8 June 2022
During an inspection looking at part of the service
About the service
Elwis House is a residential care home providing personal care for up to four people and people with a learning disability and/or autistic people . At the time of the inspection four people were living there.
People’s experience of using this service and what we found
Right Support
Staff supported people to have the maximum possible choice, control and independence and they had control over their own lives. Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. Staff supported people to identify and work towards aspirations and goals.
The service gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment that met their sensory and physical needs. People had a choice about their living environment and were able to personalise their rooms.
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 to play an active role, where possible, in maintaining their own health and wellbeing. Staff ensured people had full access to health and social care to maintain their health and wellbeing.
Right Care
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs and promoted equality and diversity in their support for people.
People told us or communicated with us they were happy living at Elwis House. Relatives told us their family members were happy, safe and comfortable at the service. 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. There was enough appropriately skilled staff to meet people’s needs and keep them safe.
People were encouraged and supported to identify and take part in activities and pursue interests that were tailored to them. Where appropriate, staff encouraged and enabled people to take positive risks.
Right culture
People received good quality care and support because trained staff could meet their needs and wishes. People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff.
People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs.
Staff placed people’s wishes, needs and rights at the heart of everything they did. They knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.
People and those important to them were involved in planning their care. Staff valued and acted upon people’s views.
The registered manager and provider had implemented effective checks and audits on the quality and safety of the service. When shortfalls were identified, action was taken to address these.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
At the last inspection the service was not rated (published 4 August 2021). This was because we carried out a targeted inspection. We use targeted inspections to follow up on Warning Notices or to check concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. The last rating for the service was on 1 December 2020 when the service was rated requires improvement.
Why we inspected
We undertook this inspection to see if improvements had been made to person-centred care and assess that the service is applying the principles of right support right care right culture. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
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 until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.