• Care Home
  • Care home

Elizabeth Lodge

Overall: Good read more about inspection ratings

69 Pennington Drive, Enfield, London, N21 1TG (020) 8360 2266

Provided and run by:
Care UK Community Partnerships Ltd

Latest inspection summary

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Background to this inspection

Updated 6 August 2021

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by three inspectors and a professional advisor who was a nurse. The inspection was also supported by an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The Expert by Experience contacted people’s relatives by telephone to request their feedback.

Service and service type

Elizabeth Lodge is a ‘care home.’ People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We reviewed notifications of accidents and incidents, safeguarding alerts and feedback from relatives and professionals received since the last inspection. We used all of this information to plan our inspection.

We contacted relatives and friends of twenty-two people living in the home by telephone to ask their views on the quality of care provided. We received feedback from three professionals who had regular contact with the home.

During the inspection

We spoke with thirteen staff including the registered manager, the deputy manager, the clinical lead nurse, unit team leaders, nurses and care assistants. We spoke with twenty-one people living at Elizabeth Lodge and one visitor. We carried out observations of staff interacting with people in all four occupied units. We also observed a mealtime in three of the four units. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We looked around all four occupied units and checked a sample of equipment.

We reviewed a range of records. This included medicines records in two of the four units and medicines management in general. We looked at the care records for nine people in detail. We looked at five staff files in relation to recruitment records. A variety of records relating to the management of the service, including quality assurance audits, infection prevention and control, training records and health and safety were also reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We spoke with a further four staff on the telephone.

Overall inspection


Updated 6 August 2021

About the service

Elizabeth Lodge is a residential care home providing nursing and personal care to older people, some of whom were also living with dementia. The service is registered to accommodate 87 people. At the time of the inspection there were 53 people living in the home.

Elizabeth Lodge is a purpose built care home consisting of five separate units with their own lounges, kitchenettes and bathrooms. In addition the home has a number of large communal rooms for activities and visitors. The home is one of many homes run by Care UK, a large care provider in the UK.

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

People told us they felt safe living at Elizabeth Lodge. Risks to people’s safety and wellbeing had been assessed and action taken to help keep people safe from harm.

The home followed appropriate procedures for reporting any accidents or safeguarding concerns. All incidents were analysed to see if any improvements were needed to avoid further incidents. People were protected from the risks associated with the spread of infection. The service was clean and action was being taken to prevent a new outbreak of COVID-19.

There were enough staff deployed to meet people's needs and ensure their safety. The home followed the provider’s recruitment procedure but this was not sufficiently robust in checking applicants’ conduct in previous employment and we have made a recommendation to improve the recruitment process. This is being discussed by CQC with the provider at a national level.

Medicines were managed and administered safely.

People told us they were happy with the care and support they received. Staff said they were happy working at Elizabeth Lodge and felt well supported by the management team. They received appropriate training for their roles. 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.

Relatives of people living in the home told us they were generally happy with the service.

Staff were caring and kind in their interactions with people. Staff knew people’s individual needs and likes/dislikes well. Care plans showed good detail about people’s needs and preferences. Staff supported people to meet their health and nutritional needs.

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 17/07/2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of those regulations. At this inspection the rating has improved to good.

Why we inspected

We undertook this comprehensive inspection to check they had followed their action plan and to confirm they now met legal requirements.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.