• Care Home
  • Care home

Russell House

Overall: Requires improvement read more about inspection ratings

Chesham Lane, Chalfont St. Peter, Gerrards Cross, Buckinghamshire, SL9 0RJ (01494) 601374

Provided and run by:
Epilepsy Society

Assessment report published 27 November 2025

Ratings

  • Overall

    Requires improvement

  • Safe

    Requires improvement

  • Effective

    Requires improvement

  • Caring

    Good

  • Responsive

    Good

  • Well-led

    Requires improvement

Our view of the service

Date of inspection 22 September 2025 to 23 October 2025. The service is a care home for 20 people providing care and support to people with a learning disability and/or autistic people. At the time of this inspection, 20 people were living at the service.

The inspection was carried out in response to the outcome of a coroner case where recommendations were made. We found 3 breaches of regulations relating to safe care and treatment, consent and governance.

We 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 service was not always supporting people with a learning disability in line with this statutory guidance.

Risks to people were not always identified and mitigated, including environmental and infection control risks. Safe medicine practices were not always promoted. The service was not working to the principles of the Mental Capacity Act 2005 which failed to safeguard people.

Records were contradictory and terminology used was not always in line with best practice. Governance systems were not effective in identifying all areas for improvement.

People were safeguarded from abuse and had access to a range of health professionals to promote their health and well-being. They were supported to be involved in a wide range of person-centered activities, including community activities.

Staff were suitably recruited and supervised. They had access to a range of training; however, staff did not have their competencies assessed for all aspects of tasks they were involved in.

The provider and manager were proactive in response to our feedback, and they took immediate actions to address the findings, to safeguard people.

We have asked the provider for an action plan in response to the findings and to enable us to monitor progress within the service.

People's experience of this service

Relatives were happy with their family member’s care. They felt confident they were safe and well cared for. Relatives commented, “The quality of care is really good. It’s such a relief” and “Family member is absolutely 100% safe, they are happy and settled there”.

Relatives generally felt the staffing levels seemed sufficient and had improved. A relative commented, “There is a large cohort of permanent staff, and they have significantly reduced agency staff”.

Relatives told us staff seemed suitably trained. Relatives commented, ‘Staff are trained enough, and they handle complex issues well” and “They are well trained and enthusiastic”.

Relatives were happy with the activities on offer and felt the range and access to activities had increased for people.

Relatives felt involved in their family member’s care. They felt communication with them had improved over the past 6 months and that the registered manager had provided continuity to the service. This they felt had led to significant improvements to the service in relation to the care their family member received and progress they had made.