CQC report explained · a nursing home
What the CQC found at Elm Grove Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was preventing and managing infection safely. They found appropriate arrangements for PPE, testing, cleaning, admissions, isolation and staff working in one location.
- Effective?
- Good
- This area was not covered by this targeted inspection.
- Caring?
- Good
- This area was not covered by this targeted inspection.
- Responsive?
- Good
- This area was not covered by this targeted inspection.
- Well-led?
- Good
- This area was not covered by this targeted inspection.
What inspectors found, December 2020
Inspected but not rated; inspectors were assured that infection prevention and control procedures were safe and correct.
The inspection took place on 26 November 2020 during the COVID-19 pandemic. It was an announced, targeted inspection looking at infection prevention and control.
Inspectors found good practice in visiting arrangements, testing, use of protective equipment, cleaning, social distancing and managing COVID-19 risks. People were supported to keep in touch with family and friends, including through garden visits and technology.
The home was inspected but not rated. This means the inspection did not give an overall quality rating or full ratings for all five areas. Inspectors were assured that the home was following safe infection prevention and control procedures.
Family contact
The home supported safe garden visits and used technology to help people keep in touch with relatives and friends. Relatives were also supported to visit people receiving end of life care where possible.
“People were supported to remain in contact with family members and friends.” from the report
Infection controls
Inspectors found appropriate measures to reduce infection risks, including PPE, isolation and limiting staff to one location.
“Action had been taken to reduce the risk of infection spreading which had included the correct use of personal protective equipment (PPE), isolation of people affected by COVID-19 and the cohorting of staff to reduce the spread of infection.” from the report
Testing and monitoring
People and staff were tested in line with national guidance. People's health was monitored for COVID-19 symptoms and other infections.
“People and staff were tested in line with national guidance for care homes.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now, and how do they differ from those checked in November 2020?
- 02How are visits arranged now, including visits for people receiving end of life care?
- 03What lessons were learned from the COVID-19 outbreak, and what changes were made as a result?
- 04How are new admissions tested and supported during any isolation period?
- 05How do you make sure permanent and agency staff work in only one location?
This was a targeted inspection of infection prevention and control and Safe was inspected but not rated; the other four areas were not covered. This explanation was written from the published report of 16 December 2020 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.
What inspectors found, July 2019
Elm Grove Care Home was rated Good; inspectors found safe, kind and personalised care, and said earlier safety concerns had improved.
This was an unannounced inspection on 18 and 19 June 2019. Inspectors spoke with people living there, relatives, staff and a healthcare professional. They observed care and checked care plans, medicines records, staff files and management records.
The home received Good ratings in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, suitable training, safe medicines systems and good links with healthcare professionals.
People were treated with kindness, dignity and respect. Care was personalised, activities were varied, and people and relatives were involved in care planning and improvements. Complaints were recorded and acted on.
The previous inspection had rated safety as Requires Improvement because risk assessments and care plans did not always contain enough detail. This inspection found that safety had improved and the overall Good rating had been maintained.
Improved safety
The earlier concern about incomplete risk assessments and care plans had been addressed. Staff had clearer guidance about people's risks and how to reduce them.
“At this inspection this key question has now improved to Good.” from the report
Staffing and training
Inspectors found enough staff to meet people's needs. Staff received induction, training, supervision and opportunities for further development.
“There were enough staff, at any given time, to meet people's needs.” from the report
Kind and respectful care
Staff supported people patiently and reassured them when they were anxious. People were encouraged to make choices and remain as independent as possible.
“People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
Personalised activities
Activities were based on people's interests and life histories. People staying in their rooms were also included in daily activity support.
“There was a strong focus on supporting people as individuals.” from the report
Inspectors raised no specific concerns in this report.
- 01How are each person's current risks recorded, and when are their risk assessments and care plans reviewed?
- 02How do you check that there are enough permanent and agency staff on each shift?
- 03How do you make sure medicines, including medicines given when needed, are reviewed and administered safely?
- 04What activities are available for people who prefer to stay in their rooms or cannot join group activities?
- 05What improvements from the home's quality plan have been completed since this inspection?
This was an unannounced planned inspection covering all five CQC questions, and it checked both the accommodation and the care provided. This explanation was written from the published report of 18 July 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.
Every inspection of Elm Grove Care Home
4 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- July 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2017Goodstayed GoodSafe: Requires improvementWell-led: Good
- November 2016Goodup from Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Good
- October 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 25 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.
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38 live-in carers within about an hour of Gloucestershire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,030 to £1,360 a week. 31 can care for a couple. 12 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.