31 May 2023
During an inspection looking at part of the service
Enablement Care is a residential care home providing accommodation and personal care to up to 23 people. The service provides support to younger and older adults. At the time of our inspection there were 22 people using the service. The home provides care over 2 floors with communal areas for dining and relaxation.
People’s experience of using this service and what we found
Staff did not receive sufficient training to be able to carry out their roles. Staff were mostly recruited safely and appropriate pre-employment checks were completed prior to employment. Recruitment records were not always complete in relation to employment history.
People’s care plans and risk assessment were inconsistent, some people’s risks were assessed whilst others were not identified. People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.
People received their prescribed medicines safely and correct infection and prevention control measures were followed, however medicines were not always managed safely. Accidents and incidents for the whole service were recorded, however individual incidents were not always analysed to identify people’s individual trends to minimise the risk of re-occurrence.
The culture of the service did not always promote positive person-centred care. Quality assurance systems and checks were in place to monitor areas of the service, however, did not always identify shortfalls in relation to care planning, consent and monitoring charts.
There was enough staff to meet people’s needs. People were protected from the risk of abuse. Most staff received safeguarding training and understood the procedures of how to raise a concern. People were supported to maintain a healthy diet and there was a choice available.
The provider engaged with external professionals to help achieve people’s outcomes.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 11 January 2020).
Why we inspected
We received concerns in relation to staffing, training and governance. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.
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.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
We have found evidence that the provider needs to make improvements. Please see the all sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
Enforcement and Recommendations
We have identified breaches in relation to staffing and consent. Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.