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Inspection Summary

Overall summary & rating


Updated 9 August 2019

About the service

Elroi Manor is a care home registered for personal or nursing care, although at the time of the inspection the provider did not offer nursing care. The home specialised in people are living with dementia, or a mental health condition. The home can accommodate a maximum of 26 people. Accommodation is provided on one floor but spilt into two units. Six out of the 26 rooms had en-suite facilities, people in the other rooms shared communal toilets and shower rooms. At the time of the inspection there were 26 people living at the home.

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

People were supported by staff that were caring and treated them with dignity and respect. Staff understood the needs of the people they supported well and knew them as a person. All the feedback we received from people, their relatives and healthcare professionals was positive.

Risks of abuse to people were minimised. Assessments of people’s needs identified known risks and risk management guidance was produced for staff which they understood.

People received their medicines as prescribed, and the storage of medicines was safe. Health and safety checks ensured the home and environment were safe and well maintained.

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. There were systems in place that ensured people who were deprived of their liberty were done so with the appropriate legal authority.

People were supported by staff who had the skills and knowledge to meet their needs. Staff felt supported by the registered manager. Supervision and annual appraisals were carried out regularly but not always recorded. Staff understood their role and received appropriate training that supported them in their roles. Staff worked together with a range of healthcare professionals to achieve positive outcomes for people and followed professional advice to achieve this.

People’s care plans were consistent and had a person-centred approach to care planning. The provision of activities within the service was extensive and people could take part in multiple activities that maintained personal hobbies and interests.

Since 2016 onwards all organisations that provide publicly funded adult social care are legally required to follow the Accessible Information Standard (AIS). The standard was introduced to make sure people are given information in a way they can understand. The registered manager was aware of the AIS and implemented this within the home.

People's concerns and complaints were listened and responded to. Accidents, incidents and complaints were reviewed to learn and improve the home. People and their relatives commented positively about the registered manager and the quality of care their family member received. No concerns were raised about the quality of care provided.

Quality monitoring systems included audits and regular checks of the environment to ensure people received good care. These were effective and evidenced an effective governance system at the home.

The registered manager had ensured all relevant legal requirements, including registration and safety obligations, and the submission of notifications, had been complied with. The previous Good rating issued by CQC was displayed. The registered manager felt staff had a clear understanding of their roles and responsibilities. This was evident to us throughout the inspection.

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 30 August 2018).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If

Inspection areas



Updated 9 August 2019

The service was safe.

Details are in our safe findings below.



Updated 9 August 2019

The service was effective.

Details are in our effective findings below.



Updated 9 August 2019

The service was caring.

Details are in our caring findings below.



Updated 9 August 2019

The service was responsive.

Details are in our responsive findings below.



Updated 9 August 2019

The service was well-led.

Details are in our well-Led findings below.