Elizabeth Homes

Elizabeth Homes is a residential care home providing accommodation and personal care to up to 30 people. The service provides support to older people and people who may be living with dementia. At the time of our inspection there were 26 people using the service.

People’s experience of the service and what we found

The environment was not clean, and practices did not always promote good infection, prevention and control. Risks assessments were not always in place or sufficiently robust. Risks in relation to the environment had not always been assessed such as single pane glass. The registered manager sent evidence that work had been planned to address window safety.

Governance systems in place had not been effective at identifying areas for improvement. Records were not always in place or in sufficient detail and they had not always been stored safely.

Recruitment records were not always clear when checks had been carried out. We have made a recommendation about this. Medicines management was not always in line with best practice. We have made a recommendation about this.

People did not always have care plans in place to show they had been given the opportunity to discuss their end of life wishes. We have made a recommendation about this.

People were happy with the support they received; however, care plans and risk assessment were not always in place or sufficiently person centred. We have made a recommendation about this. People were supported to take part in activities and to access the community. Staff supported people to maintain relationships with their friends and family.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. However, records regarding Mental Capacity Act 2005 had not always been recorded as decision specific. People were supported with their fluid and nutrition, and we received positive feedback regarding the food available.

People were supported by kind and caring staff, who they had developed positive relationships with. Staff respected people's privacy and dignity.

Staff felt supported by the management team, they told us they received regular supervision but could access support at any time should they require.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for the service under the previous provider was Good, published on 17 May 2018.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Enforcement and Recommendations

We have identified breaches in relation to risk management, infection prevention and control and governance. Please see the action we have told the provider to take at the end of this report.

We have made recommendations in relation to medicines, recruitment, end of life care planning and person-centred care planning.