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Elcombe House, Bedford.

Elcombe House in Bedford is a Residential home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, caring for adults over 65 yrs, caring for adults under 65 yrs, dementia and physical disabilities. The last inspection date here was 11th December 2019

Elcombe House is managed by St Andrews Care Homes Ltd who are also responsible for 1 other location

Contact Details:

Ratings:

For a guide to the ratings, click here.

Safe: Good
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Good
Overall: Good

Further Details:

Important Dates:

    Last Inspection 2019-12-11
    Last Published 2017-05-11

Local Authority:

    Bedford

Link to this page:

    HTML   BBCode

Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

6th April 2017 - During a routine inspection pdf icon

Elcombe House is a residential care home for 22 older people. Some people may be living with dementia. At the time of our inspection there were 19 people using the service.

At the last inspection, the service was rated Good.

At this inspection we found the service remained Good.

People using the service felt safe. Staff had received training to enable them to recognise signs and symptoms of abuse and felt confident in how to report them.

People had risk assessments in place to enable them to be as independent as they could be in a safe manner. Staff knew how to manage risks to promote people’s safety, and balanced these against people’s rights to take risks and remain independent.

There were sufficient staff, with the correct skill mix, on duty to support people with their needs. Effective recruitment processes were in place and followed by the service. Staff were not offered employment until satisfactory checks had been completed. Staff received an induction process and on-going training. They had attended a variety of training to ensure they were able to provide care based on current best practice when supporting people. They were supported with regular supervisions.

Medicines were managed safely. The processes in place ensured that the administration and handling of medicines was suitable for the people who used the service.

People were supported to make decisions about all aspects of their life; this was underpinned by the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. Staff were knowledgeable of this guidance and correct processes were in place to protect people. Staff gained consent before supporting people.

People were able to make choices about the food and drink they had, and staff gave support when required to enable people to access a balanced diet. There was access to drinks and snacks throughout the day.

People were supported to access a variety of health professional when required, including opticians and doctors, to make sure they received continuing healthcare to meet their needs.

Staff provided care and support in a caring and meaningful way. They knew the people who used the service well. People and relatives, where appropriate, were involved in the planning of their care and support.

People’s privacy and dignity was maintained at all times.

People were supported to follow their interests and join in activities.

People knew how to complain. There was a complaints procedure in place and accessible to all. Complaint had been responded to appropriately.

Quality monitoring systems were in place. A variety of audits were carried out and used to drive improvement.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.

Further information is in the detailed findings below.

28th July 2015 - During a routine inspection pdf icon

This inspection took place on 28 July 2015 and was unannounced.

The inspection was carried out by one inspector.

Elcombe House is a residential care home which accommodates up to 22 older people. On the day of our visit there were 20 people using the service.

There was a registered manager in post.

A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People felt safe. Staff had received training to enable them to recognise signs and symptoms of abuse and to know how to report them.

People had risk assessments in place to enable them to be as independent as they could be.

There were sufficient staff, with the correct skill mix, on duty to support people with their needs.

Effective recruitment processes were in place and followed by the service.

Medicines were managed safely and the processes in place ensured that the administration and handling of medicines was suitable for the people who used the service.

Staff received a comprehensive induction process and on-going training. They were well supported by the registered manager and had regular one to one supervisions.

Staff had attended a variety of training to ensure they were able to provide care based on current practice when supporting people.

Staff always gained consent before supporting people.

People were supported to make decisions about all aspects of their life; this was underpinned by the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. Staff were knowledgeable of this guidance and correct processes were in place to protect people.

People were able to make choices about the food and drink they had, and staff gave support when required.

People were supported to access a variety of health professional when required, including doctors, opticians and dentists.

Staff provided care and support in a caring and meaningful way. They knew the people who used the service well.

People and relatives where appropriate, were involved in the planning of their care and support.

People’s privacy and dignity was maintained at all times.

People were supported to follow their interests.

A complaints procedure was in place and accessible to all. People knew how to complain.

Effective quality monitoring systems were in place. A variety of audits were carried out and used to drive improvement.

15th October 2013 - During a routine inspection pdf icon

During our visit on 15 October 2013, we spoke with three staff, the registered manager and the provider representative about the service. We found that the service had an effective management team who had put in place systems to monitor the quality of the service.The care plans were completed and updated to ensure that people's needs were identified and care delivered to meet the needs.

Risk assessments had been completed to monitor people's ability to maintain an adequate dietary intake. Where people required specialist intervention then referrals were made to the NHS teams for advice and support. These relationships were built upon so that healthcare professionals were available to provide support to the people and staff.

We found that the required records were completed, were accurate and kept updated. These records were kept secure and staff demonstrated that they understood about the need to keep personal data confidential.

30th November 2012 - During a routine inspection pdf icon

During our visit we observed the interactions between staff and people living at the service. We saw staff obtaining consent from people before undertaking tasks such as assisting them with mobility using a hoist or offering them a drink or food.

We spoke with two relatives visiting the service they said that they were pleased with the care delivered to their family members. One said "We just wish she had come here sooner. The care is good."

We spoke with staff who told us that it was mainly senior staff who administered medication but on occasions care staff would give out medication. All staff who administered medication had been trained to do so before they carried out this role.

Staff said they felt supported in their role and found the manager approachable. Staff also told us that they had received training in areas such as medication administration, Safeguarding of Vulnerable Adults and dementia care.

The provider had a complaints policy should it be necessary. We spoke with two relatives who said "We would go straight to the manager; she is very good. Anything we have raised has been dealt with straight away."

15th February 2012 - During a routine inspection pdf icon

During our visit on 15 February 2012 one of the relatives told us that the staff always ensured that their relative wore her makeup and jewellery as this was important to her. They said that they were happy with the care provided at the home to their relative.

One of the people living in the home told us that they liked living there and that they liked the staff.

 

 

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