily checks of the mattresses. During this inspection we found this was working well and mattresses were being checked daily.

At the last inspection we found quality audits had not identified issues of concern and in particular those relating to medicines. We issued a requirement in relation to this as people were at risk. We asked for and received an action plan. This showed what the provider was doing and had implemented to ensure this requirement was met. At this inspection we found audits had been updated and there was clearer overall oversight of the service.

At the last inspection we found staff morale was low and there were mixed reviews about the management approach within the home. Since this inspection a new manager had been appointed. They were not yet registered with CQC. Staff were positive about the new manager and described the staff morale as being good, and the new manager being inclusive. Despite the pandemic and staff having to work in exceptional circumstances most described the working environment as supportive and having a good team spirit. One staff member said "We are very well supported here. They take the time to listen. I had a really bad year and

the management team were invaluable in supporting me."

There were sufficient staff with the right skills and support to provide safe and effective care to people. Staff recruitment was robust and ensured only staff who were suitable to work with people who may be vulnerable were employed.

Quality audits, systems and record keeping were being reviewed and updated to ensure a consistent approach, which could be easily monitored, was being implemented. This included the introduction of a new electronic system which would allow for remote auditing of key areas such as people's nutrition and hydration.

We were assured that the infection control measures, PPE and guidance on working in a pandemic were being followed to keep people safe. The provider had invested in some key improvements which included a temperature sensor at the main entrance to check all visitors temperatures. There was also a self contained visiting hub near the main entrance. This allowed visitors to meet with their families in a secure and risk reduced setting. There was a floor to ceiling screen and a sound system to allow for better communication through the screen. There is a staff member designated for these visits. They take responsibility for getting people ready for the visits, supporting them if needed during the visit and the cleaning in between visits.