• Care Home
  • Care home

Archived: Elsinor Residential Home

Overall: Inadequate read more about inspection ratings

5-6 Esplanade Gardens, Scarborough, North Yorkshire, YO11 2AW (01723) 360736

Provided and run by:
Ramond Limited

Latest inspection summary

On this page

Background to this inspection

Updated 8 September 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Elsinor Residential Home 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.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. The registered manager was not present at the time of the inspection.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and other professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We used all of this information to plan our inspection.

During the inspection

We spoke with two people who used the service. In addition, we spoke with five members of staff including, the supporting registered manger from another service within the provider group, the care manager, senior carer, administrator and care staff. 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.

We reviewed a range of records which included people’s care records, monitoring charts and medication records. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training information and quality assurance records. We spoke regularly with other professionals who were visiting the service.

Overall inspection

Inadequate

Updated 8 September 2020

About the service

Elsinor Residential Home is a residential care home that is registered to provide accommodation and personal care for up to 35 adults and people living with dementia. At the time of the inspection there were 16 people living at the service.

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

People Living at Elsinor Residential home did not receive a safe, well led service. Infection control procedures were not followed, and people were exposed to this risk of infection due to the poor infection control practices of staff.

Care plans and risk assessments did not contain information to provide the safe care and support people required. Risk management was not in place for some people who were at high risk of developing a pressure ulcer. Where risk assessments were completed, they had not been updated in over six months, despite the person’s needs changing.

Systems were not always implemented to ensure the effective management of medicines. Staff who were administering medication were not trained and did not have their competencies checked to ensure correct procedures were followed.

Incidents were not always escalated appropriately by the registered manager or reported to the safeguarding authority. A number of safeguarding concerns, relating to pressure area care and delays in requesting professional intervention, were identified by the local authority.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

The registered manager was not present at the service. The provider had a lack of oversight of people’s basic care needs and the governance of the service. Systems or processes were not established and operated effectively to ensure compliance with regulations.

A registered manager from another service within the provider group was providing support to the service. They failed to monitor and assess the quality and safety of the service or the welfare of people. Staff did not receive effective support from the management team and lacked understanding of their roles and the principles of providing high-quality care. The lack of robust management meant there was no consistent oversight of the service.

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

Rating at last inspection

The last rating for this service was requires improvement (published 31 October 2019) and there were two breaches of regulation. The service has been rated requires improvement for five consecutive inspections. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made and the provider was still in breach of regulations.

Why we inspected

We received concerns in relation to poor management of infection control, pressure area care, and weight management, poor record keeping and the overall management of the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from requires improvement to inadequate. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Elsinor Residential home on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to managing risks, staff training and support, meeting people’s care needs and improving the quality of the service at this inspection.

Because of the serious concerns relating to people’s welfare and safety we have taken enforcement action to prevent the provider from operating a regulated service at this location.