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CQC report explained · a residential care home

What the CQC found at Elliot Avenue

Not yet rated

Not yet rated: the CQC has not published a rated inspection for this home, which is usual for a new registration.

The latest report, explained

What inspectors found, April 2021

Inspected but not rated; inspectors were assured about infection control measures during the targeted visit.

The inspection took place on 7 April 2021. It was announced in advance and focused only on infection prevention and control during the coronavirus pandemic.

Inspectors found regular infection control training, correct use of protective equipment, cleaning of frequently touched surfaces and arrangements to reduce the spread of infection. They were also assured about visitor checks, testing, social distancing and safe admissions.

The home could support up to six people and four people were living there at the time. The service was inspected but not rated, so this report does not give a full overall quality rating.

What inspectors praised
  • Infection control training

    Staff had regular training and used protective equipment correctly. This supported safer infection control practices.

    “Staff had regular and effective infection prevention and control (IPC) training.” from the report
  • Cleaning and hygiene

    The home had checks and cleaning arrangements for frequently touched areas, the building and vehicles.

    “Audits of IPC practice ensured the cleaning and disinfection programme was effective with attention to detail” from the report
  • Managing infection risks

    The home used separate staff groups for people who needed to isolate and had arrangements for safe returns from healthcare appointments.

    “There were enough staff who could work in separate groups known as a cohort.” from the report
  • Keeping in touch

    Staff supported safe visits and offered other ways for people to stay in contact with relatives and friends.

    “Other means of staying in touch with relatives and friends included, visiting relatives at home, frequent telephone calls, social media and e-mails.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How have your infection prevention and control arrangements changed since the inspection on 7 April 2021?
  2. 02How do you now manage visitors, including health checks and infection risks?
  3. 03How do you arrange testing and protective equipment for people and staff?
  4. 04How would you safely support someone returning from a healthcare appointment?
  5. 05How do you keep the home and vehicles clean, including frequently touched surfaces?

This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other quality areas were not assessed. This explanation was written from the published report of 29 April 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, November 2019

Elliot Avenue was rated Good overall; inspectors found safe, kind and person-centred care, but management and records needed improvement.

Inspectors visited on 23 September 2019. They spoke with people using the service, staff, relatives and professionals. They reviewed care, medicines, recruitment and management records.

People were found to be safe and treated with kindness. Staff supported choice, independence, communication, health, food and activities well. Medicines were managed safely and the home was clean.

The main weakness was leadership and record keeping. Some risk plans and best interest decisions were not recorded properly. Complaints and incidents were not always logged or analysed. The overall rating stayed Good, but Well-led fell from Good to Requires Improvement.

What inspectors praised
  • Kind and respectful care

    Inspectors saw staff provide kind, caring support and develop positive relationships with people.

    “We observed people received support which was kind and caring. Staff developed positive relationships with people and knew how to support them effectively.” from the report
  • Choice and independence

    People were supported to make choices, try new experiences and develop their skills.

    “People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.” from the report
  • Safe medicines

    Medicines were stored and given safely, and staff had training and checks for this work.

    “People's medicines were managed safely and were stored and administered in line with good practice standards. People received their medicines as prescribed.” from the report
  • Communication support

    Staff used different methods to help people express their wishes when verbal communication was limited.

    “This included writing down questions, photographs, communication devices and specialist autism communication tools.” from the report
What inspectors were concerned about
  • Important risk information was missing

    serious

    Some management plans were not detailed enough. Inspectors found no risk assessment for a person who had previously expressed suicidal thoughts, and limited guidance for supporting heightened anxiety.

    “For example, there was no risk assessment in place for a person who had previously expressed suicidal thoughts.” from the report
  • Best interest decisions were not always recorded

    needs fixing

    The home understood the need to make decisions in people's best interests, but records did not always explain the options, views and reasons behind decisions.

    “The rationale for important decisions was not always documented.” from the report
  • Incidents and complaints were not fully tracked

    needs fixing

    Incidents were not analysed for patterns and trends, and some complaints had not been logged even though action was being taken.

    “Incidents and Accidents were not analysed to identify patterns and trends. Complaints were not always logged.” from the report
  • Use of agency staff

    needs fixing

    Agency staff were sometimes used to cover vacancies. Relatives and professionals said this could be difficult for some people, although regular agency staff were used where possible.

    “Agency staff were sometimes used to cover staffing vacancies.” from the report
Questions to ask them, based on this report
  1. 01What risk assessments and management plans have you added or improved since this inspection, especially for anxiety and suicidal thoughts?
  2. 02How do you now record best interest decisions, including the options considered, people's wishes and the reasons for the decision?
  3. 03How are incidents analysed for patterns, and how are complaints recorded and followed up?
  4. 04How many staffing vacancies do you currently have, and how often are agency staff used?
  5. 05Have key worker meetings, staff meetings and regular supervision now been reinstated?

This was a planned, announced inspection of all five CQC questions, covering the care provided and the premises, with records reviewed before and after the visit. This explanation was written from the published report of 21 November 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Elliot Avenue

3 rated inspections over 4 years: the service has held its Good rating throughout.

  1. April 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Elliot Avenue →

  2. November 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Elliot Avenue →

  3. April 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. May 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. November 2010

    Registered with the Care Quality Commission on 24 November 2010.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

Weigh the report against the rest

Care at home

39 live-in carers within about an hour of Peterborough

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Most charge £980 to £1,370 a week. 34 can care for a couple. 11 years' experience on average.

“I honestly feel lucky to have found her and have already booked her for another visit.”
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