CQC report explained · a residential care home
What the CQC found at Elm Tree Court - Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found effective safeguarding, risk management, medicines systems, staffing and recruitment. They also found that infection prevention was managed well, although some maintenance work was needed.
- Effective?
- Good
- This question was not rated in this report.
- Caring?
- Good
- This question was not rated in this report.
- Responsive?
- Good
- This question was not rated in this report.
- Well-led?
- Good
- Inspectors found clear leadership, an open culture and effective quality monitoring. People, relatives and staff were able to share their views and concerns.
What inspectors found, December 2023
Elm Tree Court - Care Home was rated Good; inspectors found safe care and good leadership, with some minor maintenance still needed.
The unannounced inspection took place on 28 November 2023. Inspectors spoke with 7 people, 10 relatives and 9 staff. They reviewed care records, medicines records, recruitment records and quality checks.
The home was rated Good for Safe and Well-led. Inspectors found safeguarding systems, risk assessments, medicines management, staffing and recruitment were effective. Staff understood how to report concerns and learn from accidents and incidents.
The home had a positive, person-centred culture. People and relatives spoke positively about the care. Infection prevention was managed well, although some areas needed decorating, replacement fixtures or minor repairs.
The previous overall rating was Good, published in April 2018. This report says the ratings for Safe and Well-led remained Good. The other three areas were not rated in this report.
Safeguarding and risk
Staff understood how to recognise and report abuse. Risk assessments and emergency evacuation plans gave staff information to support people safely.
“Effective safeguarding systems were in place. Safeguarding concerns were managed consistently and promptly.” from the report
Medicines
People received medicines as prescribed. Staff were trained, supported and had their competence checked.
“Medicines were managed safely, and people received their medicines as prescribed.” from the report
Staffing
Inspectors found enough staff to provide safe care. Recruitment checks were being completed effectively.
“There were enough staff to ensure people received safe care.” from the report
Positive culture
The home had an open and person-centred culture. People and relatives spoke positively about the service.
“The provider had an open and honest culture.” from the report
Quality monitoring
The provider used audits and reviews of incidents to identify improvements and share learning with staff.
“An effective quality monitoring system was in place which monitored the quality and safety of the service through a robust audit system.” from the report
Maintenance and decoration
minorSome areas needed decorating, and some fixtures and fittings needed replacement or minor repairs. The provider had an action plan to address this.
“Some fixtures and fittings required replacing or minor repairs.” from the report
- 01What decorating and repair work was identified, and has everything in the action plan now been completed?
- 02How do you check that medicines are given as prescribed, including medicines given only when needed?
- 03How do you make sure staffing levels remain enough when people’s needs change or staff are absent?
- 04How are accidents and incidents reviewed, and how is learning shared with staff?
- 05What evidence can you provide about the areas not rated in this report, including Effective, Caring and Responsive?
This report rated Safe and Well-led only; Effective, Caring and Responsive were not rated in this inspection. This explanation was written from the published report of 14 December 2023 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, February 2022
Elm Tree Court was inspected but not rated; inspectors were assured about infection prevention and control.
This was an unannounced, targeted inspection on 25 January 2022. It looked at infection prevention and control during the COVID-19 response, and asked about staffing pressures.
Inspectors were assured that the home was managing visitors, admissions, testing, PPE, shielding, social distancing and infection outbreaks in line with the relevant guidance. They also found that the infection control policy was up to date.
The home said it had measures to reduce the risks from COVID-19-related staffing pressures. Inspectors found that non-exempt staff and visiting professionals were meeting the COVID-19 vaccination requirement.
The service was inspected but not rated. This means the report does not give an overall quality rating or a full rating for the five areas of care.
Visits
Visits were arranged in line with the government guidance in force at the time.
“Visits were arranged in line with government guidance.” from the report
Protective equipment
Staff were using personal protective equipment in line with government guidance.
“Staff were wearing personal protective equipment (PPE) in line with government guidance.” from the report
Testing
People living in the home and staff were included in regular testing.
“People and staff were part of a regular testing programme.” from the report
Vaccination checks
The home was meeting the requirement for non-exempt staff and visiting professionals to be vaccinated against COVID-19.
“The service was meeting the requirement to ensure non-exempt staff and visiting professionals were vaccinated against COVID-19.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visits currently arranged, and what infection control measures are visitors expected to follow?
- 02How do you check that staff are using PPE safely and effectively?
- 03How do you manage COVID-19 outbreaks and keep your infection prevention and control policy up to date?
- 04What staffing pressures are you experiencing now, and what measures are in place to prevent them affecting people living here?
- 05How do you check vaccination or exemption status for staff and visiting professionals?
This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it was not a full inspection and the service was not rated. This explanation was written from the published report of 2 February 2022 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 Tree Court - Care Home
4 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- December 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2022Inspected but not ratedSafe: Inspected but not rated
- June 2021Inspected but not ratedSafe: Inspected but not rated
- November 2020Inspected but not ratedSafe: Inspected but not rated
- April 2018Goodup from Requires improvementSafe: GoodWell-led: Good
- September 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- June 2016Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- February 2014
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 29 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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13 live-in carers within about an hour of Kingston upon Hull, City of
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Most charge £1,020 to £1,350 a week. 12 can care for a couple. 8 years' experience on average.
“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
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