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Inspection Summary


Overall summary & rating

Good

Updated 19 February 2016

This inspection took place on 26 October 2015 and was unannounced. Elmdene care home was registered with the Care Quality Commission on 27 April 2015. This was the first inspection at the home.

Sunrise Mental Health Ltd - Elmdene provides care and support for people with mental health needs. It can accommodate up to five people. Elmdene Road is a large terraced house over three levels with five bedrooms with communal bathrooms, kitchen, dining and living room areas. There is a communal outdoor area with a patio and summer house.

At the time of the inspection the service was providing care and support to four people.

There was a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

People using the service said they felt safe and that staff treated them well. Safeguarding adult’s procedures were robust and staff understood how to safeguard the people they supported from abuse. There was a whistle-blowing procedure available and staff said they would use it if they needed to. The provider had arrangements in place to deal with foreseeable emergencies.

People’s medicines were managed safely and people received their medicines as prescribed by healthcare professionals.

We found that insufficient checks had been completed around recruitment of staff that related to gaps in employment. Staff had received training specific to meet the needs of people using the service. Staff received regular supervision and an annual appraisal of their work performance. The manager and staff demonstrated a clear understanding of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards.

People were involved in planning of their care needs. Care plans and risk assessments provided clear information and guidance for staff on how to support people to meet their needs. Staff encouraged people to be as independent as possible. People were supported to have a healthy and balanced diet.

There were regular meetings where people were able to talk about things that were important to them and about the things they wanted to do. They were aware of the complaints procedure and were confident their complaints would be fully investigated and action taken if necessary.

The provider sought the views of people using the service, staff and relatives through surveys. They used feedback from these surveys to make improvements at the home. Health care professionals were also encouraged to give feedback of their experience of the service. The manager recognised the importance of regularly monitoring the quality of the service provided to people. Staff said they enjoyed working at the home and they received good support from the manager.

We found a breach of the legal requirements in relation to staff recruitment.  You can see what action we told the provider to take at the back of the full version of the report.

Inspection areas

Safe

Requires improvement

Updated 19 February 2016

The service was not always safe.

Some recruitment checks were not always carried out such as reasons for gaps in employment. This was because potential employees were not required to complete a formal application form that would highlight gaps in employment and further education.

Records relating to the management of medicines were robust and ensured people received their medicines as detailed within their care plans.

People using the service and staff told us there was always enough staff on shift and our observations and available documentation supported this.

There were safeguarding adult’s procedures in place and staff had a clear understanding of these procedures. There was a whistle-blowing procedure available and staff said they would use it if they needed to.

Effective

Good

Updated 19 February 2016

The service was effective.

Staff had completed an induction when they started work and received training relevant to the needs of the people using the service.

The manager and staff demonstrated a clear understanding of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards and acted according to this legislation.

People’s care files included assessments relating to their dietary needs and preferences and they were supported to enjoy a nutritious and healthy diet.

People had access to a GP and other health care professionals when needed and experienced positive outcomes regarding their health.

Caring

Good

Updated 19 February 2016

The service was caring.

Staff were caring and spoke with people in a respectful and dignified manner. People’s privacy and dignity was respected.

People had been involved in planning for their care needs.

There were regular meetings where people could talk about things that were important to them and about the things they wanted to do.

Responsive

Good

Updated 19 February 2016

The service was responsive.

People’s needs were assessed and care files included detailed information and guidance for staff about how their needs should be met.

Staff encouraged people to be as independent as possible. There were activities for people to partake in if they wished to.

People knew about the home’s complaint’s procedure and said they were confident their complaints would be fully investigated and action taken if necessary.

Well-led

Good

Updated 19 February 2016

The service was well-led.

The provider took into account the views of people using the service, relatives, health care professionals and staff.

The manager recognised the importance of regularly monitoring the quality of the service provided to people using the service.

Staff said they enjoyed working at the home and they received good support from the manager.

Records including medicines records were held securely and confidentially.