Elm House Nursing Home

Elm House Nursing Home is a large, adapted house with 4 floors, with lift access to all floors. There was a communal lounge and a dining room located on the ground floor. People also had access to a private and enclosed rear garden.

We have made a recommendation about the further development of risk management processes.

We were assured people received care and support based on their needs, however, some care plans required additional detail to provide specific guidance for staff.

Risks to people's health and safety were assessed. Staff had access to information about how to manage and mitigate people's identified risks, to support them in a safe way.

People were protected from avoidable harm and abuse. The home had effective safeguarding policies and processes in place.

Staff were safely recruited and there was enough staff on duty to meet people's needs in a timely way. Many staff members were long standing and were familiar with people's needs. People and staff told us they thought of the home as 'one big 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 and were followed by the provider in line with the Mental Capacity Act.

Some management systems to identify and manage risks to the quality of the service required strengthening.

We have made a recommendation about further developing governance and performance management.

We received positive feedback about the management team from people, their relatives and staff.

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