Elmwood Residential Home Limited

This assessment was announced and carried out to follow up on the warning notice issued at our last assessment.

We assessed 19 Quality Statements under the 4 Key Questions of Safe; Effective; Responsive and Well Led. Our overall rating for the service is Good.

The provider was previously in breach of 4 legal regulations in relation to safe care and treatment, consent, person centred care and good governance. Improvements were found at this assessment, and the provider was no longer in breach of these regulations.

People were protected and kept safe. The provider and registered manager had taken effective action in response to the concerns identified at the last assessment, resulting in demonstrable improvements to the safety of the service. Strong governance processes were now in place to ensure any issues or concerns were promptly identified, monitored and addressed.

People’s needs were thoroughly assessed, and risks were well managed. Each person had a personalised care plan containing clear information about their physical and mental health, communication needs and daily support requirements. People and their relatives were actively involved in creating and updating these plans, ensuring they remained current and accurately reflected the person’s wishes, including their preferences for end of life care.

Staff knew people well and demonstrated a good understanding of their individual communication needs. People’s rights around consent were understood and consistently respected by the staff team, including in situations where individuals lacked capacity to make certain decisions.

There were enough staff with the appropriate skills, experience and qualifications to meet people’s needs safely. Managers ensured staff received regular training, supervision and appraisal to support high‑quality care. Medicines were managed safely and effectively.

People spoke positively about the quality and variety of food available, which supported their health and wellbeing. A person‑centred activities programme was being developed, focused on helping people achieve their personal goals and enhance their quality of life.

The service worked holistically with health and social care partners to achieve the best possible outcomes for people.

The provider and management team had worked to strengthen the culture of the service. Feedback from people, relatives, staff and external professionals described a warm and caring staff team, supported by approachable and responsive leaders. There was a strong commitment to continuous learning, ongoing improvement and the delivery of high‑quality, person‑centred care.