Elm House Nursing Home

Inspectors found there were enough suitable staff, and people’s needs were met promptly by staff who knew them well.

“The provider ensured there were sufficient numbers of suitable staff.” from the report

People and relatives told inspectors they felt safe at the home. Safeguarding systems were in place to respond to concerns.

“People and their relatives told us they felt safe living at the home.” from the report

The home was observed to be clean and well maintained, with infection prevention arrangements in place.

“We observed the home to be clean and well maintained.” from the report

People, relatives and staff gave positive feedback about the managers and the supportive atmosphere.

“The manager helped shape a positive, person-centred, open and inclusive culture at the service.” from the report

Some fire safety checks were overdue, and window restrictor checks had not been completed for two months. The home responded during the inspection, and all actions had been completed by the end of the inspection process.

“Some fire safety checks were overdue and window restrictor checks had not been completed for the last 2 months.” from the report

Inspectors were not assured that medicines records were always accurate. Some stock balances did not match the medication administration records, and an administration error in recording medicines was found.

“Medicines records were not always maintained in an accurate and reliable way.” from the report

Some care plans did not give staff enough specific guidance. For example, an instruction to reposition someone regularly did not say how often checks should be made.

“Further information was needed to detail how often these checks should be made.” from the report

The home needed stronger systems for analysing accidents and identifying patterns. Daily records did not always show the support provided, including some fluid output records.

“Although any accident and incidents were recognised and recorded, systems to analyse patters and trends required further strengthening, to help further improve safety and reduce any related risks.” from the report