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Inspection Summary

Overall summary & rating


Updated 4 July 2019

About the service

Elmwood Lodge provides accommodation and personal care support for people who have enduring mental ill-health needs. Some of whom may also have learning disabilities. The accommodation is a spacious ten-bedded home situated in Sidcup Kent. At the time of our inspection ten people were living at the service.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 10 people. Ten people were using the service. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

People spoke positively about the care and support they received. Throughout our inspection we observed staff interacted well with people and had built good relationship’s and rapport with individuals.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

The service had safeguarding and whistleblowing policies and procedures in place and staff had a clear understanding of these procedures and how to keep people safe. People's needs, and preferences were assessed, and plans were in place to manage risks safely in the least restrictive way possible.

There were safe arrangements in place to manage medicines and staff followed appropriate infection control practices to prevent the spread of infections.

Appropriate recruitment checks took place before staff started work. There were sufficient staff available to meet people's needs. Staff had the skills, knowledge and experience to support people appropriately. Staff were appropriately supported through induction, training and regular supervision.

People were supported to maintain a healthy balanced diet. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.

People were involved and consulted about their care and support needs. People had access to health and social care professionals as required. People were supported to access community service and to participate in activities of their choosing that met their needs.

Staff worked with people to promote their rights and understood the Equality Act 2010; supporting people appropriately addressing any protected characteristics.

There were systems in place to assess and monitor the quality of the service. The service worked in partnership with health and social care professionals and other organisations to plan and deliver an effective service.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was good (published on 25 November 2016).

Why we inspect

Inspection areas



Updated 4 July 2019

The service was safe

Details are in our safe findings below.



Updated 4 July 2019

The service was effective

Details are in our effective findings below.



Updated 4 July 2019

The service was caring

Details are in our caring findings below.



Updated 4 July 2019

The service was responsive

Details are in our responsive findings below.



Updated 4 July 2019

The service was well-led

Details are in our well-led findings below.