Ellerslie Court

“People were not consistently provided with safe care and treatment. The provider failed to listen to safety concerns, did not investigate or report incidents, and missed opportunities to learn and improve practices. They did not always share concerns with relevant authorities. The environment was unsafe, with outstanding fire risk assessment actions not addressed. Staffing levels were insufficient, and staff lacked regular supervision. Infection prevention and control (IPC) practices were ineffective, and medicines were not managed or administered safely. Care plans and risk assessments were outdated. The provider did not comply with the Mental Capacity Act 2005, failing to obtain proper consent for people. People were not consistently treated as individuals or given person-centred care. There was a lack of meaningful activities, low staff morale, poor leadership, and ineffective governance systems that failed to assess, monitor, or improve service quality.”

“We have asked the provider for an action plan in response to the concerns found at this assessment.”