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Elizabeth House Requires improvement

We are carrying out a review of quality at Elizabeth House. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 15 October 2019

Elizabeth House is a residential care home providing personal care for up to 32 people. At the time of our inspection there were 28 people living at the home.

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

We found some areas of the home were not adequately maintained or decorated. This was an area of concern at our last inspection. Although some improvements had been made since then, further improvements to the fabric of the building are required. Correct infection control practices had not always been followed.

Medicines were managed and administered safely. However, the temperature of the medicines room was frequently higher than recommended for the safe storage of medicines.

Risks associated with people's needs had been assessed, were understood and managed by staff. People had access to appropriate equipment where needed. People’s needs were assessed, and person-centred, detailed care plans were in place. These helped to ensure people received the right care and support. There were enough staff deployed to meet people's needs. The appropriate recruitment checks had been carried out when new staff joined the service.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff had completed appropriate training and received regular supervision to help develop their skills and support them. Staff helped people to access healthcare services and receive ongoing healthcare support.

People told us staff were caring and during our inspection we saw that staff treated people with warmth, kindness and respect. There was a positive culture in the home.

The home did not have a registered manager, although a new registered manager was being recruited. At the time of our inspection the day-to-day management of the home was being carried out by the owner (provider). People were complimentary about the way the home was managed. Audits were in place to monitor the quality of the service. However, they had not identified the concerns we found around infection control. The home owner was aware that further improvements were needed to improve the maintenance of the building.

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 (report published on 19 September 2018) and there was one breach of the regulations. 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 the regulations. The service remains rated requires improvement.

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence that the provider needs to make improvements. Please see the safe, effective and well-led sections of this full report.

Enforcement

We have identified breaches in relation to infection control, maintenance of the building and governance of the service.

Full information about CQC's regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 15 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 15 October 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 15 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 15 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 15 October 2019

The service was not always well-led.

Details are in our well-led findings below.