Elsenham House

“The service had been rated requires improvement and, or inadequate since 2018 with breaches of regulation which had been repeated. At this assessment we identified 5 breaches of regulation including: Person centred care, premises and equipment, staffing, safe care and treatment and good governance. Improvements introduced by the new manager were not firmly embedded. There was poor governance and oversight specifically in relation to accidents and incidents. Provider audits did not identify the things that we did and reviewing previous inspection reports the same issues were brought up time and time again, such as unsafe staffing levels particularly at night, concerns about the environment and risks associated with people’s care. We found records were poor which meant changes in people's needs could not be clearly identified.”

“We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. We found the provider was not meeting this guidance in terms of the support they were providing.”

“In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded. This service is being placed into special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a time within which providers must improve the quality of the care they provide.”