Ivy House provides for pupils aged 2–19 years with severe, profound, multiple and complex learning difficulties. At the time of the inspection, the youngest child was three years old. Many pupils have complex medical needs which include chronic and degenerative conditions, and approximately one quarter are unable to take food by mouth. All pupils have a statement of special educational needs or an education, health and care plan. A high proportion of pupils are from ethnic minority backgrounds, including Asian and Eastern European backgrounds. A well-above-average number of pupils speak English as an additional language. Just over a quarter of pupils are eligible for the pupil premium, which is additional funding given to schools for pupils known to be eligible for free school meals and those who are looked after by the local authority. The school works with a cluster of mainstream and special schools within Derby city to share skills and knowledge and to carry out moderation. There are strong links with neighbouring Derby Moor Community Sports College and opportunities are taken for pupils to work together within the two schools. The school does not make use of alternative provision for any of its pupils.