About the service Emerson Court is a residential care home which was providing personal care to 17 people at the time of our inspection. All people living at the service were older people, most of whom had dementia. The service can support up to 21 people in one adapted building over two floors. At the time of our inspection one bedroom had been converted to a visiting room so relatives can visit people during the COVID-19 pandemic.
People’s experience of using this service and what we found
We undertook this inspection at the same time as CQC inspected a range of urgent and emergency care services in North East London. To understand the experience of social care providers and people who use social care services, we asked a range of questions in relation to accessing urgent and emergency care. The responses we received have been used to inform and support system wide feedback.
People were kept safe. There were systems in place to help protect people from abuse. People’s risks were assessed and monitored. There were enough staff working at the service and recruitment processes were robust. Medicines were managed in a safe way. Infection control practice followed national guidance and sought to keep people safe from infection. Lessons were learned when things went wrong as incidents were recorded and actions completed to keep people safe.
The service worked effectively. People’s needs were assessed in line with the law, prior to their admission. Staff received induction and training, so they knew how to work effectively with people. Staff were supported in their role through supervision and appraisal. People were supported to eat, drink and maintain healthy diets. Staff communicated effectively with other agencies to ensure people received good care. The provider had adapted the building to ensure it met people’s needs. 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. People’s choices were respected, and decisions made in their best interests.
The service was caring. People and relatives thought staff were caring. People were supported to express their views. People’s privacy and dignity were respected, and their independence promoted.
The service was responsive. Care plans were person-centred, and staff knew people’s preferences. People’s communication needs were met. People were able to take part in activities they could enjoy. People and relatives could complain and when they did, complaints were responded to appropriately. The service recorded people’s end of life wishes and worked with other agencies to ensure people were treated with respect and dignity when they approached the end of their lives.
The service was well led. A positive person-centred culture was promoted. People, relatives and staff thought highly of the provider and the management team. The registered manager understood duty of candour and acted appropriately in this regard. Staff understood their roles and the registered manager fulfilled the service’s regulatory requirements. People, relatives and staff were able to be engaged and involved with decisions that affected the outcomes of the service. There were quality assurance systems so the provider could monitor and improve the care people received. The service worked with other agencies to the benefit of people using the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for the service under the previous provider (Peter Warmerdam) was good, published on 19 September 2017. This service was registered with us under the current provider on 5 December 2019 and this was the first inspection.
Why we inspected
This was a planned inspection based on when the service registered with us.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
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.