CQC report explained · a nursing home
What the CQC found at Eltandia Hall Care Centre
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, August 2023
Rated Good; inspectors found people were safe and the home was well-led.
This was an unannounced inspection visit on 10 July 2023. Two inspectors spoke with 15 people, two relatives, 10 staff and six healthcare professionals. They also observed care and reviewed care plans, risk records, staff files, medicines records and management audits.
The inspectors found that people were protected from abuse and avoidable harm. Staff numbers matched the rota, recruitment checks were completed, medicines were managed safely and risks were reviewed. Infection prevention and control arrangements were also found to be suitable.
The home had a positive and open culture. Managers understood their responsibilities, listened to people and staff, and used audits, feedback and investigations to improve care. The overall rating remained Good, as it was at the previous inspection in 2019.
Safe staffing
People and relatives said there were enough staff. Inspectors saw staff responding quickly to requests for help.
“People said there were enough staff to meet their care and support needs flexibly, safely and the staff numbers matched the rota.” from the report
Medicines management
The electronic medicines system had reduced recording problems. Inspectors found no errors or omissions in the medicines records they checked.
“We found no recording errors or omissions on any medicines records we looked at.” from the report
Risk management
Individual risks, equipment and safety arrangements were regularly reviewed. Staff responded appropriately when people became anxious or had difficulty drinking.
“People were able to take acceptable risks and enjoy their lives safely.” from the report
Open leadership
People, relatives and staff spoke positively about the management. The home used meetings, surveys, care reviews and audits to gather views and improve care.
“The home's culture achieved good outcomes for people and was positive, open, inclusive, empowering, and person-centred.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you make sure staffing levels remain sufficient for my relative's individual needs, including at busy times?
- 02How will you record and review my relative's medicines, including any medicines that are given only when needed?
- 03How often will my relative's risk assessments and care plans be reviewed and updated?
- 04How will you involve me and my relative in care plan reviews and act on our feedback?
- 05What support and activities are available for people with learning disabilities and people living with dementia?
This was a focused inspection of Safe and Well-led; the other key question ratings were not assessed during this inspection and were used from the previous inspection when calculating the overall rating. This explanation was written from the published report of 9 August 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, September 2019
Eltandia Hall Care Centre was rated Good; inspectors found safe, kind and personalised care, with clear improvements since the previous inspection.
This was an unannounced inspection on the first day and lasted two days. Inspectors spoke with people living there, relatives, staff and a Best Interest Assessor. They observed care and checked care plans, medicine records, staff files and other records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found suitable staffing, safe medicine systems, clean premises, personalised care plans and staff who treated people with respect. People were supported with food, healthcare, activities, communication and end of life care.
The previous inspection, published in September 2018, rated the home Requires Improvement and found multiple breaches of regulation. This inspection found that improvements had been made and that the home was no longer in breach of regulations.
Improvement since the last inspection
The home had improved from Requires Improvement. Inspectors found it was no longer breaching regulations.
“At this inspection we found improvements had been made and the provider was no longer in breach of regulations.” from the report
Safe medicines practice
Medicine systems were organised and inspectors found no errors or omissions in the records they checked.
“We found no recording errors or omissions were found on completed medicines records we looked at.” from the report
Respectful care
Staff were observed supporting people calmly and respectfully. Care plans encouraged people to remain as independent as possible.
“People were supported to be as independent as they could and wanted to be.” from the report
Personalised support
Care plans included people's likes, dislikes, strengths and preferred ways of receiving support. People and relatives were involved in reviewing care.
“These plans were personalised and contained detailed information about people's strengths, likes and dislikes, and how they preferred staff to meet their personal, social and health care needs.” from the report
Activities and relationships
People had opportunities for activities within the home and in the community. Families and friends could visit whenever they wished.
“During our two-day inspection we saw people had various opportunities to participate in fulfilling social and leisure activities within the care home and the local community.” from the report
Inspectors raised no specific concerns in this report.
- 01What checks do you now use to make sure the improvements since the 2018 inspection are being maintained?
- 02How do you decide whether there are enough staff on each wing for people's changing needs?
- 03How are my relative's preferred activities, communication needs and cultural or spiritual wishes recorded and reviewed?
- 04How are medicine errors identified, investigated and used to prevent similar incidents?
- 05How will you involve our family in reviewing the care plan and making best-interest decisions if needed?
This was a planned two-day inspection based on the previous rating and covered all five CQC questions, including the premises and care provided. This explanation was written from the published report of 7 September 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 Eltandia Hall Care Centre
3 rated inspections over 5 years: the service has improved, from Requires improvement to Good.
- August 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2019Goodup from Requires improvementSafe: GoodWell-led: Good
- September 2018Requires improvementSafe: GoodEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Good
- July 2017
Registered with the Care Quality Commission on 30 July 2017.
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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