Background to this inspection
Updated
9 August 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
This inspection was carried out by 2 inspectors.
Service and service type
Eltandia Hall Care Centre is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced. Inspection activity started on 7 July 2023 and ended on 27 July 2023. The inspection visit took place on 10 July 2023.
What we did before inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke in person with the registered manager, 15 people using the service, 2 relatives, 10 staff, and 6 healthcare professionals to get their experience and views about the care provided. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We reviewed a range of records. These included 8 people’s care plans, risk records and we looked at 8 staff files in relation to recruitment, training, and staff supervision. We checked a variety of records relating to the management of the service, including staff rotas, training, and service audits. We continued to seek clarification from the provider to validate evidence found. We requested additional evidence to be sent to us after our site visit. This included staffing and training information, and provider quality assurance audits. We received the information which was used as part of our inspection.
Updated
9 August 2023
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence, and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
About the service
Eltandia Hall Care Centre is a ‘care home’ that provides care and support for up to 83 people. There were 82 people living there at the time of the inspection. Most people living there were older people with nursing needs and people living with dementia. 2 people had a learning disability.
CQC regulates both the premises and the care provided, and both were looked at during this inspection.
People’s experience of using this service and what we found
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right Support
The service provided was safe for people to use, and staff to work in. The quality of the service was regularly reviewed by the provider, registered manager, and changes were made to improve people’s care and support, when required. This was in a manner that best suited people. Working partnerships were well-established within the home that promoted people’s participation, independence, and reduced their danger of social isolation.
Right Care
The provider appropriately recruited staff, and they were in sufficient numbers to support people to live safely, whilst enjoying their lives. People using the service, and staff had risks to them assessed, monitored, and reviewed. Complaints, concerns, accidents, incidents, and safeguarding issues were appropriately reported, investigated, and recorded. Staff received training in how to administer people’s medicines, safely.
Right culture
The provider’s culture was open, positive, and honest with a leadership and management that was clearly identifiable and transparent. There was a clearly defined vision and values, and staff understood and followed them. Staff were aware of their responsibilities, accountability and prepared to take responsibility and report any concerns they may have.
Rating at last inspection
The last rating for this service was Good (published 7 September 2019).
Why we inspected
We undertook this inspection to check whether the service was continuing to provide a good, rated service to people.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service remains Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Eltandia Hall Care Centre on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.