About the service Elmbrook Court is a purpose-built residential care home providing personal and nursing care to up to 74 people across three separate floors, each of which has separate adapted facilities. One of the floors specialises in providing care to people living with dementia. At the time of our inspection there were 31 people living at the service and only across two floors.
People’s experience of using this service and what we found
People told us they felt safe living at Elmbrook Court. Staff knew how to identify and report any concerns. The provider had struggled to recruit permanent staff and were using regular agency staff. The provider had safe recruitment and selection processes in place which incorporated their values.
Risks to people's safety and well-being were managed through a risk management process. There were sufficient staff deployed to meet people's needs. Medicines were managed safely, and people received their medicines as prescribed.
People and relatives told us staff were caring. Staff did all they could to promote people’s independence and we saw examples of this. People received personalised care, tailored to their individual needs and preferences, and staff supported people and their relatives to be involved with decisions relating to their care. People's privacy and dignity was upheld through the approaches taken by staff as well as in relation to the care environment, as people each had access to their own bedrooms with ensuite bathroom facilities.
People had a pleasant well-presented dining experience which offered a variety of appetising food choices available at times that suite people’s preferences. Staff supported people to maintain food and fluid intakes, including, through the use of snacks, and making people hot drinks during the night to help them relax and maintain their comfort. There were hydration points and bottles of drinks freely available and placed at many accessible areas. People’s feedback on food had been used to improve the dining experience.
People had access to several meaningful activities of their choice and the lifestyle team continued to work with people and their relatives to explore people’s interests and hobbies. The home had established community links which allowed further friendships to be formed and 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. Staff had a particularly good understanding of when the principles of the Mental Capacity Act should be applied. People were supported to meet their nutritional needs and complimented the food at the home.
There had been changes in management following commissioning of the home and this had affected stability of management. However, the home was now well-led by a registered manager who was committed to improving people’s quality of life. The service had a clear management and staffing structure in place and staff worked well as a team. The service used the learning from people’s feedback, complaints and concerns as an opportunity for improvement. The provider had effective quality assurance systems in place that included the use of technology to monitor the quality and safety of the service. Staff worked well with external social and health care professionals.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 30 April 2021 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.