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Inspection Summary


Overall summary & rating

Good

Updated 6 June 2018

Elmcroft 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 home provides accommodation for up to three people with a learning disability. On the day of our inspection there were three people using the service.

The home is a house that has been adapted to meet the needs of the people living there. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

The service had two registered managers in place, who were responsible for the five locations owned and run by the provider. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Elmcroft was last inspected by CQC in January and February 2016 when the service was rated as Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People told us they felt safe and there were sufficient staff to meet people's needs. We found that this was a consistent staff team who knew people well.

People received safe support with their medicines. Where people wished to manage their own medicines independently this was encouraged and there were checks in place to ensure it was done safely.

People had risk assessments that described the measures and interventions to be taken to ensure people were protected from the risk of harm. The care records we viewed also showed us that people’s health was monitored and referrals were made to other health care professionals where necessary, for example: their GP and social worker.

The premises were homely and suitable for people's needs.

Staff told us they felt well supported in their role; they received induction and training. Staff received supervision but some of this was informal and not recorded. Staff appraisals were planned but staff had not yet been appraised. We found this did not affect how staff performed their duties as the management spoke with staff on a daily basis and promoted opportunities for two-way discussions about performance and development. The registered managers had identified the need to formally record supervisions and appraisals and were working to a plan to ensure all significant discussions were recorded.

People had choice and control of their lives and staff supported them in the least restrictive way; the policies and systems in the service supported this practice.

Staff were aware of the importance of supporting people with good nutrition and hydration. People told us how staff supported them to eat healthily and reduce weight where this was a concern. We saw that people were encouraged to shop for and prepare their own meals.

People had access to healthcare services, in order to promote their physical and mental health. We saw that people were supported to have annual health checks and to attend health screening appointments.

There were detailed, person-centred care plans in place, so that staff had information on how to support people. ‘Person-centred’ is about ensuring the person is at the centre of everything and their individual wishes, needs, and choices are

Inspection areas

Safe

Good

Updated 6 June 2018

The service remains Good.

Effective

Good

Updated 6 June 2018

The service remains Good.

Caring

Good

Updated 6 June 2018

The service remains Good.

Responsive

Good

Updated 6 June 2018

The service remains Good.

Well-led

Good

Updated 6 June 2018

The service remains Good.