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Inspection Summary


Overall summary & rating

Good

Updated 24 January 2017

This inspection was unannounced and took place on 15 December 2016.

Ellenborough Nursing Home is registered to provide accommodation with nursing care for up to 27 people. On the day of the inspection there were 23 people living in the home.

The care home provided nursing care and a registered nurse was on duty 24 hours a day.

The last inspection of the home was carried out 8th April 2014. No concerns were identified with the care being provided to people at that inspection.

There is a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The registered manager was open and approachable and supported people and staff well. Their leadership resulted in people receiving skilled and effective care and support in a relaxed, happy environment.

The provider and manager had robust systems in the home to monitor the quality of the service offered to people and to bring about improvements to people’s care.

There were sufficient staff to make sure people received care and attention in an unhurried and safe manner. There were registered nurses on duty at all times to meet the needs of people.

People told us staff were kind and caring and respected their privacy and dignity. One person said “There are no worries here. They are very good to me.” Another person said “We are very well looked after. We get everything done for us. Staff are very kind. Very nice.”

People felt well looked after when they were unwell. The home arranged for them to see healthcare professionals according to their individual needs.

People received care that was responsive to their needs and personalised to their wishes and preferences. People were able to make choices about all aspects of their day to day lives.

Staff were aware of how to assist people to make decisions if they lacked the mental capacity to make decisions for themselves. People were involved in discussions about the care and support they received and were made aware of any risks. The staff responded to changes in people’s needs and adjusted care accordingly.

People enjoyed the food in the home. They had a very good choice of food and staff catered for people with specific dietary needs and preferences when required. Food was plentiful and the size of people’s meals varied according to their appetite and preferences.

Staff had access to on-going training that enabled them to care for people with skill and knowledge.

Staff had received training in recognising and reporting abuse and were confident that any concerns would be fully investigated to make sure people were protected.

People knew how to make a complaint and everyone told us they would be comfortable to do so. All were confident they would be listened to and action would be taken to address any issues.

Inspection areas

Safe

Good

Updated 24 January 2017

The service was safe.

There were sufficient staff to make sure people received care and attention in an unhurried and safe manner.

People’s medicines were safely administered by staff who had received specific training and an assessment of competence to carry out this task.

There was a robust recruitment process which minimised the risks of abuse to people

Effective

Good

Updated 24 January 2017

The service was effective.

People were supported by staff who had the skills and knowledge to meet

their needs.

People were able to choose from a variety of nutritious meals which took account of their preferences and dietary needs.

People’s health was monitored and they had access to appropriate healthcare professionals according to their specific needs.

Caring

Good

Updated 24 January 2017

The service was caring.

People told us staff were kind and gentle and always willing to help.

People’s privacy was respected and they were able to make choices about how their care was provided.

People, or their representatives, were involved in all decisions about their care.

Responsive

Good

Updated 24 January 2017

The service was responsive.

People were able to make choices about they spent their days.

There was an activity programme in the home; activities were arranged in line with people’s interests. Events were organised to entertain people and maintain their good spirits.

The staff responded to changes in people’s needs which made sure they continued to be appropriately cared for.

People knew how to make a complaint and were confident any concerns raised would be responded to.

Well-led

Good

Updated 24 January 2017

The service was well led by the registered manager.

People told us they found the registered manager open kind and approachable. We saw everyone was very comfortable and relaxed with them.

Staff felt well supported by the registered manager which led to a happy,homely atmosphere for people.

The provider supported the manager and had implemented a range of quality assurance systems.