Elm House
Care home, Enfield, 5 beds
Good
Rated on
Rating from the Care Quality Commission.
Elm House: inspection record
Rated Good in January 2026, up from Requires improvement.
| 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 | 2026 | |
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| Responsive | ||||||||||||
| Well-led |
Ratings published by the Care Quality Commission.
Inspected and rated 5 times since 2016. Rated Requires improvement in 2016, then Good in 2016 and 2019, then Requires improvement in 2023, then Good in January 2026.
Its last inspection improved it from Requires improvement to Good. The latest rating was published 9 months ago.
How it compares locally
- One of 58 Good care homes in Enfield, out of 72 with a rating.
- Smaller than 9 in 10 care homes in Enfield.
What inspectors found
From the Care Quality Commission's assessment published 5 January 2026 (assessment visit 19 June 2025). Quoted under the Open Government Licence.
Elm House is a ‘care home’ providing personal care and support to people with a learning disability and/or autistic people. We inspected the home on-site on 3 July 2025. At the time of the assessment, the service was supporting 4 people and had 1 vacancy. This was an unannounced assessment, which means the provider was not told an assessment was going to be starting beforehand.
We assessed a total of 32 quality statements from the safe, caring, effective, responsive and well-led key questions. During the inspection, we also did general observations to help us understand people’s experience of care. At our last inspection, we rated the home requires improvement and found 5 breaches of regulation. These were around risk assessing, staffing, nutrition and hydration, infection control and governance of the home. At this inspection, we found these had been addressed and the provider was no longer in breach of regulations
Read the full summary
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. We found the provider was meeting the principles of this.
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. The service did not use any form of restraint when people experienced periods of distress. Staff knew people well and had been trained in de-escalation techniques. Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs. Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome.
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse, and they knew how to apply it. The service had enough appropriately skilled staff to meet people’s needs and keep them safe.
People received compassionate care that was tailored to their needs. Staff knew and understood people well and were responsive. Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate. Staff valued and acted upon people’s views.
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Safe
Good
Safe – this means we looked for evidence that people were protected from abuse and avoidable harm.
At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant people were safe and protected from avoidable harm.
At our last inspection we found the provider had not adequately assessed environmental risks. People’s Personal Evacuation Plans (PEEPS) in case of fire were out of date and there was a large amount of rubbish in the back garden which was a hazard. This was a breach of regulation 12 (Safe care and treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At this inspection we found all of these issues had been addressed.
At our last inspection we found potential risks to people's safety were not always reduced and people were placed at an increased risk from the spread of infection. This was a breach of regulation 15 (Premises and Equipment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At this inspection we found this had been addressed.
At our last inspection we found there were not enough staff to adequately support people and maintain their care and wellbeing. This was a breach of Regulation 18(1) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At this inspection this had been addressed.
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Effective
Good
Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.
At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.
At our last inspection we found people were not always involved in choosing what they wanted to eat. There were no snacks available, and tea and coffee had been kept in the office. This was a breach of regulation 14 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At this inspection we found this had been addressed.
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Caring
Good
Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect.
At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people were supported and treated with dignity and respect; and involved as partners in their care.
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Responsive
Good
Responsive – this means we looked for evidence that the provider met people’s needs.
At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s needs were met through good organisation and delivery.
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Well-led
Good
Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.
At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.
At our last inspection we found effective quality assurance systems were not in place to mitigate risk of harm to people. This was a breach of regulation 17 (1) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. At this inspection we found this had been addressed.
Questions to ask when you visit
- Ask to see the most recent Care Quality Commission (CQC) report and what the home did about any points in it.
- Visit at different times of day, including a mealtime.
Contact and registration details
| Address | 7 Osborne Road, Enfield, EN3 7RN |
|---|---|
| Neighbourhood | Forty Hill, Enfield |
| Phone | 020 8804 5039 |
| Website | www.pavilionleisurecentre.com |
| Registered manager | Dysha Ramdhony Hanuman |
| Registered with the CQC since | |
| What it provides |
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| Who it supports |
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| Inspection reports | 5 inspection reports, latest 27 April 2023 (opens the Care Quality Commission website) Latest assessment published 5 January 2026; CQC's newer assessments are published on its website rather than as reports. |
Inspection report
Read the full inspection report (opens the Care Quality Commission website)The rating is the Care Quality Commission's. We show it as published and do not change it.
Who runs it
| Provider | Connifers Care Limited |
|---|---|
| Ownership type | Organisation |
| Companies House number | 04914850 (opens Companies House) |
Connifers Care Limited runs 10 services in London. 10 are rated Good or Outstanding.
Other services run by Connifers Care Limited
- G Cedar House Care home, EnfieldGood
- G Ebony House Care home, Waltham ForestGood
- G Hawthorn House Care home, HaringeyGood
- G Hazel House Care home, EnfieldGood
- G Maple House Care home, EnfieldGood
- G Oak House Care home, EnfieldGood
Nearest alternatives
- G Willow House Care home, less than 0.1 miles awayGood
- G Bridgewood House Care home with nursing, 0.7 miles awayGood
- – Thor Lodge Care home, 0.7 miles awayNot yet rated
- G Beaconsfield Road Care home, 0.9 miles awayGood
- RI Albany Park Nursing Home Care home with nursing, 1 mile awayRequires improvement
Getting help from London Borough of Enfield
The council can assess what care someone needs and tell them what help with the cost they may get.
- Adult social care at London Borough of Enfield
- Ask for a care needs assessment
- Phone: 020 8379 1001
- Contact adult social care online
- Support for carers
- Paying for care: London Borough of Enfield
Checked on the council's website, November 2026.
Common questions
- Does Elm House provide nursing care?
- No. The Care Quality Commission lists Elm House as a care home without nursing.
- How many beds does Elm House have?
- The Care Quality Commission's register lists 5 beds at Elm House.
- When was Elm House last inspected?
- The Care Quality Commission's latest rating for Elm House was published on 5 January 2026.
- Who runs Elm House?
- Elm House is run by Connifers Care Limited. It runs 10 services in London.
- What is Elm House's CQC rating?
- Its overall rating from the Care Quality Commission is Good, published on 5 January 2026.