CQC report explained · a residential care home
What the CQC found at Elmhurst Assisted Living And Care Facilities
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection prevention and control measures were in place, including safe use of protective equipment, testing, hygiene and outbreak planning.
- Effective?
- Good
- This targeted inspection did not assess the Effective question.
- Caring?
- Good
- This targeted inspection did not assess the Caring question.
- Responsive?
- Good
- This targeted inspection did not assess the Responsive question.
- Well-led?
- Requires improvement
- This targeted inspection did not assess the Well-led question.
What inspectors found, September 2020
Elmhurst Assisted Living And Care Facilities was inspected but not rated; inspectors were assured about infection prevention and control.
This was an announced, targeted inspection on 25 August 2020. It looked only at infection prevention and control measures during the coronavirus pandemic.
Inspectors found good practice. The home assessed risks for people going out, supported people to use personal protective equipment where possible, reduced the number of different staff entering the building, and prepared outbreak kits.
Inspectors were assured that the home was managing visitors, shielding, social distancing, admissions, protective equipment, testing, hygiene and possible outbreaks safely. The service was inspected but not rated, so this report does not give an overall quality rating.
Risk assessments for outings
The home assessed different places people planned to visit, to help keep them safe in the community.
“People were supported to stay safe when out in the community.” from the report
Fewer staff entering
Staff moved to 12-hour shifts to reduce the number of different staff coming into the building.
“Staff had adjusted their working hours to 12 hour shifts, to minimise the amount of different staff entering the building.” from the report
Outbreak preparation
The home had prepared equipment kits so staff could respond quickly if a positive case occurred.
“PPE outbreak kits had been prepared, so if there was a positive case recorded within the home, the staff could respond promptly and efficiently.” from the report
Infection control arrangements
Inspectors were assured that protective equipment, testing, hygiene, social distancing and outbreak arrangements were being managed safely.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Inspectors raised no specific concerns in this report.
- 01What are your current arrangements for visitors and preventing infections?
- 02How do you manage testing for residents and staff?
- 03How would you respond if there were a positive infection case in the home?
- 04How do you support residents to use personal protective equipment when going out or receiving visitors?
- 05What were the ratings for Effective, Caring, Responsive and Well-led at the last full inspection?
This was a targeted inspection of infection prevention and control under Safe only; the other questions and an overall rating were not assessed. This explanation was written from the published report of 11 September 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, June 2019
Rated Good overall; inspectors found kind, personalised care, but well-led was Requires Improvement.
This was an unannounced comprehensive inspection on 7 and 13 May 2019. One inspector spoke with people, relatives, staff and a health professional. They also observed care and checked care plans, medicine records, complaints, safety checks and other records.
The home was rated Good for Safe, Effective, Caring and Responsive. People felt safe, received their medicines correctly, and were supported by trained staff. Inspectors saw kind care, respect for privacy and support that reflected people's interests, choices and changing needs.
The home was rated Requires Improvement for Well-led. Some quality checks had not identified cleanliness, cleaning equipment and environmental problems, or shown clearly that action had been completed. Inspectors said regulations were met, but the management systems were not always effective.
Kind and respectful care
People and relatives said staff were caring and patient. Inspectors saw staff reassuring a person who was anxious and respecting people's privacy during personal care.
“Staff take care of people in a calm manner, they are very patient.” from the report
Personalised support
Staff knew people's preferences and adapted support when their needs changed. Care plans gave staff specific information about each person.
“Care plans contained personalised information and gave direction to staff that was specific to each individual.” from the report
Support for independence
People were supported to make choices and do things for themselves. Activities included walks, cooking, music, puzzles and time in the garden.
“One person gave very positive feedback about how staff supported them and allowed them to become independent and do things for themselves” from the report
Cleaning and infection control
needs fixingSome areas were not clean, mop heads were dirty and cleaning equipment was not stored according to best practice. Cleaning schedules were also not completed regularly.
“Some areas of the home were not clean and infection control practices had not been followed, placing people at risk of infection.” from the report
Quality checks did not always work
needs fixingAudits had not identified the cleanliness and cleaning equipment problems. A safety check had identified some issues, but it was not clear whether the required action had been completed.
“Some checks were not effective because they had not identified issues we found during our inspection visit.” from the report
Environmental safety actions
minorInspectors found an uncovered electrical fuse box, an outdated fire plan and an incompletely covered radiator. The radiator cover was fixed during the inspection, and further action was promised.
“Some environmental risks had not been properly monitored.” from the report
- 01What changes have you made to cleaning schedules and the storage of mops since the inspection?
- 02How do you now check that cleaning and infection control audits identify problems promptly?
- 03Has the fire plan been updated, and have the electrical fuse box and radiator safety issues been fully resolved?
- 04How do you monitor action plans so that identified safety improvements are completed on time?
- 05How do you record the involvement of legal representatives in decisions about a person's care and treatment?
This was an unannounced comprehensive inspection of the care home and supported living personal care; no one was using the supported living service, and the day care service is not regulated by the CQC. This explanation was written from the published report of 7 June 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 Elmhurst Assisted Living And Care Facilities
3 rated inspections over 3 years: the service has held its Good rating throughout.
- September 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Elmhurst Assisted Living And Care Facilities →
- June 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
Read what inspectors found at Elmhurst Assisted Living And Care Facilities →
- April 2017Goodstayed GoodSafe: GoodWell-led: Good
- May 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- September 2011
Registered with the Care Quality Commission on 8 September 2011.
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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At least 100 live-in carers within about an hour of Warwickshire
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 £950 to £1,260 a week. 77 can care for a couple. 11 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
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