8 July 2021
During an inspection looking at part of the service
Eltham House is a residential care home providing personal care and accommodation to people with learning disabilities or autistic spectrum disorder. Accommodation is provided in an adapted domestic style property, registered to support up to six people. On the day of our inspection six people lived at the home.
People's experience of using this service and what we found
The management of individual risk assessments had improved and were well managed. However,
environmental risks were not always identified or assessed. People
felt safe living at Eltham House and staff understood their responsibilities to keep people safe. Staff were recruited safety and medicines were well managed and administered.
Some checks on the environment were not always effective, as they failed to identify the issues we found. People and relatives were encouraged to share their views of the service, staff felt supported and told us the service was well led. The registered manager was committed to addressing shortfalls identified during the inspection visit to improve the safety of the environment.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People had choice and were supported to be as independent as possible. The care people received was person-centred and people’s rights to privacy, dignity and respect were upheld.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The last rating for this service and update was requires improvement (last report published 3 April 2020) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. Although we found improvements had been made the overall rating for the service has remained the same, as some processes and systems that have been introduced need time to become more established and provide assurances of improvement.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Eltham House on our website at www.cqc.org.uk.
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.