Background to this inspection
Updated
29 January 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. We also received information of concern about infection prevention and control measures at this service. This was a targeted inspection looking at the infection prevention and control measures the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 19 January 2022 and was announced. We gave the service 2 hours’ notice of the inspection.
Updated
29 January 2022
About the service:
Elvaston Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Elvaston Lodge accommodates up to 44 people in a purpose built building. At the time of the inspection there were 32 people in residence who were aged over 65 years.
People’s experience of using this service:
¿ We found improvements had been made following the previous inspection of Elvaston Lodge by the Care Quality Commission.
¿ We found Elvaston Lodge met the characteristics of a ‘Good’ service.
¿ People told us they felt safe and had confidence in the staff who provided their care.
¿ Potential risks were assessed on an ongoing basis when people’s needs changed. This reduced risk and ensured people’s needs continued to be met. This promoted people’s health, welfare and safety.
¿ People were supported by staff who had undertaken training and were knowledgeable about people’s needs and who had their competency assessed.
¿ People’s needs were regularly reviewed with their involvement or that of a family member. Where people’s needs changed, referrals were made to the relevant health care professional, which included the review of prescribed medicines.
¿ People lived within a well-maintained environment, which took account of people’s needs and provided signage to help them navigate around the service.
¿ People’s rights and choices were promoted on an ongoing basis. Where people were not able to make informed decisions, then decisions were made in their best interest. Family members were consulted about their relative’s health as part of best interest decisions.
¿ People’s equality and diversity was respected and their privacy and dignity maintained.
¿ People spoke positively about the meals provided. Mealtimes were seen as an important social event, with staff eating their meal at the dining table to promote conversation. Family members were encouraged to join their relatives for meals.
¿ Staff spoke positively about the staff. We observed positive examples of staff interacting with people. However, we did note missed opportunities for staff to engage people in conversation and ask them if they required any assistance.
¿ Staff provided consistent care by following people’s care plans.
¿ Staff had effective systems in place to share information about people so they could respond to people in a timely and coordinated manner, which included the verbal sharing of information and the recording of information electronically.
¿ People’s views and that of their family members were sought. The registered manager implemented changes based on the feedback they received.
¿ Staff, people and family members spoke positively about the management of the service.
¿ The provider had systems in place to monitor the quality of the service through auditing. Audits in a range of topics and areas were undertaken by members of the management team. Action plans were developed following audits to drive improvement.
Rating at last inspection: Requires improvement. The last report for Elvaston Lodge was published on 07 February 2018.
Why we inspected:
This was a planned comprehensive inspection based on the rating from the previous inspection.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk