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Essex Care Consortium - Marks Tey Good

Inspection Summary

Overall summary & rating


Updated 8 August 2019

About the service

Essex Care Consourtium – Marks Tey is a residential care home registered to provide accommodation with personal care for up to 13 people with learning disabilities, those with autistic spectrum disorder and dementia. At the time of the inspection 13 people were living at the service. The service does not provide nursing care.

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.

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 13 people. Thirteen people were using the service. This is larger than current best practice guidance. However. the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

People using the service were supported to stay safe. Staff had good understanding of safeguarding procedures and how to report concerns. Risks to people were assessed and managed well.

Staff had the support they needed to manage people’s anxieties and behaviours in a positive way. The service had worked well liaising with other professionals and services to ensure people received the support they needed to stay safe.

Sufficient numbers of staff were employed and adjusted when needed to meet people’s complex needs. The recruitment, induction and training processes in place ensured staff had the right skills and experience and were suitable to work with people who used the service.

Systems were in place to ensure people’s medicines were managed safely and prevent the spread of infection. The premises were clean, tidy and homely, with a rolling programme of maintenance.

People had access to food and drink of their choice and were supported to live a healthy lifestyle.

People using the service were cared for by staff that knew them well. People’s privacy, dignity and independence was promoted and respected. People were receiving personalised care responsive to their needs, including access to health care services. Any changes in people’s care and support needs were identified and responded to promptly.

The requirements of the MCA and DoLS were understood and managed in line with relevant guidance and legislation. 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 always 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.

People’s communication needs had been assessed and were meeting the requirements of the Accessible Information Standards. This set of standards sets out the specific, approach for providers of health and social care to meet the communication needs of people with a disability, impairment or sensory loss.

Work was in progress to develop end of life care plans to ensure people’s wishes will be taken into account at such time, and ensure they experience a pain free and comfortable death.

Staff were not aware of the vison and values of the company, but intuitively applied these in their day to day roles ensuring person received person centred care. People, their relatives and staff were involved in the service, and feedback was used to improve the service provided.

Systems were in place to assess the quality of the service and ensure risks and regulatory requirements were being understood and managed. Where things had gone wrong, systems were in place to learn from such incidents and improvements made.

Rating at last inspection: Good (Report published 24 November 2016).

Why we inspected: This was a planned inspection based on the previous rating.

Follow up: We will continue to monitor all intelligence received about this service to ensure that the next planned inspection is scheduled accordingly.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Essex Care Consourtium – Marks Tey on our website at

Inspection areas



Updated 8 August 2019

The service was safe.

Details are in our safe findings below.



Updated 8 August 2019

The service was effective.

Details are in our effective findings below.



Updated 8 August 2019

The service was caring.

Details are in our caring findings below.



Updated 8 August 2019

The service was responsive.

Details are in our responsive findings below.



Updated 8 August 2019

The service was well-led.

Details are in our well-Led findings below.