Elmfield House

Updated 3 April 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one inspector and one assistant inspector.

Service and service type:

This service provides care to older people with needs relating to mobility and long term conditions. Most of the people living at the home were living with dementia and mental health conditions. The service provided support to up to 18 people.

There was a registered manager in post. 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.

Before Inspection:

We requested feedback from commissioners and the local authority. We reviewed statutory notifications and feedback sent to CQC. Statutory notifications are notifications of important events that providers are required by law to submit to CQC.

During Inspection:

We spoke with four people, four relatives, three care staff, a housekeeper, the cook and the registered manager. We reviewed care plans for four people including risk assessments, medicines records, daily notes and applications to deprive people of their liberty. We checked two staff files as well as a variety of checks and audits. We reviewed records of incidents, complaints and meeting minutes.

After Inspection:

We received evidence sent to use from the provider. We also received feedback from a community nurse who deals regularly with the service.

Updated 3 April 2019

About the service: Elmfield House is residential care home that was providing personal care to 17 people aged 65 and over at the time of the inspection. People living at the service were living with physical and mental health conditions and some were living with dementia.

People’s experience of using this service:

People told us they lived in a safe and comfortable home. People and relatives said the environment was homely and this matched our observations. People were involved in the running of the home and decisions about their care.

Care was planned around people’s needs and backgrounds with plans in place to manage risk and promote their wellbeing. Staff worked well with healthcare professionals and medicines were managed safely. People gave positive feedback on the food that was prepared for them as well as the activities and events at the service.

People were supported by staff who had training and felt supported in their roles. We heard positive feedback on the leadership of the service from people, relatives and staff. People said staff were caring and knew what was important to them. Systems were in place to learn from incidents or complaints and the provider regularly sought to involve people, relatives and stakeholders in the service.

Rating at last inspection: Our last comprehensive inspection was in June 2016 where we rated the service ‘Good’ overall with ‘Requires Improvement in Well-led due to a breach of the legal requirements in relation to having a registered manager in post. We then carried out a focused inspection in May 2017 where we found a registered manager was in post and we rated the service as ‘Good’ in Well-led.

Why we inspected: This was a planned comprehensive inspection.