Background to this inspection
Updated
23 July 2016
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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 26 March 2016 and was unannounced.
The inspection was undertaken by one inspection manager.
Before our inspection we reviewed information we held about the service. We checked to see what
notifications had been received from the provider. A notification is information about important events which the provider is required to tell us about by law. Providers are required to inform the CQC of important events which happen within the service.
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
During our inspection we spoke with, three members of the care team, five people living at the home. We observed staff supporting people throughout the home and during the lunchtime meal.
We looked at the provider's records. These included four people's care records, four staff files, a sample of audits, satisfaction surveys, staff rotas and policies and procedures.
Updated
23 July 2016
The inspection took place on Saturday 26 March 2016 and was unannounced.
Elingfield House is registered to provider accommodation and personal care for up to 14 people some of whom are living with dementia.
One the day of our inspection there were 11 people living in the home. Five of the bedrooms can be used as shared rooms. At the time of the inspection three rooms were shared. There is a chair lift to the first floor. There is a large enclosed walled garden.
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. The provider is in day to day control of the care home and as a sole trader there is no condition of registration to have a registered manager in post.
People were safe because the provider had systems in place to ensure staff were trained and understood how to recognise signs of abuse.
Recruitment was robust and appropriate checks were completed before people started working in the home.
There were enough staff working in the home to meet people’s needs. Staff received supervision and support in their role.
Medicines were managed safely. Staff were trained and their competency monitored.
Staff had the knowledge and skills to meet people’s needs safely and effectively. Staff received training that was relevant to their role.
Consent to care was sought in line with best practice.
People are supported to eat and drink. Food was freshly prepared and home cooking ensured people liked the dishes presented at meal time. People’s nutritional needs were assessed.
People had their health care needs met in a timely way by caring staff. People’s care needs were assessed and regularly reviewed.
Staff had built positive caring relationships with people living in the home. this was seen throughout the day in the conversations and discussion between care staff and people living in the home.
People were supported to express their views. Staff ensured that people have privacy and their wishes and preferences were respected.
The provider has developed and improved the service and responded to comments from people using the service to improve the home and the care provided.