Enbridge House Care Home

Ratings

• Overall

  Requires improvement

• Safe

  Requires improvement

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Requires improvement

Our view of the service

Enbridge House Care Home is a residential care home providing accommodation and personal care to people aged 65 and over. At the time of our assessment 9 people were using the service. As part of our assessment activity, we undertook on-site visits on 18 and 19 January 2024. At our last inspection, we recommended improvements be made with regards to how legal frameworks for consent were being implemented. These improvements had not been made. This assessment was prompted by information we held about this service. We assessed 6 quality statements under the Safe key question and 2 quality statements under the Well-led key question. At the last inspection this location was rated as requires improvement. During this assessment we evidenced that the provider had not made the necessary improvements across the Safe and Well-led key questions. We found three breaches in regulations of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. The provider did not always ensure they sufficiently monitored and managed the safety of the premises, this had been a concern when we last inspected. The provider failed to ensure they suitably maintained all required equipment people used. We found there was a lack of robust control measures to mitigate identified risks to people. People did not always receive their medicines as prescribed. The systems to manage people’s medicines were not always robustly followed or in line with best practice guidance. The provider did not operate effective recruitment procedures and all required information was not available. Where measures were put in place to support a person’s safety that had the potential to restrict peoples movement around the building, the provider could not demonstrate that decisions had been made in-line with the legal framework. Quality assurance and governance systems in place were not always effective or robust. Audits completed did not identify the concerns we found at this inspection.

People's experience of this service

People and their relatives spoke positively of the care and support they received. People consistently told us they felt safe, and relatives felt their loved ones were well supported by staff who knew them and their needs well. People and their relatives felt comfortable raising concerns if required and felt their feedback would be listened to. Relatives told us they were kept informed of the care their loved ones received and information was shared with other health professionals to meet their loved ones needs. A person we spoke with told us they felt their wellbeing was prioritised by staff, and staff treated them with kindness. People and their relatives told us they felt there were enough staff available to meet their needs. Although people and their relatives provided positive feedback, we identified a number of concerns at this assessment. We found that this service was not performing as well as it should. This meant we were not always assured that people consistently experienced what good quality care looks and feels like.