Archived: Eastway Leytonstone

Updated 17 August 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was carried out by one inspector.

Service and service type

This service provides personal care to people with physical disabilities, learning disabilities, autistic spectrum, some of whom were non-verbal, whilst on holiday. The provider had just started to provide care and support to one person living in their own home.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection

We spoke with four people who used the service and four relatives to obtain feedback on their experience of the care provided by Eastway (Leytonstone). We spoke with five staff members including the registered manager, deputy manager, senior support worker and two support workers and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

After the inspection

We asked the registered manager to send additional documentation, including staff recruitment records. We spoke with healthcare professionals who regularly worked with the service.

Updated 17 August 2019

About the service

Eastway Leytonstone is a service providing holidays to people who require personal care aged 18 and over. At the time of the inspection 17 people had used the holiday service. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

Relatives spoke very positively about how people’s lives had been transformed since joining the service. Staff had an extremely compassionate and caring approach and went out of their way to deliver personalised care.

People experienced care that was unique and responsive to their individual needs and choices. Care focused on providing meaningful activities which promoted people’s physical and emotional wellbeing and enhanced their lives.

Staff were well-informed about people's risks and how to care for them safely. Staff received training in safeguarding adults from harm and had a positive attitude to reporting concerns. The management team regularly reviewed staffing arrangements to ensure there were enough staff with the right skills and experience to care for and support people. People's medicines were managed safely.

People were consistently consulted on all aspects of their care and treated with dignity and respect in a way that truly valued them as individuals.

Staff knew people well and the diverse communication needs of each person.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

The leadership of the service was exceptional. The registered manager supported by their senior

management team had established a person- centred culture amongst the staff team, that consistently delivered high quality care. Staff were extremely motivated and passionate about their role and clear on their responsibilities.

Relatives and visitors expressed confidence that they could raise issues or concerns with any member of staff or the management team and that these would be addressed.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 21 December 2016)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.