Elsyng House Care Home
Enfield, EN2 · 0.2 km
NursingDementia
Rated 3 years agocare home
CQC report explained · a residential care home, run by Vibhuti Patel
Eliza House
467 Baker Street, Enfield, EN1 3QX
Goodpublished 11 October 2023, 2 years ago
Rated Good: inspectors found the service performing well and meeting their expectations.
The five questions inspectors ask
- Safe?
- Requires improvement
- People were generally protected from abuse and avoidable harm, and risks and infection control were managed. However, medicines for three people were not managed fully safely, and staffing arrangements did not always reflect people's needs.
- Effective?
- Good
- This area was not inspected during this focused inspection. Its previous rating was carried forward when calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this focused inspection. Its previous rating was carried forward when calculating the overall rating.
- Responsive?
- Good
- Care plans reflected people's individual needs, choices and preferences. People were supported with activities, communication and relationships, although one relative's recent concern had not been recorded.
- Well-led?
- Good
- Managers had clear roles and carried out regular audits. They had an improvement plan for repairs and redecoration, but some premises were in disrepair and some policies needed updating.
The latest report, explained
What inspectors found, October 2023
Rated Good overall; inspectors found kind, person-centred care, but medicines and staffing needed improvement.
This was an unannounced focused inspection on 24 August and 6 September 2023. Inspectors spoke with people, relatives, staff and healthcare professionals. They observed care and activities, walked around the home, and checked care, medicines, staffing and other records.
People were generally positive about the care. Staff knew people's needs and preferences, supported activities and helped people make choices. Inspectors also found safe recruitment, safeguarding training, suitable risk assessments and good infection control.
The main concerns were medicines for three people and staffing pressures. Some people waited for their buzzer to be answered, and staff did not always have enough time to talk with people. The home was rated Requires Improvement for Safe, but Good for Responsive and Well-led.
The overall rating stayed Good, as some ratings were carried over from the previous inspection and this inspection did not assess all five areas. The provider was given recommendations about medicines and staffing.
What inspectors praised
Person-centred care
Staff knew people well and care plans gave clear guidance about their backgrounds, preferences and support needs.
“People received person-centred care by a team of staff who knew theirs needs and preferences well.” from the report
Choice and independence
People were supported to make choices about their daily routines, clothing and care.
“People had choice and control over their care and support.” from the report
Activities and social contact
People were offered group and individual activities, including outings, music and celebrations of religious and cultural events.
“We observed people having a good time singing and dancing, and the activity coordinator engaging with them in different activity sessions.” from the report
Safeguarding and risk management
Staff were trained to recognise and report abuse. Care plans included risk assessments, and staff followed safe moving and handling arrangements.
“People were protected from avoidable harm and risks of abuse.” from the report
Management checks
Managers used audits and spot checks to monitor the service and had started improvement work on the building.
“Quality assurance systems comprised regular audits on the service's systems and processes, and spot checks.” from the report
What inspectors were concerned about
Medicines
seriousInspectors found problems affecting three people. These included eye drops not being given as prescribed, unclear records for one medicine, and an incomplete plan for covert medicines.
“For 1 person, staff had not been administering their eye drops as per the prescribed instructions.” from the report
Building condition
needs fixingSome walls had peeling paint, furniture looked worn, a communal toilet had a leak and the lift had sometimes been out of order. Improvement work was under way during the inspection.
“We observed parts of the premises to be in a state of disrepair.” from the report
Recording concerns
minorA recent concern raised by a relative had not been entered in the complaints log. The manager said concerns would be recorded properly in future.
“However, there were concerns raised by a relative recently which had not been documented.” from the report
Staff records and policies
minorTwo staff files did not clearly record employment history, and some policies and procedures needed updating.
“Some of the policies and procedures needed updating.” from the report
Questions to ask them, based on this report
- 01What changes have been made to medicine checks and covert medicine plans since the inspection?
- 02How do you now assess staffing levels, including people's communication, psychological and cognitive needs?
- 03Have the repairs, redecoration and lift problems identified by inspectors been fully completed?
- 04How are medicines administration records checked to prevent duplicate or unclear records?
- 05How are relatives' concerns and complaints recorded and followed up?
This was a focused inspection of Safe, Responsive and Well-led; Effective and Caring were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 11 October 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
The story over the years
Every inspection of Eliza House
9 rated inspections over 9 years: the service has improved, from Requires improvement to Good.
- October 2023Goodcurrent ratingstayed GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2022Goodup from Requires improvementSafe: GoodWell-led: Good
- September 2020Requires improvementstayed Requires improvementSafe: GoodResponsive: GoodWell-led: Requires improvement
- February 2020Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- November 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- March 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Inadequate
- October 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- July 2015Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015Requires improvementSafe: InadequateEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- July 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 12 January 2011.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
Another option
Or stay at home with a private carer
Many people who look at care homes end up staying at home with a carer who comes in for a few hours a day, or lives in. PrimeCarers introduces you to self-employed carers you choose yourself: interviewed, ID and DBS checked, from about £20 an hour or £1,120 a week live-in.
Nearby
Other care homes near Enfield
Good
Nairn House Care Home
Enfield, EN1 · 0.6 km
NursingDementia
Rated 3 years agocare home
Woodbury Manor
Enfield, EN2 · 1.1 km
ResidentialDementia
Rated 6 years agocare home
Person Centred Care Homes
Enfield, EN2 · 1.2 km
Residential
Rated 2 years agoReport explained
Elmhurst Residential Home
Enfield, EN1 · 1.6 km
Residential
Rated 4 years agocare home
Kellan Lodge
Enfield, EN2 · 1.7 km
ResidentialDementia
Rated 5 years agocare home