Elborough Care Services

Date of Assessment: 23 to 30 January 2025. The service is a care at home service providing support to adults, younger adults and children living with nursing needs, mental health conditions, learning disability and or autism and complex behaviours. The service was delivering care to children in unregistered children’s homes. Whilst leaders were aware of this, they had not taken the necessary actions to fully address. We informed Office for Standards in Education, Children's Services and Skills (Ofsted) of these packages and spoke with the funding local authority. The provider had clear aims and values embedded in the organisation to ensure high quality person centred care. Thorough recruitment, induction, training and supervision of staff ensured an experienced, knowledgeable and passionate staff team which involved people in their care planning. People were safe as the provider encouraged a learning culture where feedback could be raised. Incident, accidents and safeguarding concerns were reviewed to ensure risks were mitigated. The provider worked collaboratively with other organisations and professionals to deliver the best possible care and were receptive to new ideas. We received positive feedback from other agencies about partnership working and outcomes for people. Leaders were visible and supportive, encouraging staff development. Staff were valued and were treated equally. Staff understood their roles and responsibilities. The service was well managed. There was a culture of continuous improvement. The provider had robust governance systems in place to comprehensively monitor and assess the quality and safety of the service. The service was used by autistic people or people with a learning disability but was not registered as a specialist service at the time of the assessment. The provider had applied to register as a specialist service. We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements.