Elevation Care Services

We assessed the following quality statements: Learning culture, Safeguarding, Involving people to manage risks, Safe environments, Safe and effective staffing, Infection prevention and control and Medicines optimisation. Improvements were needed to ensure people received consistently safe support. Incidents when people showed behaviour which may indicate distress were not always recorded or followed up appropriately. Support plans and risk assessments did not always provide staff with enough information or guidance to ensure people were well supported if they showed behaviour which may indicate distress. Medicines were not always managed safely. Staff received training in safeguarding and were aware of how to report any concerns. There were enough staff to support people. The houses we visited were clean and well maintained.

We looked at the following quality statement: Independence, choice and control. People were treated with dignity and respect. People spent their time in the way they preferred and were supported to maintain relationships with people important to them. People’s independence was promoted.

We looked at the following quality statement: Equity in experiences and outcomes. People’s care was usually planned and co-ordinated but this was not always recorded well. People and their relatives provided feedback which was acted upon.

We assessed the following quality statements: Shared Direction and Culture, and Governance, Management and Sustainability. Improvements were required to ensure effective management and oversight of incidents which occurred involving people who received support. There was limited evidence of oversight by the provider. Improvements were needed to ensure records about people’s care, mental capacity assessments and training records were up to date and accurate. Staff felt well supported in their roles by the management team.