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The Elms Residential Care Home Good

Inspection Summary

Overall summary & rating


Updated 7 December 2019

About the service

The Elms Residential Home is a residential care home providing personal care and accommodation for up to 27 older people living with dementia. The service is made up of a four-storey house with en-suite bedrooms and communal facilities. At the time of our inspection visit there were twenty-two people receiving care.

People’s experience of using this service

The registered manager was open and honest, and worked in partnership with outside agencies to improve the service. There were checks in place to ensure good standards of care were maintained, however improvements were required to ensure all checks were effective. The registered manager had not sent us statutory notifications to notify us of restrictions placed on people's care, as they were required to do.

People felt safe using the service. Staff managed the risks to people’s health, safety and well-being and understood how to recognise and report abuse. Staff recruitment processes included background checks to review their suitability to work with vulnerable adults.

People received support from staff when needed. People were supported to have enough to eat and drink to maintain their well-being. They were supported with their medicines and to obtain advice from healthcare professionals when required.

Staff had training to meet people’s needs and the registered manager shared guidance with staff on how to support people effectively.

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.

People were treated with dignity and their independence was promoted wherever possible. They were encouraged to take part in activities which interested them and make new friends. Links to the local community were maintained and this improved people’s wellbeing.

People and their relatives were involved in planning care in their best interests. People and their families understood how to complain if they wanted to.

Rating at last inspection

The last inspection was a comprehensive inspection. The service was rated Good in all areas (report published 11 May 2017). We have used the previous rating to inform our planning and decisions about the rating at this inspection.

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 inspection programme. If any concerning information is received we may inspect sooner.

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

Inspection areas



Updated 7 December 2019

The service was safe.

Details are in our safe findings below.



Updated 7 December 2019

The service was effective.

Details are in our effective findings below.



Updated 7 December 2019

The service was caring.

Details are in our caring findings below.



Updated 7 December 2019

The service was responsive.

Details are in our responsive findings below.


Requires improvement

Updated 7 December 2019

The service was not always well-led.

Details are in our well-Led findings below.