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Inspection carried out on 14 January 2020

During a routine inspection

Eastway Romford is a day opportunities service providing holidays in the UK for people with learning disabilities and/or autism, who require personal care. At the time of the inspection, three people had used the holiday service. Not everyone who used the service received personal care. CQC only inspects where people received personal care while on holiday. 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

People who used the holiday service were kept safe and enjoyed themselves.

Staff ensured the holiday was suitably organised to meet all people’s needs. Risks associated with people's needs were assessed before they went on holiday to ensure staff understood what action to take. There were procedures to protect people from abuse and staff understood how to report abuse. People’s medicines were managed safely by staff during the holiday. Accidents and incidents were reviewed to learn lessons to help prevent them re-occurring. Enough staff accompanied people on the holiday to provide support to people. Staff were recruited appropriately to ensure they were safe and suitable. Staff followed infection control procedures.

Staff received training to provide them with the necessary skills and knowledge. Staff felt supported by the management team. They received regular supervision to monitor their performance.

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

People maintained their health and nutrition with balanced meals. The service worked in collaboration with health care professionals, such as GPs and speech and language therapists to maintain people’s health. People were supported to remain independent as much as possible. They were involved in decisions made about their care and they were supported by relatives.

Staff were kind, respectful and caring towards people. Staff understood the importance of promoting equality and diversity. They respected people's privacy and confidential information at all times.

People’s communication needs were assessed and staff understood how to communicate with people who had difficulty speaking. The holiday service helped people to avoid social isolation, meet new people and take part in meaningful activities.

People and relatives knew how to make complaints about the service. There were quality assurance systems to monitor the safety of the service through audits, reviews and obtaining feedback from people and relatives about the holiday experience.

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 13 July 2017).

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.

Inspection carried out on 15 June 2017

During a routine inspection

The inspection took place on 15 June 2017 and was announced. The provider was given 48 hours’ notice as they are registered to provide personal care to people in their own homes. We needed to be sure that someone would be in the office to speak to us.

Eastway Romford provided personal care to people with learning disabilities while they were on holiday. At the time of our inspection they had supported one person in their own home for personal care and five people on two holidays. This was the first inspection of the service.

The service had 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.

The inspection took place on 15 June 2017 and was announced. The provider was given 48 hours’ notice as they are registered to provide personal care to people in their own homes. We needed to be sure that someone would be in the office to speak to us

Staff had good understanding of people's needs and demonstrated knowledge of safeguarding from abuse. Before people went on the holidays, staff ensured that risk assessments were completed and proper planning undertaken so that potential harm to people was managed. The service had a recruitment processes which required that new staff were checked before they started work.

The service provided support, training and supervision to enable people to work effectively. Staff understood the principles of Mental Capacity Act 2005 and ensured that people made decisions about their care, whenever they had the capacity. People were also supported to have meals food that reflected their needs and preferences. When needed, staff worked with healthcare professionals to ensure people had access to medical care and medicines.

Staff ensured they treated people with respect and dignity. There was good communication between staff and relatives. This showed that relatives were updated with information about people's well-being. People and relatives could also make a complaint if they were not happy with the service.

The registered manager had systems in place for reviewing the quality of the service and addressing any identified shortfalls and making improvements. The management structure and the mission statement were clear and showed that the service was forward-looking with plans for the future.