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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 19 February 2021

About the service

Elizabeth House is a residential care home providing personal care for up to 30 people. At the time of our inspection there were 21 people living at the home. The home is an adapted building set in its own grounds.

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

Relatives told us they were happy with the care and support provided by staff.

There had been an improvement in the standard of maintenance and cleanliness in the home since our last inspection. The communal areas and corridors had been redecorated creating a brighter environment.

Staff training had fallen behind. The normal provision of face to face training had not taken place due to the COVID-19 pandemic. However, the provider had not found alternative training provision, such as on-line training. Staff supervision meetings had been held regularly, and staff told us they felt supported by the manager.

Recruitment procedures were robust and there were enough staff to care for people safely. Staff told us they knew the procedure for reporting safeguarding concerns, although some staff had not completed training in this subject.

Medicines were managed safely.

Quality assurance audits and health and safety checks had been completed regularly.

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

Rating at last inspection

The last rating for this service was requires improvement (published 11 October 2019). There were breaches of three 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 improvement had been made and the provider was no longer in breach of those regulations. However, we have found the provider was in breach of a different regulation.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has remained requires improvement. This is based on the findings at this inspection.

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.

At this inspection we identified a breach of the regulations in relation to staff training.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve. 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

Good

Updated 19 February 2021

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 19 February 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 19 February 2021

Responsive

Good

Updated 19 February 2021

Well-led

Requires improvement

Updated 19 February 2021

The service was not always well-led.

Details are in our well-led findings below.