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What the CQC found at Ellesmere House

Goodpublished 7 April 2025, 18 months ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The latest report, explained

What inspectors found, June 2019

Ellesmere House was rated Good; inspectors found safe, kind and personalised care, with some redecoration still unfinished.

This was an unannounced inspection on 26 April 2019. One inspector spoke with six people, the manager and staff, observed care, and checked care records and quality records.

The home was calm and homely. People told inspectors they felt safe and that staff were kind. Medicines, staffing, risk assessments, food, healthcare and consent arrangements were found to be well managed.

Inspectors found personalised care, regular activities and good involvement of people and families. The home had effective checks on quality and safety. Some redecoration was still being completed.

What inspectors praised
  • Kind relationships

    Staff had developed close and positive relationships with people. Inspectors saw care being given warmly and compassionately.

    “The atmosphere at Ellesmere House was calm and homely; the registered manager and staff had developed strong, familiar and positive relationships with people.” from the report
  • Safe care

    Risks were assessed and reviewed, staffing levels were suitable, and medicines were managed safely.

    “Risks to people had been assessed and provided detailed information around people's individual risks in order for staff to keep them safe.” from the report
  • Personalised support

    Staff knew people's preferences and provided care in the way people wanted. Care plans were detailed and up to date.

    “People received person-centred care that was based on their individual needs.” from the report
  • Strong management

    Inspectors found a positive culture and regular checks on care quality and safety. Staff said they felt supported and able to share concerns.

    “Quality assurance systems were in place and used effectively to monitor key aspects of the service.” from the report
What inspectors were concerned about
  • Redecoration not complete

    minor

    Some areas still needed redecoration at the time of inspection. The report says this work was in progress.

    “The registered manager told us there were still areas that required completing but this was in progress.” from the report
Questions to ask them, based on this report
  1. 01Which areas of the home still need redecoration, and when will this work be completed?
  2. 02How are activities planned for people who prefer smaller groups or staying in their rooms?
  3. 03How will my relative and our family be involved in care plan reviews?
  4. 04How will you make sure my relative's food, drink and dietary preferences continue to be met?
  5. 05How are changes in my relative's health needs identified and referred to healthcare professionals?

This was an unannounced planned inspection covering all five key questions, including the premises and care provided. This explanation was written from the published report of 1 June 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, March 2017

Rated Good; inspectors found the home was well managed and that earlier improvements had been sustained.

This was an unannounced, focused inspection on 7 February 2017. One inspector spoke with three people using the service, a relative, two staff members and the acting manager. Records about care, audits, surveys and meetings were also checked.

The inspection looked only at how the home was managed. Inspectors found regular checks, feedback from people and relatives, staff meetings and plans to act on any problems. People and staff said the management team was approachable and supportive.

The home was rated Good overall and Good for being well-led. The report says earlier improvements in quality monitoring had been sustained. The other four areas were not assessed in this inspection and carry over from the previous comprehensive inspection.

What inspectors praised
  • Improvements maintained

    Inspectors found that improvements to the home's quality monitoring had continued and were being maintained.

    “improvements that had been made were being sustained.” from the report
  • Open management

    People and staff described the management as approachable. Staff said they could raise concerns and that their views were listened to.

    “People were confident about the management and staff that supported them in the service.” from the report
  • Regular quality checks

    The acting manager carried out checks on areas including care plans, accidents, incidents, medicines and health and safety. Action plans were made where shortfalls were found.

    “They carried out regular audits, for example, on health and safety, care plans, accidents and incident and medicines.” from the report
  • People's views used

    The provider gathered views through surveys, meetings and care reviews, and used the feedback to help shape the service.

    “People were given the opportunity to express their views regarding the running of the home.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01Has the acting manager now completed the CQC registration process?
  2. 02What did the home's latest audits of medicines, accidents, incidents and care plans find?
  3. 03When a quality check finds a shortfall, how is the action plan followed up and completed?
  4. 04How can residents and relatives raise concerns or give feedback now?
  5. 05Can we see the previous comprehensive inspection report covering safety, effectiveness, caring and responsiveness?

This was a focused inspection of management and the well-led question only; the other ratings were not reassessed and carry over from the previous comprehensive inspection. This explanation was written from the published report of 15 March 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Ellesmere House

6 rated inspections over 4 years: the service has improved, from Inadequate to Good.

  1. June 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Ellesmere House →

  2. March 2017Goodstayed Good
    Well-led: Good

    Read what inspectors found at Ellesmere House →

  3. October 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. June 2016Inspected but not rated
    Well-led: Inspected but not rated

    Read this report on cqc.org.uk

  5. March 2016Requires improvementstayed Requires improvement
    Effective: Inspected but not ratedWell-led: Inspected but not rated

    Read this report on cqc.org.uk

  6. September 2015Requires improvementup from Inadequate
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  7. January 2015Inadequate
    Safe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  8. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. September 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. December 2010

    Registered with the Care Quality Commission on 14 December 2010.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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