• Care Home
  • Care home

Elmhurst Residential Home

Overall: Good read more about inspection ratings

7 Queens Road, Enfield, Middlesex, EN1 1NE (020) 8366 3346

Provided and run by:
Mr & Mrs T F Chon

Latest inspection summary

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Background to this inspection

Updated 30 March 2022

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This included checking the provider was meeting COVID-19 vaccination requirements. 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 two inspectors and two Experts 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. One Expert by Experience contacted people’s relatives and friends by telephone to request their feedback and one Experts by Experience met and spoke with people living at the home.

Service and service type

Elmhurst Residential Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Elmhurst Residential Home is a care home without nursing care. 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. We looked at formal notifications that the service had sent to the CQC. Notifications are information that registered persons are required to tell us about by law that may affect people’s health and wellbeing.

One Expert by Experience contacted relatives of people living at the home to gather their feedback on the quality of care people received. This exercise took place on 26 January 2022 and we spoke with 12 relatives.

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 used all of this information to plan our inspection.

During the inspection

We spoke with eight people who used the service about their experience of the care provided. We spoke with the registered manager and the activity co-ordinator. We undertook observations of people receiving care to help us understand their experiences, especially for those people who could not talk with us.

We reviewed a range of records. This included one person’s care records and seven people's medication records. We looked at six staff files in relation to recruitment. A variety of records relating to the management of the service, including quality assurance and health and safety were also reviewed.

After the inspection

We spoke with the head of care, a team leader, a senior carer, two care staff, the cook and the laundry assistant. We further reviewed five care plans and associated records. We continued to seek clarification from the provider to validate evidence found.

Overall inspection

Good

Updated 30 March 2022

About the service

Elmhurst Residential Home is a residential care home providing accommodation and personal care to people aged 65 and over, some of whom are living with dementia. The service is registered to support up to 34 people. At the time of the inspection there was 21 people living at the home. The home is a large adapted residential house which has living space and bedrooms over two floors

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

People told us they felt safe living at Elmhurst Residential Home. Safeguarding processes were in place to help protect people from the risk of abuse.

Risks associated with people's care had been assessed and guidance was in place for staff to follow to keep people safe.

People were protected from the risks associated with the spread of infection. The service was clean and well maintained.

There were enough numbers of staff deployed to meet people's needs and ensure their safety. Appropriate recruitment procedures ensured prospective staff were suitable to work in the home.

Medicines were managed and administered safely. Staff received the required training and support and applied learning effectively in line with best practice. This meant people’s needs were safely and effectively met ensuring a good quality of life.

Staff were caring and kind and relatives confirmed this. We observed staff responding to people's needs with dignity and respect.

There were quality monitoring systems and processes in place to identify how the service was performing and where improvements were required.

We have made a recommendation to the registered manager to source and provide appropriate training and development on the provision of meaningful activities.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 18 May 2021)

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 regulations.

Why we inspected

We carried out an unannounced focused inspection of this service on 11 March 2021. A breach of regulation 18, staffing, was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Elmhurst Residential Home on our website at www.cqc.org.uk.

We also 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. This included checking the provider was meeting COVID-19 vaccination requirements.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.