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CQC report explained · a residential care home

What the CQC found at Elysian Villas

Goodpublished 11 September 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was preventing and managing infection risks, including visitor arrangements, protective equipment, testing, cleaning and outbreak planning.
Effective?
Good
This question was not assessed in this targeted inspection.
Caring?
Good
This question was not assessed in this targeted inspection.
Responsive?
Good
This question was not assessed in this targeted inspection.
Well-led?
Good
This question was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, August 2020

Elysian Villas was inspected but not rated; inspectors were assured about infection prevention and control.

This was an announced, targeted inspection on 11 August 2020. It focused on infection prevention and control during the coronavirus pandemic.

Inspectors were assured that the home managed visitors, social distancing, admissions, protective equipment, testing, cleaning and possible outbreaks appropriately. They also found that the infection control policy was up to date.

The home had found ways for people to keep in touch with family and friends. Staff had extra infection control training, and people and staff at higher risk had individual risk assessments.

The service was inspected but not rated. This means the report does not give a full overall quality rating.

What inspectors praised
  • Keeping in touch

    The home bought extra equipment to help people contact friends and family during restrictions.

    “Creative solutions had been found to help people keep in touch with friends and family.” from the report
  • Visitor arrangements

    Visitors received information before arriving, and protective equipment was supplied when needed.

    “Clear guidance was available for visitors arriving at the service.” from the report
  • Infection control training

    Staff had received extra infection prevention and control training, with further training underway.

    “All staff had received additional infection prevention and control training, and training in RESTORE2 was underway.” from the report
  • Health support

    The home communicated effectively with a local GP practice, and people received treatment and support when needed.

    “There was effective communication with a local GP practice and people had received timely treatment and support when necessary.” 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 in August 2020?
  2. 02How do you currently help residents keep in touch with friends and family?
  3. 03What arrangements are in place for visitors, including protective equipment and testing?
  4. 04How do you support people who cannot wear a face mask when they are in the community?
  5. 05What individual risk assessments and adjustments would be made for my relative?

This was a targeted inspection of infection prevention and control measures only; the service was inspected but not rated overall and the other questions were not assessed. This explanation was written from the published report of 28 August 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.

An earlier report, explained

What inspectors found, September 2019

Elysian Villas rated Good; inspectors found kind, person-centred care and improved security, but noted one medicines recording error.

This was an unannounced inspection on 8 August 2019 by two inspectors. They spoke with seven staff, observed care and spent time with people living in the home. People could not give specific feedback because of their communication needs.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors saw people who appeared settled and content. Staff were kind, understood people's needs, supported independence and worked with health professionals.

The home had improved from Requires Improvement at the previous inspection. Security gates had been repaired after an earlier breach, and the home was no longer in breach of regulations. The change from nursing care to residential care was described as well managed. No restrictive intervention practices were being used.

What inspectors praised
  • Kind and respectful staff

    Inspectors saw staff treating people with kindness and respect. Staff understood individual communication needs and protected people's dignity.

    “Staff were kind and respectful in their interactions.” from the report
  • Personalised communication

    Support plans used pictures and visual prompts. Staff also used Makaton signs and understood other ways people communicated.

    “Support plans were produced with pictures and visual prompts to make them more accessible to people.” from the report
  • Choice and independence

    People were supported to go out, work, attend activities and help with everyday tasks. They could also choose private space or social areas.

    “People were able to follow their own interests and go out regularly.” from the report
  • Improved security

    The building security problem found at the previous inspection had been addressed. Security gates now closed securely.

    “Improvements had been made to the security of the villas. Security gates now closed securely.” from the report
  • Staff training and support

    Staff said their training and support gave them the skills they needed. New staff were supported through induction and shadowing.

    “Staff were positive about the training and support they received.” from the report
What inspectors were concerned about
  • Medicines recording

    needs fixing

    For one person, there was no record showing that a prescribed cream had been applied. Staff said it had been applied and agreed to address the recording error.

    “We noted that for one person, there was no recording to show that their cream had been applied as prescribed.” from the report
  • Minor repairs and decoration

    minor

    Inspectors found marks on curtains and minor damage to a door. The curtain issue was dealt with immediately, but some accommodation still needed attention.

    “Some areas of the accommodation needed attention and decoration, for example minor damage to the door outside one person's room.” from the report
Questions to ask them, based on this report
  1. 01How do you now check that prescribed creams and other medicines are recorded every time?
  2. 02Have all the repairs and decoration issues noted by inspectors been completed?
  3. 03How would you respond if a person's needs became too complex to be met by residential care staff?
  4. 04How do people and families raise concerns, and how are concerns investigated and followed up?
  5. 05What is the current balance of permanent and agency staff in each villa?

This was an unannounced planned inspection covering the premises and care, with ratings given for all five key questions. This explanation was written from the published report of 11 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.

The story over the years

Every inspection of Elysian Villas

4 rated inspections over 3 years: the service has improved, from Requires improvement to Good.

  1. August 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Elysian Villas →

  2. September 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Elysian Villas →

  3. August 2018Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. May 2017Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. April 2016Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. May 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. November 2010

    Registered with the Care Quality Commission on 11 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

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