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Inspection Summary


Overall summary & rating

Good

Updated 21 August 2019

About the service

Elmhurst is a purpose-built care home providing accommodation and personal care for up to 61 older people. At the time of this inspection 58 people were using the service.

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

People and relatives said the care and support people received was safe. The provider ensured people were protected from the risk of harm or abuse. Risks to people`s well-being and health were assessed, and measures put in place to mitigate identified risks. The provider operated safe and effective recruitment practices. People, their relatives and staff told us there were enough staff available to meet people’s needs in a timely manner.

People’s medicines were managed safely, and people were satisfied with the support provided with their medicines. There were infection control procedures in place and the environment was clean with no lingering malodours. The registered manager demonstrated they took learning opportunities from adverse events and incidents.

Elmhurst is a purpose-built care home arranged over two floors. Equipment was readily available to support people to be as independent as possible. Assessments were completed prior to moving into the home to establish if people`s needs could be fully met. Staff received training, support and supervision to enable them to carry out their roles effectively. People said they enjoyed the food provided and were offered choice. Staff knew people well and were able to quickly identify when people`s needs changed and seek professional advice.

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 treated people with kindness and dignity. Relatives appreciated staff`s kindness and the attention they showed to people. People were encouraged and supported to be involved with their care choices. People’s care plans were person centred and supported staff with understanding people`s past, likes, dislikes and preferences. Visitors were made to feel welcome and there were no restrictions on visiting times.

People received care and support as they wished. Staff knew what people liked and offered people meaningful choices throughout the day. There was clear signage throughout the home so that communal areas, bathrooms and people’s bedrooms were easily identifiable for people and their visitors. People enjoyed a wide range of opportunities for social interaction. People were comfortable to raise concerns if they needed to and felt they were listened to and issues were resolved. When people were nearing the end of their lives action was taken to keep them as comfortable as possible and to remain at the service if this was their choice.

People said the registered manager was approachable and was seen around the home regularly. People, their relatives, external professionals and staff told us the home was managed well. The registered manager used the provider’s robust governance systems to help identify and resolve issues in the home. People had regular meetings to discuss the service and make suggestions about how the home performed. Feedback from people was used to help influence continuous improvement in the home. The registered manager had developed good working relationships with external health professionals ensuring people's social and health needs were promptly met and had developed relationships with local community groups to enhance people’s everyday lives.

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 Good. (published February 2017)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection

Inspection areas

Safe

Good

Updated 21 August 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 21 August 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 21 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 21 August 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 21 August 2019

The service was well-led.

Details are in our well-Led findings below.