Elizabeth Fleming Care Home

Updated 18 November 2022

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

One inspector carried out this inspection.

Service and service type

Elizabeth Fleming Care Home 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. Elizabeth Fleming Care Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We used all this information to plan our inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

We spoke with 7 people and 2 relatives using the service. We also spoke with the regional manager and registered manager. We received additional feedback from 6 relatives and 3 care staff by email, as well as reviewing a range of documents.

Updated 18 November 2022

About the service

Elizabeth Fleming Care Home is a residential care home providing personal and nursing care to up to 31 people. The service provides support to older people. At the time of our inspection there were 31 people using the service.

People’s experience of using this service and what we found

People and most relatives told us the care provided was good and staff were caring. People also felt safe living at the service.

Improvements were needed to ensure some risks were managed effectively. The registered manager took immediate action to address this.

There were enough staff to meet people’s needs. New staff were recruited safely

Staff received regular supervision and accessed the training they needed. Staff supported people with eating, drinking and to access health care services, where required.

Following relatives’ feedback, the provider was making environmental changes. Relatives told us progress had been made but further improvements were needed. Relatives had improved the garden spaces for the benefit of residents, as they said these had been neglected.

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.

Care plans were personalised and detailed. They clearly described the help people needed from care staff. Complaints were investigated and people and relatives knew how to raise concerns. The registered manager was taking action to improve the provision of activities.

Improvements were needed to improve communication with relatives and to engage in formal ways with people and their family members. We have made a recommendation about this.

Staff confirmed the registered manager was approachable and dealt with issues. Regular quality assurance checks took place which had been successful in identifying areas for improvement.

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

Rating at last inspection

This service was registered with us on 1 June 2020 and this is the first inspection.

Why we inspected

This was a planned inspection based on the length of time the service has been registered with CQC.

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.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.