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Essex Care Consortium - Marks Tey Good

Reports


Inspection carried out on 24 June 2019

During a routine inspection

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 A

Inspection carried out on 7 September 2016

During a routine inspection

This inspection took place on 7 September 2016 and was unannounced. The service provides accommodation and personal care for up to 13 people with a learning disability or autistic spectrum disorder. On the day of the inspection there were 11 people using the service.

The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People felt safe and they were protected from the possible risk of harm. Risks to individuals had been assessed and managed appropriately. There were sufficient numbers of experienced and skilled staff to care for people safely. Medicines were managed appropriately and people received their medicines regularly and as prescribed.

People received care and support from staff who were competent in their roles. Staff had received relevant training and support for the work they performed. They understood the requirements of the Mental Capacity Act (2005) and associated Deprivation of Liberty Safeguards. They were aware of how to support people who lacked mental capacity. People’s nutritional and health care needs were met. They were supported to maintain their health and wellbeing and had access to other health care professionals and services.

The experiences of people who lived at the home were positive. They were treated with kindness and compassion and they had been involved in decisions about their care where possible. People were treated with respect and their privacy and dignity was promoted.

People’s care needs were assessed, reviewed and delivered in a way that promoted their wellbeing. They were supported to pursue their leisure activities both outside the home and to join in activities provided at the home. An effective complaints procedure was in place.

There was a caring culture within the service and effective systems in operation to seek the views of people and other stakeholders in order to assess and monitor the quality of service provision.

Inspection carried out on 30 January 2014

During a routine inspection

We found that the provider had systems in place to maintain the safety and welfare of service users. The service provided staff with specialised training to ensure the safety of people with specific medical needs.

The provider had good arrangements to promote effective performance of the service. We spoke with three members of staff and the registered manager. Staff told us that there was always a sufficient number of staff on duty to meet people’s needs. We examined the rota which confirmed what we were told.

We saw that the registered manager showed clear leadership and that all staff were expected to provide a high quality of care to people. The provider ensured that people’s care was regularly reviewed and that additional provisions to support their care were provided where required.

We found that the provider had systems in place to effectively respond to complaints. Whilst the service had not received any complaints the registered manager and staff were clear on how complaints should be handled. People who used the service and their families were also provided with information on how to make a complaint.

Inspection carried out on 21 February 2013

During a routine inspection

We gathered evidence of people's experiences of the service by talking with people, observing how they spent their time and noting how they interacted with other people living in the home and with staff.

During our inspection we spoke with two people who told us they liked living at Essex Care Consortium Marks Tey. We saw that people smiled and appeared relaxed and comfortable with staff and others living in the home.

Inspection carried out on 20 January 2012

During a routine inspection

People living in the home told us that they were happy living there. They also told us that they were confident that if they had any concerns they would be listened to and their concerns would be addressed.