Ellerslie House

This report summarizes a targeted inspection of Ellerslie House, a residential care home for up to six individuals with complex needs including autism, learning disabilities, sensory impairment, or mental health conditions. The inspection focused on the 'safe' and 'well-led' aspects of the service, following previous concerns. The aim was to verify if improvements mandated by warning notices had been implemented. The report details the findings in key areas, assessing how the home supports its residents and operates under its leadership.

In terms of safety, significant improvements have been made to the way risks are managed and safety checks are conducted. Regular equipment checks and audits are now completed promptly, with no outstanding actions. Personal emergency evacuation plans are up-to-date and accessible, and individual risk assessments have been enhanced with detailed information for staff. Care plans are now primarily online and consistently reflect current needs and preferences, providing clear guidance for staff on managing complex issues like anxiety and physical health. Inappropriate restraint has been minimised through updated care plans and proactive de-escalation techniques.

Regarding the effectiveness of care, the service focuses on residents' strengths and supports them in pursuing their interests, fostering a fulfilling daily life. Care plans accurately reflect individual needs and aspirations, ensuring residents receive tailored support that promotes their wellbeing and enjoyment. Activities are personalised, allowing residents to engage in pursuits that are meaningful to them.

The caring aspect of the service is demonstrated through staff's focus on residents' quality of life. Care plans are designed to support individual needs and aspirations, and residents are enabled to participate in activities that are enjoyable and tailored to them.

In terms of responsiveness, the home ensures that care plans are regularly updated to reflect current needs and preferences. Residents are supported in a wide range of activities, both inside and outside the home, reflecting their interests. Risk assessments are in place to support safe contact with important individuals, and the home actively engages in community activities.

Concerning leadership, management processes have been strengthened to monitor and improve service quality. Regular audits and checks are conducted and followed up promptly, with no outstanding issues identified. Care planning and risk assessment processes are more robust, ensuring regular reviews and updates. Medicine management and auditing procedures have also improved, with no errors or gaps found in administration records. Engagement with families and staff has been expanded through regular meetings, surveys, and increased direct staff employment, reducing reliance on agency staff. Communication methods have been enhanced to ensure residents and their families are involved in care planning.