Evelyn House

“Date of Assessment: 13 May 2025 (site visit). The service is a residential service providing care and support mainly to people living with mental health conditions. At the time of the assessment, 6 people were being supported at the service.”

“Safety was not always managed adequately. We found concerns in how the service assessed risks to people and management of medicines. While we found no evidence of people coming to harm, these concerns indicated people were at risk of harm. The service carried out recruitment checks to make sure only suitable staff were employed. However, recruitment records for 1 staff member did not show complete adherence to safe recruitment requirements. Staff received training in a range of areas to remain knowledgeable in their roles, but there were gaps in training monitoring systems. People’s eating and drinking needs were not consistently assessed or documented. Information on people’s needs were documented in their care plans. However, the information presented was not always complete or sufficiently specific to ensure guidance for staff was clear and robust. We found inconsistencies and shortfalls in the governance of the service, including the effectiveness of quality assurance systems. These concerns amounted to a breach of regulation in relation to safe care and treatment, and a repeated breach of regulation regarding good governance. We have asked the provider for an action plan in response to the concerns found at this assessment. In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.”