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Ellershaw House Limited Requires improvement

All reports

Inspection report

Date of Inspection: 17 October 2013
Date of Publication: 13 November 2013
Inspection Report published 13 November 2013 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 17 October 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with staff, reviewed information sent to us by other authorities and reviewed information sent to us by local groups of people in the community or voluntary sector. We used information from local Healthwatch to inform our inspection.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

We looked at three people’s care records. We saw that people’s needs were assessed and there were care plans in place to show how they would be supported to meet their assessed needs. There were risk assessments for areas of potential risk to people’s health and wellbeing such as potential to fall, behaviours associated with people’s conditions and food provision. Care records were extremely detailed and provided sufficient information for staff to know how to meet people’s individual needs. However, although the records we saw were up to date, the provider may wish to note that dates on some care records only included the month and year and not the exact date a record was completed.

One person using the service preferred to complete their own care record and this was facilitated. A system of ‘coding’ had been created so that the person could record how they were feeling on a daily basis and document what they had been doing.

People who used the service, and those we met on the day of our inspection, looked well cared for. One person said, “I am happy, I like the staff.”

We saw that people had access to a range of health services such as local doctors, community psychiatric nurses and district nurses.

Information about people’s capacity to make decisions was recorded. We saw that people who used the service and/or their representatives were involved in reviews of their care. ‘Best interest’ meetings were being held to discuss the care and treatment of people who used the service, if they were not able to make decisions on their own accord. The meetings had been attended by the person’s relatives, in addition to health and social care professionals involved in the person’s care, as appropriate. This showed us that care and treatment was being planned in accordance with people’s individual needs and abilities.

Some people living at the home had complex needs and were not able to verbally communicate their views and experiences to us. Due to this we observed interactions between staff and people living at the service, to help us understand how their needs were supported. At the time of our inspection there were five people at home and seven staff. To help us engage with people we were invited, by the people using the service, to sit at the large dining table and share the lunchtime snack. Throughout our observations we saw staff treated people in a professional, patient, friendly and appropriate way. Staff approached people in a sensitive and calm way. Staff had an in depth knowledge of the people they were caring for and we saw a variety of ways being used to encourage people to be independent and maintain their privacy.

There were arrangements in place for managing foreseeable emergencies, such as medical emergencies. Staff described to us what they would do in the event of a medical emergency and knew who to contact if they needed advice.