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Enstone House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 June 2021

About the service

Enstone House is a residential care home registered to provide accommodation and personal care to older people some of whom may be living with dementia. The service can accommodate up to 36 people and there were 15 people living at the service at the time of the inspection.

People’s experience of using this service and what we found

People were safe at the service and benefitted from a sufficient number of consistent and safely recruited staff. People were supported to have their medicines safely and as prescribed. Risks to people's individual conditions had been assessed and known to staff.

Staff followed good practice around infection control and had access to protective personal equipment (PPE). People were safe from risks surrounding the environmental, including fire and water safety.

Staff supported people with meeting their nutrition and health needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the records surrounding assessments of people’s capacity needed improving but this had no adverse impact of the care people received.

There was an improved, caring culture at the service that emphasized staff using appropriate language and ensuring people received dignified support. People’s confidentiality and privacy were respected. Staff told us the team worked better and throughout the day we observed a positive and a warm atmosphere.

The management team had introduced a number of governance systems since our last inspection. These systems needed embedding and to ensure they were fully effective.

There was a long-standing registered manager who was now supported by a deputy manager. The staff reported the teamwork had improved and staff told us they were listened to and supported. The management team praised the team for their hard work throughout the pandemic.

Staff worked with various external professionals to ensure people had access to health care services. An external professional complimented the improving standards at the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 13 April 2020) and there were multiple breaches of regulation. The provider was found to be in breach of the following regulations: Regulation 9 HSCA RA Regulations 2014 (Person centred care), Regulation 10 HSCA RA Regulations 2014 (Dignity and respect), Regulation 11 HSCA RA Regulations 2014 (Need for consent), Regulation 12 HSCA RA Regulations 2014 (Safe care and treatment) and Regulation 17 HSCA RA Regulations 2014 (Good Governance). As a result, we issued the provider with five requirement notices.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations. Some aspects of the care documentation needed further improving and the quality assurance systems needed embedding.

Why we inspected:

This was our scheduled, planned inspection based on previous rating.

Follow up:

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

More information is in detailed findings below.

Inspection areas

Safe

Good

Updated 11 June 2021

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 11 June 2021

The service was not always effective.

Details are in our safe findings below.

Caring

Good

Updated 11 June 2021

The service was caring.

Details are in our safe findings below.

Responsive

Good

Updated 11 June 2021

The service was responsive.

Details are in our safe findings below.

Well-led

Requires improvement

Updated 11 June 2021

The service was not always well-led.

Details are in our safe findings below.