CQC report explained · a residential care home
What the CQC found at 2 Ellys Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about visitor checks, testing, protective equipment, admissions and infection outbreak arrangements. They were only somewhat assured about the building's layout and hygiene because of damaged flooring and chipped paintwork.
- Effective?
- Good
- This was not covered by the targeted inspection.
- Caring?
- Good
- This was not covered by the targeted inspection.
- Responsive?
- Good
- This was not covered by the targeted inspection.
- Well-led?
- Good
- This was not covered as a separate question by the targeted inspection, although inspectors found that systems for COVID-19 testing and visiting arrangements were effective.
What inspectors found, April 2022
Life Path Trust Limited - 2 Ellys Road was inspected but not rated; inspectors found strong COVID-19 controls, but damaged flooring and chipped paintwork needed improvement.
This was an announced, targeted inspection on 28 January 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements and whether COVID-19-related staffing pressures affected the home. The home provides short-term or emergency respite care for up to 10 people with learning disabilities or autism.
Inspectors found good arrangements for visitors, including health checks, temperature checks, recent lateral flow tests and vaccination checks. Protective equipment was available and used correctly. Staff had infection control training, and the home was carrying out regular COVID-19 testing for staff and residents.
The home had updated its cleaning schedules, including weekly deep cleans. However, inspectors were only somewhat assured about the building's layout and hygiene because of damaged flooring and chipped paintwork. Plans were in place to improve these areas. The service was inspected but not rated, so this report does not give a Good, Requires Improvement or Inadequate rating.
Visitor screening
Essential visitors were screened using health questions, temperature checks, recent testing evidence and vaccination checks.
“A robust screening process was in place for all essential visitors to the home.” from the report
Protective equipment
There was enough protective equipment, and staff were seen using it correctly. Staff had also completed infection control and hand-washing training.
“There was a plentiful supply of personal protective equipment (PPE) available. We saw PPE being correctly used by staff.” from the report
Testing and visiting systems
The home had systems for COVID-19 testing and visiting arrangements that inspectors considered effective.
“The registered manager had effective systems to ensure compliance with national policy requirements in areas including COVID-19 testing and visiting arrangements.” from the report
Repairs to the building
needs fixingInspectors identified damaged flooring and chipped paintwork. They said these limitations could increase the risk of infection spreading, although improvement plans were in place.
“This included areas of damaged flooring and chips in paintwork.” from the report
- 01What repairs have been completed to the damaged flooring and chipped paintwork since the inspection?
- 02When will all the planned redecoration and building improvements be finished?
- 03How often are the weekly deep cleans carried out, and how is their quality checked?
- 04How do you check that staff and visiting professionals meet the current COVID-19 testing and vaccination requirements?
- 05Were there any COVID-19-related staffing pressures, and what measures are in place if they happen again?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not assess the other main areas of care and gave no overall rating. This explanation was written from the published report of 29 April 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.
What inspectors found, January 2020
Rated Good; inspectors found safe, kind and person-centred respite care, with some care records needing more detail.
The home provides short respite stays for up to 10 people with learning disabilities. Six people were staying there during the inspection. One inspector visited on 16 December 2019, spoke with people, staff and relatives, and checked care, medicine, staff and management records.
Inspectors found people were safe and supported by staff who understood their needs. Medicines, risks, staffing, food and access to health professionals were well managed. People were treated with kindness, involved in decisions and supported to build independence, enjoy activities and stay connected with their community.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Some care plans did not contain enough detail, and one person's records did not clearly show a legal application relating to their extended respite stay. These issues were addressed during the visit.
Building independence
People were supported to gain skills, make choices and work towards their own goals. Inspectors found the support promoted independence and inclusion.
“People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.” from the report
Kind and respectful staff
People and relatives described the staff as friendly and caring. Staff knew people's preferences and supported their privacy, dignity and relationships.
“People and relatives described staff as friendly and caring.” from the report
Safe medicines and staffing
People received their medicines safely from trained staff. Staffing levels were reviewed according to people's needs, so staff were available when support was needed.
“Medicines were managed, stored, administered and dispose of safely in line with best practice guidance.” from the report
Activities and community links
People were supported to take part in activities they enjoyed and to maintain links with the local community. Their individual goals were taken seriously.
“People were very positive about the opportunities and support they received to engage in meaningful activities.” from the report
Open management
The manager and staff team welcomed feedback and used checks and reviews to monitor the quality and safety of the service.
“Records confirmed the providers quality monitoring systems continued to be effectively used to monitor, maintain and improve the quality and safety of service provided.” from the report
Some care plans lacked detail
needs fixingSome care plans did not fully explain important information, such as possible triggers in one person's behaviour management plan. The manager amended the plan during the inspection.
“However, we found information in some care plans was limited, for example one person's behaviour management plan lacked detail about possible triggers.” from the report
Records about legal safeguards
needs fixingAn application had been made for legal authorisation after one person's respite stay was extended, but the person's records did not clearly show this. The records were corrected during the visit.
“However, the person's records did not clearly reflect this. This was addressed during our visit.” from the report
Property maintenance waiting on landlord
minorThe manager had told the landlord about areas needing maintenance and updating. At the inspection, confirmation that the work would be completed was still awaited.
“The registered manager had informed the landlord of areas requiring further maintenance and updating was needed and were waiting for confirmation the work would be completed.” from the report
- 01Have all the care plans been reviewed so they include detailed information about triggers, communication and how staff should respond?
- 02If my relative's respite stay is extended, how will you record and review any required legal authorisation?
- 03Have the maintenance and updating work reported to the landlord now been completed?
- 04How will you match staff support and activities to my relative's goals during each respite stay?
- 05How will you share updates with relatives after each stay?
This was an announced inspection of the care home covering all five CQC areas, including the premises and the care provided; all five ratings remained Good from the previous inspection. This explanation was written from the published report of 3 January 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.
Every inspection of 2 Ellys Road
3 rated inspections over 4 years: the service has held its Good rating throughout.
- April 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 12 January 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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