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Ellershaw House Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 18 May 2019

About the service: Ellershaw House is a residential care home registered to provide personal care to 12 people with learning disabilities and/ or autism. At the time of the inspection 10 people were living at the service.

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 12 people. This is larger than current best practice guidance. However, the size of the service having a negative impact on students was mitigated by the building design fitting into the surrounding rural area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were discouraged from wearing anything that suggested they were care staff when coming and going with students.

People’s experience of using this service: People living in the service are referred to by the provider as students to reflect Ellershaw House is a place of learning and care.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as a full a life as possible and achieve the best possible outcomes. The principals reflect the need for people with learning disabilities and/ or autism to live meaningful lives that include control, choice and independence. People using the service received planned and coordinated person-centred support that was appropriate and inclusive for them.

The outcomes for students using the service reflected the principals and values of Registering the Right Support in the following ways: promoting choice and control, independence and inclusion. Student’s support focused on them having as many opportunities for them to gain new skills and become more independent.

The provider made changes to improve its recording and quality assurance systems following the inspection.

Health and safety checks were not always completed. This was rectified during the inspection.

Risks to students were well-managed, keeping them safe. Staff had a positive approach to risk management.

Students were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

Students lived healthy lives. Excellent links had been developed with community health professionals. Students were involved in meal preparation and planning and were encouraged to make healthy choices.

Students had personalised rooms. They made full use of the surrounding land, which had a therapeutic value.

Staff treated students with dignity and respect and valued the unique contribution they made to the Ellershaw House community. Students were the lead decision-makers in their lives. They were supported to be independent.

Students were able to live fulfilling lives. The service encouraged them to set ambitious goals to work towards, which transformed their lives.

The service was integrated into the local community, working with voluntary organisations and local services to provide work opportunities for the students.

For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk

Rating at last inspection: Good (report published on 12 September 2016).

Why we inspected: This was a scheduled inspection based on the previous rating.

Follow up: We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 18 May 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 18 May 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 18 May 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 18 May 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 18 May 2019

The service was not always well-led

Details are in our Well-Led findings below.