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Ellershaw House Limited Requires improvement

All reports

Inspection report

Date of Inspection: 25 September 2014
Date of Publication: 25 October 2014
Inspection Report published 25 October 2014 PDF


Inspection carried out on 25 September 2014

During a routine inspection

A single inspector carried out this inspection. The focus of the inspection was to answer five key questions: is the service safe, effective, caring, responsive and well-led?

Below is a summary of what we found. The summary describes what people using the service told us, what we observed and the records we looked at.

If you want to see the evidence that supports our summary, please read the full report.

This is a summary of what we found.

Is the service safe?

People were treated with dignity and respect by the staff. Systems were in place to ensure that the registered manager and staff learnt from incidents such as accidents and incidents. This reduced the risks to people and helped the service to continually improve.

The home had policies and procedures in relation to the Mental Capacity Act (MCA), 2005 and Deprivation of Liberty Safeguards, (DoLS). All staff had been trained to understand when an application should be made, and how to submit one. Documentation was available in people's care files to support this.

Staff had received up-to-date training in all mandatory areas, as well as those specific to their job role. Staff told us they felt the training they received was thorough and offered to them on a regular basis. Staff recruitment procedures were thorough and in accordance with the provider's policy. Staffing levels were determined based on the individual needs of each person living in the care home. Policies and procedures were in place to make sure unsafe practices were identified and people were protected.

The home was clean and tidy and provided a safe environment for the needs of people living in the home.

Is the service effective?

Staff had the skills and knowledge to meet people's needs. The registered manager gave effective support to most staff including induction training, supervision and appraisal. This was supported by a comprehensive training programme. The care home worked effectively with other agencies and health care services to ensure a co-ordinated approach to people's care was achieved.

Is the service caring?

People living in the care home were supported by kind and attentive staff. They were cared for sensitively and given encouragement. People's preferences, interests and diverse needs had been recorded and care and support had been provided in accordance with people's wishes. One person we spoke to told us, "They let me walk my pony and I enjoy making things."

Is the service responsive?

The complaints procedure was understood by staff and people living in the care home. The registered manager had encouraged relatives to have greater involvement in the care offered.

Is the service well led?

There was a quality assurance process in place. Records showed that any adjustments needed were dealt with promptly. This enabled the quality of the service to continually improve. Staff told us they were clear about their role and responsibilities. The staff we spoke to felt they were strongly supported by the registered manager. One member of staff told us, " I appreciate being asked to discuss the different aspects of people's behaviour." Staff had received training in order that they may continue to provide effective care. The registered manager monitored the needs of the people and adjusted staffing levels accordingly. This meant that people were safe and their health and welfare needs were met by sufficient numbers of appropriate staff.